• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Aortic valve replacement vs. balloon-expandable and self-expandable transcatheter implantation: A network meta-analysis
Recently, observational data have raised concerns about safety of selfexpandable (SE) compared to balloon-expandable (BE) valves in TAVI, although potentially limited by patient selection bias. Methods. All Randomized Controlled Trials (RCTs) comparing BE vs. SE TAVI or/and vs. aortic valve replacement (AVR) were included and compared through Network Meta Analysis (NMA). All-cause and cardiovascular (CV) mortality were the primary endpoints, stroke, rates of permanent pacemaker implantation (PPI), moderate/severe paravalvular leak (PVL) and reintervention were the secondary endpoints.
Source: International Journal of Cardiology - May 8, 2021 Category: Cardiology Authors: Fabrizio D'Ascenzo, Francesco Bruno, Luca Baldetti, Ovidio De Filippo, Giorgio Marengo, Susanna Breviario, Francesco Melillo, Hans Gustav H ørsted Thyregod, Holger Thiele, Lars Sondergaard, Jeffrey J. Popma, Susheel Kodali, Luca Franchin, Margherita Anna Source Type: research

Is it time to eliminate balloon valvuloplasty before transcatheter aortic valve replacement?
Pre-deployment balloon valvuloplasty (BAV) was initially deemed necessary for transcatheter valve aortic replacement (TAVR) to optimize crossing the native valve for transcatheter valve positioning, and ultimately deployment [1]. There are data to suggest that BAV can be associated with hemodynamic disturbance, a higher stroke rate, conduction disorders, significant aortic regurgitation, and even myocardial injury [2,3]. The need for routine use of pre-TAVR BAV has been questioned after recent studies have suggesting the feasibility of direct TAVR without BAV [4 –7].
Source: International Journal of Cardiology - August 21, 2019 Category: Cardiology Authors: Seyed Hossein Aalaei-Andabili, R. David Anderson Tags: Editorial Source Type: research

Systematic preoperative CT scan is associated with reduced risk of stroke in minimally invasive mitral valve surgery: A meta-analysis
Minimally invasive mitral valve surgery (MIMVS) is performed with increasing frequency. However, patients undergoing MIMVS might be at increased risk of perioperative stroke, mainly due to retrograde aortic embolization during femoral cardio-pulmonary bypass. Pre-operative computed tomography (CT) screening allows visualization of the aorta and femoro-iliac vessels and individualization of the surgical approach. In this meta-analysis, we aim to determine if systematic pre-operative CT screening is associated with decreased incidence of post-operative stroke and other complications following MIMVS.
Source: International Journal of Cardiology - December 13, 2018 Category: Cardiology Authors: Jeremy R. Leonard, Matthew Henry, Mohamed Rahouma, Faiza M. Khan, Matthew Wingo, Irbaz Hameed, Antonino Di Franco, T. Sloane Guy, Leonard N. Girardi, Mario Gaudino Source Type: research

Extracranial carotid artery stenosis and outcomes of patients undergoing transcatheter aortic valve replacement
Transcatheter aortic valve replacement (TAVR) is an alternative to open cardiac surgery in selected patients with severe aortic stenosis (AS). Carotid artery stenosis (CAS) has been associated with an increased risk of stroke following cardiac surgery, although the association between CAS and outcomes following TAVR is unclear. We therefore sought to study the prognostic impact of CAS on outcomes of patients undergoing TAVR.
Source: International Journal of Cardiology - November 7, 2016 Category: Cardiology Authors: Jeremy Ben-Shoshan, David Zahler, Arie Steinvil, Shmuel Banai, Gad Keren, Natan M. Bornstein, Ariel Finkelstein, Amir Halkin Source Type: research

Embolic Protection Device in a Patient with Large Left Ventricular Thrombus Undergoing Transcatheter Aortic Valve Replacement
We present a case of TAVR in a patient with a large aneurism of LV performed using a supra-aortic trunks protection device.
Source: International Journal of Cardiology - August 3, 2016 Category: Cardiology Authors: Simona Gulino, Marco Barbanti, Corrado Tamburino Source Type: research

Pharmacological Management Strategies for Stroke Prevention Following Transcatheter Aortic Valve Replacement: A Systematic Review
The most appropriate pharmacological treatment for stroke prevention after transcatheter aortic valve replacement (TAVR) is unclear. We performed a systematic review of randomized controlled trials (RCTs) and observational studies examining the effect of various pharmacological treatment regimens on rates of stroke, bleeding, and death after TAVR.
Source: International Journal of Cardiology - April 30, 2015 Category: Cardiology Authors: Lee H. Sterling, Sarah B. Windle, Kristian B. Filion, Mark J. Eisenberg Tags: Review Source Type: research

The Ibero-American transcatheter aortic valve implantation registry with the CoreValve prosthesis. Early and long-term results
Conclusions: Transcatheter aortic valve implantation constitutes a safe and viable therapeutic option for high operative risk patients with severe aortic stenosis. Long-term prognosis is conditioned by associate comorbidities.
Source: International Journal of Cardiology - October 15, 2013 Category: Cardiology Authors: Antonio J. Muñoz-García, Raquel del Valle, Ramiro Trillo-Nouche, Jaime Elízaga, Federico Gimeno, Rosana Hernández-Antolín, Rui Teles, Vasco de Gama Ribeiro, Eduardo Molina, Ángel Cequier, Cristóbal Urbano-Carrillo, Ignacio Cruz-González, Miguel Pa Tags: Original Articles Source Type: research

Transcatheter aortic valve implantation versus surgical aortic valve replacement for severe aortic stenosis: Results from an intermediate risk propensity-matched population of the Italian OBSERVANT study
Conclusions: Patients undergoing transcatheter and surgical treatment of severe aortic stenosis are still extremely distinct populations. In the relatively low-risk propensity-matched population analyzed, despite similar procedural and 30-day mortality, SAVR was associated with a higher risk for blood transfusion, whereas TAVI showed a significantly increased rate of vascular damage, permanent AV block and residual aortic valve regurgitation.
Source: International Journal of Cardiology - May 28, 2012 Category: Cardiology Authors: Paola D'Errigo, Marco Barbanti, Marco Ranucci, Francesco Onorati, Remo Daniel Covello, Stefano Rosato, Corrado Tamburino, Francesco Santini, Gennaro Santoro, Fulvia Seccareccia, on behalf of the OBSERVANT Research Group Tags: Original Articles Source Type: research

Aortic valve calcium score as a predictor for outcome after TAVI using the CoreValve revalving system
Abstract: Background: TAVI is a novel treatment option for patients at too high risk for surgery. Risk scores for surgical valve replacement failed to accurately predict outcomes after TAVI and alternative risk parameters are lacking so far.Objective: We evaluated the CT-derived aortic valve calcification score as a predictor for outcome during and after TAVI.Methods: Transfemoral TAVI using the CoreValve device was performed in 68 patients, in whom the aortic valve calcium score was determined from preprocedural 64-sclice ECG gated CT-scans.Results: 30-day MACE rate (death, stroke, MI) was 10.3%, 1-year mortality was 11.8...
Source: International Journal of Cardiology - December 26, 2011 Category: Cardiology Authors: Alexander W. Leber, Markus Kasel, Thomas Ischinger, Ulrich H. Ebersberger, Diethmar Antoni, Martin Schmidt, Gotthard Riess, Vivian Renz, Armin Huber, Thomas Helmberger, Ellen Hoffmann Tags: Original Articles Source Type: research

Accentuated left ventricular lateral wall function compensates for septal dyssynchrony after valve replacement for aortic stenosis
Abstract: Background: The interventricular septal motion becomes reversed after aortic valve replacement (AVR) for aortic stenosis (AS) despite maintained stroke volume (SV). We hypothesis that left ventricular (LV) lateral wall compensates for such disturbances, in order to secure normal SV.Methods: We studied 29 severe AS patients (age 63±11years, 18 males) with normal ejection fraction (EF) before, 6months and 12months after AVR and compared them with 29 age- and gender-matched controls, using speckle tracking echocardiography.Results: In patients, the LVEF and SV remained unchanged throughout. Before AVR, the septal r...
Source: International Journal of Cardiology - August 2, 2011 Category: Cardiology Authors: Ying Zhao, Per Lindqvist, Anders Holmgren, Michael Y. Henein Tags: Original Articles Source Type: research