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A Special Clinical Scenario for Transcatheter Aortic Valve Replacement: "Iatrogenic Double-Outlet" Left Ventricle
This report offers some guidance for treating patients with existing apicoaortic conduits and suggests that transcatheter aortic valve replacement is safe and effective if native aortic valve insufficiency develops.PMID:36174575 | DOI:10.14503/THIJ-22-7889
Source: Texas Heart Institute Journal - September 29, 2022 Category: Cardiology Authors: Alexander Postalian Sudeep Kuchibhotla Srikanth Koneru Neil E Strickman Source Type: research

Low-Risk Surgical Aortic Valve Replacement in the Era of Transcatheter Aortic Valve Implantation
Tex Heart Inst J. 2022 Jan 1;49(1):e207435. doi: 10.14503/THIJ-20-7435.ABSTRACTOpen surgical aortic valve replacement (SAVR) is a viable alternative to transcatheter implantation in low-risk patients. In this light, we evaluated the safety and effectiveness of SAVR performed through conventional and less invasive surgical approaches in a high-volume center. We retrospectively reviewed the records of 395 consecutive patients who underwent open SAVR from January 2019 through December 2019 in our center. We evaluated and compared the operative results and postoperative major adverse outcomes of 3 surgical approaches: full med...
Source: Texas Heart Institute Journal - January 31, 2022 Category: Cardiology Authors: Milos M Jovanovic Slobodan V Micovic Miodrag S Peric Igor S Zivkovic Stasa D Krasic Ognjen S Milicevic Stefan P Stankovic Petar M Vukovic Source Type: research

"Simple" Transcatheter Aortic Valve Replacement With Conscious Sedation: Safety and Effectiveness in Real-World Practice
Tex Heart Inst J. 2021 Sep 1;48(4):e207528. doi: 10.14503/THIJ-20-7528.ABSTRACTTranscatheter aortic valve replacement (TAVR) is a well-established alternative to open surgical replacement. Strictly selecting low-risk patients and using conscious sedation during TAVR has enabled hospital stays to be safely shortened. We evaluated the safety and effectiveness of a less rigorous patient-selection process involving multidisciplinary case discussions, percutaneous procedures with the use of conscious sedation, and postprocedural care outside an intensive care unit, with the goal of discharging patients from the hospital early. ...
Source: Texas Heart Institute Journal - October 25, 2021 Category: Cardiology Authors: Alexander Postalian Neil E Strickman Briana T Costello Kathryn G Dougherty Zvonimir Krajcer Source Type: research

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