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Novel concept of less invasive concomitant surgical aortic valve replacement and coronary artery bypass grafting avoiding full median sternotomy
AbstractIn the last decades, minimally invasive procedures have been developed in the therapy of aortic valve disorders. Recently, a novel concept of minimally invasive coronary revascularization in multivessel disease via left anterior mini-thoracotomy demonstrated promising results. Full median sternotomy, as a very invasive procedure, is the standard approach in concomitant surgical aortic valve replacement (sAVR) and coronary bypass grafting (CABG). The aim of our study was to show that the combination of minimal invasive aortic valve replacement via upper mini-sternotomy and coronary artery bypass grafting via left an...
Source: Heart and Vessels - September 12, 2023 Category: Cardiology Source Type: research

Percutaneous versus surgical approach to aortic valve replacement with coronary revascularization: A systematic review andmeta-analysis
CONCLUSIONS: In patients with AS and CAD, TAVR + PCI did not increase perioperative mortality, but increased the rates of coronary reintervention and long-term mortality.PMID:37224394 | DOI:10.1177/02676591231178894
Source: Perfusion - May 24, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Yujian Guo Wei Zhang Haibo Wu Source Type: research

Concomitant anaortic OPCAB and transfemoral TAVR for high ‐risk patients: A case series
ConclusionsCombined anaortic OPCAB and transfemoral TAVR is a safe and feasible approach to treating concomitant extensive coronary artery disease and severe aortic stenosis. The aortic no-touch technique provides benefits in the elderly high-risk patients by reducing the risk of postoperative myocardial infarction and cerebrovascular stroke.
Source: Journal of Cardiac Surgery - September 14, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Dariya Hardisky, Ammu Vijayakumar, Bryan A. Whitson, Scott M. Lilly, K. Dean Boudoulas, Michael P. Vallely Tags: CASE REPORT Source Type: research

Outcomes of Radial Versus Femoral Access in Patients With Severe Aortic Stenosis Undergoing Percutaneous Coronary Intervention Prior to Transcatheter Aortic Valve Replacement
CONCLUSION: Radial access for pre-TAVR PCI is feasible and safe and is associated with a lower rate of access-site hematoma. This study supports the increased use of transradial access for pre-TAVR PCI.PMID:35501112
Source: The Journal of Invasive Cardiology - May 2, 2022 Category: Cardiology Authors: Salman Farhat Abdallah El Sabbagh Mohammed Al-Hijji Keniel Pierre Nahyr S Lugo-Fagundo Yader Sandoval Michael S Gharacholou Peter M Pollak Mandeep Singh Mackram F Eleid Mohammed Al-Khouli David R Holmes Mayra Guerrero Rajiv Gulati Malcolm Bell Charanjit S Source Type: research

Complete transcatheter versus complete surgical treatment in patients with aortic valve stenosis and concomitant coronary artery disease: Study ‐level meta‐analysis with reconstructed time‐to‐event data
CONCLUSIONPatients who undergo TAVI plus PCI (in comparison with SAVR plus CABG) initially experience lower rates of in-hospital death and AKI; however, they experience significantly lower survival rates and more MACCE at 5-year follow up. Structural heart surgeons and interventional cardiologists should consider these aspects when referring patients for one approach or the other.
Source: Journal of Cardiac Surgery - April 17, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Michel Pompeu S á, Tian Sun, Ali Fatehi Hassanabad, Ahmed K. Awad, Jef Van den Eynde, John H. Malin, Serge Sicouri, Gianluca Torregrossa, Arjang Ruhparwar, Alexander Weymann, Basel Ramlawi Tags: REVIEW Source Type: research

Early-Term Results of Rapid-Deployment Aortic Valve Replacement versus Standard Bioprosthesis Implantation Combined with Coronary Artery Bypass Grafting
CONCLUSION: RDAVR combined with coronary artery bypass grafting (CABG) can be performed extremely safely. Cross-clamp and cardiopulmonary bypass times can be significantly reduced with rapid deployment aortic valve system in the scenario of combined CABG. RDAVR resulted in lower gradients than CSAVR in patients implanted with prostheses of the same size.PMID:35151232 | DOI:10.1055/s-0042-1742686
Source: The Thoracic and Cardiovascular Surgeon - February 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Zulfugar T Taghiyev Matthias Bechtel Markus Schl ömicher Dritan Useini Hamid Naraghi Taghi Vadim Moustafine Justus T Strauch Source Type: research

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