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Impact of Procedure Volume on the Outcomes of Surgical Aortic Valve Replacement
CONCLUSION: Patients treated in very low volume centers (≤25 operations/year) had a similar risk regarding in-hospital mortality and most complications compared with very high-volume centers (>100 operations/year). Only in the case of acute kidney injury, very high-volume centers showed better outcomes than very low volume centers. Therefore, surgical aortic valve replacement can be performed safely independent of case volume.PMID:35917823 | DOI:10.1055/s-0042-1754352
Source: The Thoracic and Cardiovascular Surgeon - August 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Vera Oettinger Klaus Kaier Constantin von Zur M ühlen Manfred Zehender Christoph Bode Friedhelm Beyersdorf Peter Stachon Wolfgang Bothe Source Type: research

Prognostic value of computer tomography derived measurements of pulmonary artery diameter on long term outcomes after transcatheter aortic valve replacement
CONCLUSION: PAD >29.3 mm in baseline MDCT is associated with higher 1-year mortality after TAVR, independently of echocardiographic measure of PH and frailty.PMID:35892248 | DOI:10.33963/KP.a2022.0173
Source: Polish Heart Journal - July 27, 2022 Category: Cardiology Authors: Łukasz Kalińczuk Zbigniew Chmielak Maciej D ąbrowski Marcin Mazurkiewicz Patrycjusz Stok łosa Wiktor Skotarczak Gary S Mintz Rafa ł Wolny Pawe ł Tyczyński Marek Konka Anna Micha łowska Ilona Kowalik Marcin Demkow Ilona Micha łowska Adam Witkowski Source Type: research

E-142 Robotic transcranial doppler with artificial intelligence to identify cerebral emboli during transcatheter aortic valve replacement - a novel neuromonitoring tool
ConclusionIn this study, we report our experience using a Robotic Transcranial Doppler (TCD) with Artificial Intelligence as a novel real-time intraoperative neuromonitoring tool in patients undergoing TAVR. By reporting quantity and distribution of high intensity transient signals (HITS) as markers of microemboli during the procedure, we report significantly lower HITS using sentinel cerebral protection. We also identify valve positioning and implantation as the most significant stage in terms of HITS during the procedure.Abstract E-142 Table 1Emboli HITS during critical phases of the procedure Procedure Stage With Cere...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Baig, A., Manion, C., Iyer, V., Khawar, W., Donnelly, B., Monteiro, A., Levy, E., Siddiqui, A. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

Direct Comparison of Outcomes After Transcatheter Aortic Valve Replacement in Veterans and Non-Veterans Using the Transcatheter Valve Therapy Registry
CONCLUSIONS: The affiliation between a VAMC and an academic medical center allowed for direct comparison between veterans and non-veterans undergoing TAVR by the same operators using the TVT registry. Despite significantly higher rates of comorbidities, veterans had equivalent outcomes compared with non-veterans. This may be in part due to the comprehensive care that veterans receive in the VAMC and this institution's integrated heart center team.PMID:35830359
Source: The Journal of Invasive Cardiology - July 13, 2022 Category: Cardiology Authors: Michael A Napolitano Timothy J Holleran Andrew D Sparks Jason R Morrissette Jennifer A DoCampo Federico E Mordini Michael D Greenberg Ramesh Mazhari Jonathan S Reiner Andrew D Choi Joseph Krepp Farzad Najam Elizabeth S Pocock Jared L Antevil Gregory D Tra Source Type: research

Polyuria, Polydipsia and Possible Diabetes Insipidus?
Discussion The body is smart. It has mechanisms for maintaining balances within the body in a closely controlled manner but allows for a variety of states. This is very true for fluid balance in the body which is highly controlled between almost all of the major body organ systems. When fluid is low, the sensor sends signals for us to drink, and conserves fluid until we can. When the fluid is high, the kidneys excrete the excess and sends signals not to drink. Usually it works very well. While there are many pathological states that can cause polyuria and/or polydipsia, the most common reason is excessive fluid intake beca...
Source: PediatricEducation.org - March 7, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

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