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Source: Interactive CardioVascular and Thoracic Surgery
Procedure: Heart Valve Surgery

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Total 69 results found since Jan 2013.

232 * early anticoagulation therapy after bioprosthetic aortic valve implantation: comparing warfarin versus aspirin
Conclusions: This is to date the largest randomized trial comparing warfarin to aspirin as early anticoagulation therapy after implantation of bioprosthetic aortic valves. The results are not conclusive, but aspirin therapy seems as safe as warfarin therapy, and with significantly fewer gastrointestinal bleeding events, three months after surgery.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Rafiq, S., Steinbruchel, D. A., Moeller, C. H., Lund, J., Thiis, J. J., Koeber, L., Lilleoer, N. B., Olsen, P. S. Tags: Decision-making in aortic valve repair Source Type: research

238 * single-centre experience with second-generation devices for transapical transcatheter aortic valve implantation
Conclusions: TA-AVI 2nd using JenaValve and Symetis Acurate devices yield excellent acute clinical and haemodynamic outcomes. Ease of implantability and good functional outcome with low rates of relevant PVL appear to be the most obvious improvements compared to first-generation devices. Before recommendations on which device is best suited for which patient can be made, experience with larger patient numbers has to be awaited.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Treede, H., Seiffert, M., Conradi, L., Diemert, P., Schirmer, J., Blankenberg, S., Schnabel, R., Reichenspurner, H. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

239 * transapical transcatheter aortic valve implantation without prior balloon aortic valvuloplasty: feasible and safe
Conclusions: TA-AVI-BAV is feasible and safe and has become our default technique for TA-AVI with balloon-expandable devices. It resulted in less contrast agent used and facilitated the procedure without compromising valve performance. The effects of TA-AVI-BAV on the incidence of cerebrovascular events or valve performance need to be verified in larger patient numbers before general recommendations can be made.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Conradi, L., Seiffert, M., Schirmer, J., Koschyk, D., Blankenberg, S., Reichenspurner, H., Treede, H., Diemert, P. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

240 * first experience without pre-ballooning in transapical aortic valve implantation: a propensity score-matched analysis
Conclusions: Direct transapical implantation of the SAPIEN valve without pre-ballooning is feasible, safe, does not seem to compromise functional outcome and might be associated with fewer neurological events.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kempfert, J., Meyer, A., Kim, W., Van Linden, A., Arsalan, M., Blumenstein, J., Mollmann, H., Walther, T. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

243 * quality of life as an integral aspect of transapical transcatheter aortic valve implantation outcome
Conclusions: In conclusion, self-assessment by the SF-36 survey is an effective instrument with which to evaluate disease-related life quality. For evaluation of TA-TAVI efficiency, QoL should be analysed in addition to clinical parameters. Due to considerably impaired QoL PCS and MCS scores, careful psychological supervision of TA-TAVI patients has to be considered in the pre- and postoperative course.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sterner, D., Schiller, W., Welz, A., Gessner, C., Sinnig, M., Dewald, O., Duerr, D., Mellert, F. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

248 * long-term circulatory support with rotary blood pumps: is it worthwhile?
Conclusions: Patients on long-term support have an excellent haemodynamic profile and show an acceptable risk-benefit ratio. Although heart transplantation remains the ultimate target at present, our data show that long-term circulatory support is a viable option with the potential to become a more permanent solution in the long-term.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Capoccia, M., Sabashnikov, A., Mohite, P. N., Garcia Saez, D., Zych, B., Hards, R., Bowles, C. T., Moza, A., De Robertis, F., Bahrami, T., Amrani, M., Banner, N. R., Simon, A. R. Tags: Left ventricular assist devices II: Long-term support Source Type: research

267 * first registry results from the newly approved transapical acurate transcatheter aortic valve implantation device
Conclusions: The short-term results of the registry show a safety and efficacy profile comparable, if not improved in some aspects, to longer approved TAVI devices. These real-world data highlight excellent functional outcome with 97.3% of patients without a relevant leak (<2+).
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kempfert, J., Holzhey, D. M., Hoffmann, S., Girdauskas, E., Treede, H., Schroefel, H., Thielmann, M., Walther, T. Tags: Transcatheter aortic valve implantation: Crossing the chasm I Source Type: research

268 * cerebral embolization during transcatheter aortic valve implantation compared with surgical aortic valve replacement
Conclusions: Surgical AVR is associated with more cerebral emboli than TAVI. Emboli were detected by TCD in all patients during TAVI and AVR. The main source of emboli was termination of bypass (most probably air emboli) and device implantation during AVR and TAVI, respectively.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Alassar, A., Roy, D., Valencia, O., Brecker, S., Jahangiri, M. Tags: Transcatheter aortic valve implantation: Crossing the chasm I Source Type: research

275 * early prosthetic valve degeneration with mitroflow aortic valves: determination of incidence and risk factors
Conclusions: There is an unexplained incidence (3.6%) of early valve degeneration resulting in explantation in some patients at two years after surgery. Mitroflow valves may not be suited to a younger age population.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Joshi, V., Prosser, K., Richens, D. Tags: Complex aortic valve surgery Source Type: research

100 * preoperative aortic annulus diameter affects valve durability in bicuspid aortic valve patients undergoing primary valve repair plus subcommissural annuloplasty for aortic insufficiency
Conclusions: BAV repair plus SCA in patients with a preoperative annulus ≥28 mm results in inferior valve durability at mid-term follow-up, even though greater annular reduction is achieved in this subgroup. Root reimplantation should be considered in these patients irrespective of aortic root dimensions.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula, P., Komlo, C., Szeto, W., Desai, N., Bavaria, J. E. Tags: Reflections on aortic valve repair Source Type: research

118 * total aortic arch replacement with the frozen elephant trunk technique in acute type a aortic dissection: are we pushing the limits too far?
Conclusions: Our experience with FET in AADA shows acceptable results. Total aortic arch replacement with an FET in AADA patients does demand high technical skills. In spite of this, we still believe FET improves long-term outcome in cases of AADA with intimal tear or re-entry in the aortic arch or the descending aorta (DeBakey type I). Modern grafts with four side branches as well as sewing collars for the distal anastomosis, have helped to further ‘simplify’ the FET implantation. Such a strategy should only be implemented in experienced centres, and only if it is absolutely necessary, and not in all AADA patients.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Fleissner, F., Ius, P., Martens, A., Koigeldiyev, N., Stiefel, P., Beckmann, E., Haverich, A., Shrestha, M. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

138 * transapical aortic valve implantation in patients with and without severe calcification of the ascending aorta: different preoperative characteristics but no difference in outcome
Conclusions: In contrast to conventional aortic valve replacement, severe calcification of the ascending aorta has no negative influence on perioperative outcome and long-term survival after transapical TAVI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Buz, S., Pasic, M., Drews, T., Dreysse, S., Kukucka, M., Mladenow, A., Hetzer, R., Unbehaun, A. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

141 * mini-thoracotomy direct aortic self-expanding transcatheter aortic valve implantation: a single-centre experience
Conclusions: Transcatheter aortic valve implantation with the direct aortic approach is safe and feasible, offering a new, attractive option for treating selected high-risk patients with severe aortic stenosis and peripheral vasculopathy, including those requiring a redo procedure.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Bruschi, G., Botta, L., De Marco, F., Colombo, P., Barosi, A., Mondino, M., Klugmann, S., Martinelli, L. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

142 * transcatheter aortic valve implantation through carotid artery access under local anaesthesia
Conclusions: TAVI through the CCA approach under LA is feasible and safe in high-risk patients. It allows continuous neurological status monitoring with low risk of stroke, minimal vascular complication risk, excellent bleeding control and immediate patient mobilization. It appears a valuable alternative option compared to transapical, transaxillary or transaortic accesses for patients who cannot undergo transfemoral TAVI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Azmoun, A., Amabile, N., Ramadan, R., Ghostine, S., Brenot, P., Caussin, C., Deleuze, P., Nottin, R. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

151 * comparison of intermittent cold versus intermittent warm blood cardioplegia in 2200 adult cardiac surgery patients
Conclusions: In elective cardiac surgery, there was no difference in clinical outcome between cold and warm blood cardioplegia. In emergency patients, however, with most of them operated on in acute coronary syndrome, warm cardioplegia might be an option to improve outcome.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Trescher, K., Gleiss, A., Boxleitner, M., Dietl, W., Kassal, H., Holzinger, C., Podesser, B. Tags: Cardiac potpourri Source Type: research