keyword
https://read.qxmd.com/read/38506739/redo-tavi-with-the-acurate-neo2-and-prime-xl-for-balloon-expandable-transcatheter-heart-valve-failure
#21
JOURNAL ARTICLE
David Meier, Daire Grant, Chris Frawley, Mariama Akodad, Uri Landes, Arif A Kokhar, Dariusz Dudek, Isaac George, Michael J Rinaldi, Won-Keun Kim, Steven J Yakubov, Paul Sorajja, Giuseppe Tarantini, David A Wood, John G Webb, Stephanie L Sellers, Janarthanan Sathananthan
BACKGROUND: There are limited data regarding treatment for failed balloon-expandable transcatheter heart valves (THVs) in redo-transcatheter aortic valve implantation (TAVI). AIMS: We aimed to assess THV performance, neoskirt height and expansion when performing redo-TAVI with the ACURATE platform inside a SAPIEN 3 (S3) compared to redo-TAVI with an S3 in an S3. METHODS: Redo-TAVI was performed on the bench using each available size of the S3, the ACURATE neo2 (ACn2) and the next-generation ACURATE Prime XL (AC XL) implanted at 2 different depths within 20 mm/23 mm/26 mm/29 mm S3s serving as the "failed" index THV...
March 18, 2024: EuroIntervention
https://read.qxmd.com/read/38504295/recognition-and-management-of-left-atrial-dissection-during-mitral-repair
#22
JOURNAL ARTICLE
Haya Alshaabi, Jack F Donaghue, Denise M Franko, Jock N McCullough
BACKGROUND: Left atrial dissection (LAtD) is a rare but potentially life-threatening complication of mitral valve surgery. Its management is not well stablished in the literature. However, early recognition through intraoperative TEE and attention to changes in the left atrial free wall during saline leak testing can lead to avoidance of severe complications. CASE PRESENTATION: We report a case of LAtD detected by intraoperative transesophageal echocardiogram (TEE) following mitral valve repair for primary mitral valve regurgitation secondary to degenerative mitral valve disease with MAZE IV procedure for atrial fibrillation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504140/the-role-of-the-vascular-surgeon-in-transcatheter-aortic-valve-implantation
#23
JOURNAL ARTICLE
Enrico Gallitto, Gianluca Faggioli, Francesco Saia, Tullio Palmerini, Rodolfo Pini, Antonio Giulio Bruno, Francesca Maria Feroldi, Moad Alaidros, Gabriele Ghetti, Nevio Taglieri, Stefania Caputo, Francesco Donati, Cinzia Marrozzini, Mauro Gargiulo
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has become the standard treatment for severe aortic valve stenosis in patients at increased surgical risk. Percutaneous transfemoral (TF) is the access of choice due to its reduced invasiveness and perioperative morbidity/mortality compared with the trans-axillary, aortic, and apical routes. On the other hand, vascular access complications (VACs) of the TF access are associated with prolonged hospitalization, 30-day, and 1-year mortality...
March 19, 2024: Vascular
https://read.qxmd.com/read/38502888/early-vs-delayed-mechanical-circulatory-support-in-patients-with-acute-myocardial-infarction-and-cardiogenic-shock
#24
JOURNAL ARTICLE
Kevin G Buda, Katarzyna Hryniewicz, Peter M Eckman, Mir B Basir, Jennifer A Cowger, Khaldoon Alaswad, Srini Mukundan, Yader Sandoval, Andrea Elliott, Emmanouil S Brilakis, Michael S Megaly
BACKGROUND: Despite increased temporary mechanical circulatory support (tMCS) utilization for acute myocardial infarction complicated by cardiogenic shock (AMI-CS), data regarding efficacy and optimal timing for tMCS support are limited. This study aimed to describe outcomes based on tMCS timing in AMI-CS and to identify predictors of 30-day mortality and readmission. METHODS: Patients with AMI-CS identified in the National Readmissions Database were grouped according to the use of tMCS and early (<24 hours) vs...
March 19, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38502723/redo-tavr-feasibility-after-sapien-3-stratified-by-implant-depth-and-commissural-alignment-a-ct-simulation-study
#25
JOURNAL ARTICLE
Anoop N Koshy, Gilbert H L Tang, Sahil Khera, Manish Vinayak, Megan Berdan, Sneha Gudibendi, Amit Hooda, Lucy Safi, Stamatios Lerakis, George D Dangas, Samin K Sharma, Annapoorna S Kini, Parasuram Krishnamoorthy
BACKGROUND: Redo-transcatheter aortic valve replacement (TAVR) can pin the index transcatheter heart valve leaflets open leading to sinus sequestration and restricting coronary access. The impact of initial implant depth and commissural alignment on redo-TAVR feasibility is unclear. We sought to determine the feasibility of redo-TAVR and coronary access after SAPIEN 3 (S3) TAVR stratified by implant depth and commissural alignment. METHODS: Consecutive patients with native valve aortic stenosis were evaluated using multidetector computed tomography...
March 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38496184/successful-rescue-transaortic-valve-replacement-using-edwards-sapien-3-following-failed-evolut-r-implantation-in-a-degenerated-surgical-bioprosthesis-a-case-report
#26
Victor H Molina-Lopez, Eduardo Partida-Rodriguez, Jaime Rivera-Babilonia, Luis Rodriguez-Ospina
This study examines a complex scenario of structural valve degeneration (SVD) in a high surgical-risk patient with a previously implanted 25 mm Carpentier-Edwards (CE) Perimount Magna Ease 3300 (Irvine, CA: Edwards Lifesciences) surgical bioprosthetic valve (SAV), the patient presented with both paravalvular leak (PVL) and central prosthetic valve insufficiency (PVI). The patient was considered for a transaortic valve-in-valve (ViV) intervention with a self-expanding 29 mm Evolut R valve (Minneapolis, MN: Medtronic)...
February 2024: Curēus
https://read.qxmd.com/read/38495218/cutting-balloon-septotomy-for-repair-of-right-common-iliac-artery-aneurysm-in-the-setting-of-type-b-aortic-dissection
#27
JOURNAL ARTICLE
Angel Hsu, Michael S Segal, Cindy Sturt, Bruce Brener
We report a case of using cutting balloon septotomy for a 5-cm right common iliac artery aneurysm repair in a patient with a chronic type B aortic dissection after open repair 10 years before. This technique uses intravenous ultrasound to facilitate deployment of a cutting balloon to shear through the dissection flap, allowing for optimization of the landing zone for endovascular repair of a right common iliac artery aneurysm. Various methods are available for performing septotomy, and the use of a cutting balloon is one that helps with stent placement and position...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38492730/initial-outcomes-of-the-gore-tag-thoracic-branch-endoprosthesis-for-endovascular-repair-of-blunt-thoracic-aortic-injury
#28
JOURNAL ARTICLE
Elizabeth L Chou, Eileen Lu, Michael D Dake, Michael P Fischbein, Joseph E Bavaria, Gustavo Oderich, Michel S Makaroun, Kristofer M Charlton-Ouw, Thomas Naslund, Bjoern D Suckow, Jon S Matsumura, Himanshu J Patel, Ali Azizzadeh
OBJECTIVE: Endovascular repair of blunt thoracic aortic injury (BTAI) has dramatically reduced the morbidity and mortality of intervention. Injuries requiring zone 2 coverage of the aorta traditionally require left subclavian artery (LSA) sacrifice or open revascularization. Furthermore, these injuries are associated with increased risk of in-hospital mortality and long-term morbidity. Here we report 1-year outcomes of total endovascular repair of BTAI with the GORE® TAG® Thoracic Branch Endoprosthesis for LSA preservation...
March 14, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38492660/collateral-round-ligament-arterial-supply-of-placenta-accreta-spectrum-and-considerations-for-prophylactic-balloon-occlusion-catheter-placement
#29
JOURNAL ARTICLE
Matthew Lukies, Luke Toh Han Wei, Sivanathan Chandramohan
Internal iliac artery (IIA) balloon occlusion catheters have been commonly inserted to decrease the risk of post-partum hemorrhage in placenta accreta spectrum disorders, however, there has been mixed success in clinical trials. Placement of an infra-renal aortic balloon has shown more consistent efficacy in recent studies. A possible reason for this is collateral arterial supply to the placenta from external iliac artery branches. Retrospective chart review was conducted of angiography images during prophylactic IIA balloon occlusion catheter insertion over a 7-year period...
March 14, 2024: Journal of Vascular and Interventional Radiology: JVIR
https://read.qxmd.com/read/38489572/snare-technique-to-facilitate-tall-in-short-redo-tavr
#30
JOURNAL ARTICLE
Craig Basman, Sung-Han Yoon, Vladimir Jelnin, Ryan Kaple
An 82-year-old man with a prior history of transcatheter aortic valve replacement (TAVR) with a 23-mm balloon-expandable transcatheter heart valve (THV) presented with bioprosthetic stenosis.
March 14, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38487589/papillary-muscle-rupture-without-severe-mitral-regurgitation-following-percutaneous-balloon-mitral-commissurotomy-a-case-report
#31
Pierre Rossignon, Sofia Morra, Quentin de Hemptinne, Didier de Cannière, Philippe Unger
BACKGROUND: Percutaneous transvenous mitral commissurotomy (PTMC) is the first-line therapy of clinically significant rheumatic mitral stenosis. While the procedure is generally safe, new onset or aggravation of mitral regurgitation (MR) may occur, mainly due to commissural splitting and, less frequently, to leaflet tear and chordal rupture. Papillary muscle rupture (PMR) is exceedingly rare in this setting. CASE SUMMARY: A 74-year-old woman with a history of aortic valve replacement and prior rheumatic mitral commissurotomy presented for worsening exercise intolerance and exertional dyspnoea...
March 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38485070/role-of-intravascular-ultrasound-for-the-technical-assessment-of-endovascular-reconstruction-of-the-aortic-bifurcation
#32
JOURNAL ARTICLE
Michele Antonello, Michele Piazza, Sabrina Menara, Chiara Colacchio, Franco Grego, Mirko Menegolo, Francesco Squizzato
OBJECTIVES: to evaluate the role of intravascular ultrasound (IVUS) for the technical assessment of kissing stents (KS) and covered endovascular reconstruction of the aortic bifurcation (CERAB) in the treatment of aortoiliac obstructive disease involving the aortic bifurcation. METHODS: We conducted a single-center retrospective review of patients undergoing endovascular treatment of severe aorto-iliac obstructive disease (2019-2023). IVUS was performed in patients treated by KS or CERAB according to preoperative indications, in cases of moderate/severe calcifications, mural thrombus, total occlusions, and lesion extension towards the proximity of renal or hypogastric arteries...
March 12, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38481716/leaflet-mechanical-stress-in-different-designs-and-generations-of-transcatheter-aortic-valves-an-in-vitro-study
#33
JOURNAL ARTICLE
Viktória Stanová, Régis Rieu, Lionel Thollon, Erwan Salaun, Josep Rodés-Cabau, Nancy Côté, Diego Mantovani, Philippe Pibarot
BACKGROUND: It is unknown whether bioprostheses used for transcatheter aortic valve implantation will have similar long-term durability as those used for surgical aortic valve replacement. Repetitive mechanical stress applied to the valve leaflets, particularly during diastole, is the main determinant of structural valve deterioration. Leaflet mechanical stress cannot be measured in vivo. The objective of this in vitro/in silico study was thus to compare the magnitude and regional distribution of leaflet mechanical stress in old vs new generations of self-expanding (SE) vs balloon expandable (BE) transcatheter heart valves (THVs)...
March 2024: Structural heart: the journal of the Heart Team
https://read.qxmd.com/read/38479969/big-picture-of-tavr-in-small-annuli-what-matters-most
#34
EDITORIAL
Naoki Misumida, Charanjit S Rihal
No abstract text is available yet for this article.
March 11, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38479968/evolut-pro-and-sapien-ultra-performance-in-small-aortic-annuli-the-opera-tavi-registry
#35
JOURNAL ARTICLE
Andrea Scotti, Matteo Sturla, Giuliano Costa, Francesco Saia, Thomas Pilgrim, Mohamed Abdel-Wahab, Philippe Garot, Caterina Gandolfo, Luca Branca, Ignacio Amat Santos, Darren Mylotte, Francesco Bedogni, Ole De Backer, Luis Nombela Franco, John Webb, Flavio Luciano Ribichini, Andrea Mainardi, Stefano Andreaggi, Alessandro Mazzapicchi, Daijiro Tomii, Pietro Laforgia, Stefano Cannata, Claudia Fiorina, Simone Fezzi, Enrico Criscione, Mattia Lunardi, Enrico Poletti, Mattia Mazzucca, Angelo Quagliana, Nicholas Montarello, Breda Hennessey, Matias Mon-Noboa, Myriam Akodad, David Meier, Federico De Marco, Marianna Adamo, Carmelo Sgroi, Claudia Maria Reddavid, Roberto Valvo, Orazio Strazzieri, Silvia Crescenzia Motta, Valentina Frittitta, Elena Dipietro, Alessandro Comis, Chiara Melfa, Mariachiara Calì, Sofia Sammartino, Giulia Laterra, Holger Thiele, Lars Sondergaard, Corrado Tamburino, Marco Barbanti, Azeem Latib
BACKGROUND: The performance of latest iteration transcatheter aortic valve replacement platforms in patients with small aortic anatomy remains underexplored. OBJECTIVES: The aim of this study was to evaluate effectiveness and performance between the self-expanding (SE) Evolut PRO and PRO+ and the balloon-expandable (BE) SAPIEN ULTRA in patients with small aortic annuli. METHODS: Data from the OPERA-TAVI (Comparative Analysis of Evolut PRO vs...
March 11, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38479848/clinical-features-and-outcomes-of-shoshin-beriberi
#36
JOURNAL ARTICLE
Yoshiki Mizuguchi, Hideyuki Mouri, Taisuke Jo, Yohei Hashimoto, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Takumi Taniguchi
Shoshin beriberi is a fulminant form of wet beriberi, but there are no large-scale studies detailing the clinical features of this disease. We investigated the clinical features and outcomes of Shoshin beriberi using data from a nationwide database in Japan.Using the Diagnosis Procedure Combination database, we identified patients with Shoshin beriberi between July 2010 and March 2021. We retrospectively investigated the characteristics, comorbidities, treatment, and in-hospital mortality of patients with Shoshin beriberi...
March 12, 2024: International Heart Journal
https://read.qxmd.com/read/38469104/fulminant-myocarditis-with-sars-cov-2-infection-a-narrative-review-from-the-case-studies
#37
REVIEW
Ryohei Ono, Togo Iwahana, Kaoruko Aoki, Hirotoshi Kato, Sho Okada, Yoshio Kobayashi
One of the severe complications of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is myocarditis. However, the characteristics of fulminant myocarditis with SARS-CoV-2 infection are still unclear. We systematically reviewed the previously reported cases of fulminant myocarditis associated with SARS-CoV-2 infection from January 2020 to December 2022, identifying 108 cases. Of those, 67 were male and 41 female. The average age was 34.8 years; 30 patients (27.8%) were ≤20 years old, whereas 10 (9...
2024: Canadian Journal of Infectious Diseases & Medical Microbiology
https://read.qxmd.com/read/38467531/a-fully-automated-artificial-intelligence-driven-software-for-planning-of-transcatheter-aortic-valve-replacement
#38
JOURNAL ARTICLE
Stefan Toggweiler, Moritz C Wyler von Ballmoos, Federico Moccetti, André Douverny, Mathias Wolfrum, Ziya Imamoglu, Anton Mohler, Utku Gülan, Won-Keun Kim
BACKGROUND: Transcatheter aortic valve replacement (TAVR) is increasingly performed for the treatment of aortic stenosis. Computed tomography (CT) analysis is essential for pre-procedural planning. Currently available software packages for TAVR planning require substantial human interaction. We describe development and validation of an artificial intelligence (AI) powered software to automatically rend anatomical measurements and other information required for TAVR planning and implantation...
March 7, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38466306/beating-heart-transplant-procedures-using-organs-from-donors-with-circulatory-death
#39
JOURNAL ARTICLE
Aravind Krishnan, Chawannuch Ruaengsri, Brandon A Guenthart, Yasuhiro Shudo, Hanjay Wang, Michael R Ma, John Ward MacArthur, William Hiesinger, Y Joseph Woo
IMPORTANCE: The use of ex vivo normothermic organ perfusion has enabled the use of deceased after circulatory death (DCD) donors for heart transplants. However, compared with conventional brain death donation, DCD heart transplantation performed with ex vivo organ perfusion involves an additional period of warm and cold ischemia, exposing the allograft to multiple bouts of ischemia reperfusion injury and may contribute to the high rates of extracorporeal membrane oxygenation usage after DCD heart transplantation...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38463737/stop-exsanguination-by-inflation-management-of-aorta-esophageal-fistula-bleeding
#40
Kristina M Pagano, Alexander A Fokin, Michael Parra, Ivan Puente
Aortoesophageal fistula is rare and typically presents itself to the emergency department as Chiari's Triad of mid-thoracic pain, sentinel arterial hemorrhage, and exsanguination after a symptom-free interval. However, fatal bleeding may be the first and last presentation of an aortoesophageal fistula. When a patient experiences massive hematemesis without witnesses, EMS may assume that bleed is of a traumatic mechanism. We present a case of a 59-year-old male with no previous medical history who was transported to a trauma center unconscious and with massive bleeding of unknown origin...
March 2024: Journal of Surgical Case Reports
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