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https://www.readbyqxmd.com/read/29049741/transapical-transcatheter-aortic-valve-implantation-in-patients-with-a-low-ejection-fraction
#1
Guram Imnadze, Steffen Hofmann, Michael Billion, Abbas Ferdosi, Marek Kowalski, Katherine H Smith, Cornelia Deutsch, Peter Bramlage, Henning Warnecke, Norbert Franz
OBJECTIVES: It may be expected that patients with left ventricular dysfunction may be at greater risk of complications after transcatheter aortic valve implantation (TAVI) via transapical (TA) access compared with via transfemoral (TF) access. There is a lack of data comparing the outcomes of TAVI using TA and TF access in patients with a reduced left ventricular ejection fraction (EF). METHODS: This is a retrospective analysis of data from a high-volume heart centre in Germany...
September 26, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29049564/a-new-technique-to-implant-a-transcatheter-inflatable-fully-repositionable-prosthesis-in-aortic-stenosis-with-severe-asymmetric-calcification
#2
Hasan Bushnaq, Christoph Raspé, Alper Öner, Seyrani Yücel, Hüseyin Ince, Sebastian-Patrick Sommer
OBJECTIVES: In contrast to stented transcatheter aortic valves, the Direct Flow Medical (DFM) valve is a stentless bovine aortic bioprosthesis mounted in a non-metallic inflatable frame. Hence, severe asymmetric annular calcification may result in residually elevated transaortic pressure gradients after DFM implantation. We present a novel intraprocedural dilatation (IDIL) technique for successful implantation of the DFM valve in the presence of complex annular calcification. METHODS: Between January 2014 and May 2015, 55 patients underwent DFM valve-based transcatheter aortic valve implantation at our institution...
August 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29033504/procedural-characteristics-and-outcomes-of-transcatheter-aortic-valve-implantation-a-single-center-experience-of-the-first-100-inoperable-or-high-surgical-risk-patients-with-severe-aortic-stenosis
#3
Ying-Hwa Chen, Hsiao-Huang Chang, Po-Lin Chen, Zen-Chung Weng, I-Ming Chen, Hsin-Bang Leu, Chun-Yang Huang, Su-Man Lin, Mei-Han Wu
BACKGROUND: This is the first study of a Taiwanese population reporting transcatheter aortic valve implantation (TAVI) outcomes of the first 100 cases from a single center offering two different transcatheter heart valve technologies via six types of approaches. We herein report the 30-day and one-year outcomes in our first 100 TAVI patients at Taipei Veterans General Hospital. METHODS: From May 2010 to April 2016, 100 consecutive patients with severe aortic stenosis (AS) who were considered unsuitable or at high risk for surgical aortic valve replacement underwent TAVI...
July 2017: Acta Cardiologica Sinica
https://www.readbyqxmd.com/read/29031706/early-outcomes-with-rapid-deployment-vs-stented-biological-valves-a-propensity-match-analysis
#4
Anthony Nguyen, Louis-Mathieu Stevens, Denis Bouchard, Philippe Demers, Louis P Perrault, Michel Carrier
Rapid-deployment valves could potentially reduce cross-clamping time and cardiopulmonary bypass time in complex combined procedures and facilitate minimally invasive surgery. This propensity-matched study compared clinical and echographic outcomes between patients undergoing rapid-deployment aortic valve replacement (RDAVR) compared with stented biological aortic valve replacement (SAVR), with or without concomitant procedures. Between 2012 and 2015, 61 consecutive patients (age 70 ± 7 years, European System for Cardiac Operative Risk Evaluation [EuroSCORE] II 2...
September 8, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29029034/ten-year-experience-of-endocardial-linear-infarct-exclusion-technique-for-ischaemic-cardiomyopathy
#5
Suguru Ohira, Sachiko Yamazaki, Satoshi Numata, Hidetake Kawajiri, Kazuki Morimto, Kiyoshi Doi, Hitoshi Yaku
OBJECTIVES: To report the mid-term results of our surgical ventricular restoration procedure, called the endocardial linear infarct exclusion technique (ELIET), for ischaemic cardiomyopathy. METHODS: From 2006 to 2015, 43 consecutive patients who underwent surgical ventricular restoration with ELIET for ischaemic cardiomyopathy were retrospectively analysed. RESULTS: The mean age of patients at surgery was 65.3 ± 9.2 years and EuroSCORE II was 13...
September 25, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28994653/tavi-risk-scoring-using-established-versus-new-scoring-systems-role-of-the-new-sts-acc-model
#6
Mani Arsalan, Mareen Weferling, Florian Hecker, Giovanni Filardo, Won-Keun Kim, Benjamin Pollock, Arnaud Van Linden, Annika Arsalan-Werner, Mathias Renker, Mirko Doss, Simon Kalbas, Christoph Liebetrau, Christian W Hamm, Michael J Mack, Thomas Walther
AIMS: To validate the recently developed STS/ACC TAVR in-hospital mortality risk score for predicting in-hospital mortality and to compare its ability to predict 30-day mortality with that of four other established risk models (EuroScore I, EuroScore II, STS-PROM, and German AKL). METHODS AND RESULTS: The study cohort included 946 consecutive patients who underwent TAVR between 2013 and 2015. Each of the five scores was fit as a continuous linear variable into a logistic regression model estimating 30-day mortality...
October 10, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28993118/th17-treg-ratio-in-serum-predicts-onset-of-postoperative-atrial-fibrillation-after-off-pump-coronary-artery-bypass-graft-surgery
#7
Yi He, Xi Chen, Xuejun Guo, Hang Yin, Nan Ma, Min Tang, Hao Liu, Ju Mei
BACKGROUND: The aim of this study is to identify whether the balance between T helper 17 (Th17) cells and CD4(+)CD25(+)Foxp3(+) regulatory T (Treg) cells could predict the postoperative atrial fibrillation (POAF) after coronary artery bypass graft surgery (CABG). METHODS: We enrolled 88 patients from Xinhua Hospital who received off-pump CABG (OPCABG) surgery. The baseline characteristics of patients were recorded. The preoperative variables C-reactive protein (CRP) level, left atrial (LA) volume, EuroSCORE I score, CHADS2 score, and CHA2DS2-VASc score were calculated at enrolment...
September 23, 2017: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/28980478/can-we-predict-a-delirium-after-cardiac-surgery-a-validation-study-of-a-delirium-risk-checklist
#8
Miarca Ten Broeke, Sandra Koster, Thomas Konings, Ab G Hensens, Job van der Palen
BACKGROUND: Delirium is a common temporary mental disorder that often occurs in patients who undergo cardiac surgery. It is important to prevent the negative side effects of delirium by identifying high-risk patients before surgery. Koster and colleagues designed a risk model to identify patients with an increased risk of postoperative delirium after cardiac surgery. AIM: The aim of this study was to validate the risk model for delirium and further improve the risk model...
September 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28978256/cardiac-surgery-in-patients-with-end-stage-renal-disease-on-dialysis
#9
Caroline Bäck, Mads Hornum, Christian Joost Holdflod Møller, Peter Skov Olsen
OBJECTIVES: Over the past decade, the number of patients on dialysis and with cardiovascular diseases has steadily increased. This retrospective analysis compares the postoperative mortality after cardiac surgery between patients on hemodialysis and peritoneal dialysis. METHODS: Between 1998 and 2015, 136 patients with end-stage renal disease initiating dialysis more than one month before surgery underwent cardiac surgery. Demographics, preoperative hemodynamic and biochemical data were collected from the patient records...
October 4, 2017: Scandinavian Cardiovascular Journal: SCJ
https://www.readbyqxmd.com/read/28977565/transcarotid-transcatheter-aortic-valve-implantation-multicentre-experience-in-france
#10
Thierry Folliguet, Nicolas Laurent, Maxime Bertram, Konstantinos Zannis, Mazen Elfarra, Fabrice Vanhuyse, Pablo Maureira, Thomas Modine
OBJECTIVES: Transcatheter aortic valve implantation is a well-recognized treatment option for high-risk patients with aortic stenosis. The femoral approach is possible in 80% of cases and remains the access of choice. When this approach is not feasible, other alternative routes have been proposed such as transapical, transaortic and subclavian. Transcarotid aortic valve implantation has been proposed as another direct vascular access. Its use is relatively new and still under evaluation...
August 4, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28977497/cerebral-protection-during-transcatheter-aortic-valve-implantation-in-an-extreme-high-risk-patient
#11
Stephanie Voss, Christian Nöbauer, Rüdiger Lange, Sabine Bleiziffer
Stroke during transcatheter aortic valve replacement is one of the most feared complications. New technologies have been developed, attempting to prevent cerebral embolization of thrombotic and calcific debris. We report a 78-year-old patient (EuroSCORE log 45.6%, STS Stroke Score 5.1%) with calcific aortic stenosis at particular risk for cerebrovascular accidents. The patient underwent transapical transcatheter aortic valve replacement using the dual filter-based Claret Sentinel™ Device for cerebral protection...
July 14, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28977259/reintubation-of-patients-submitted-to-cardiac-surgery-a-retrospective-analysis
#12
Cíntia Yukie Shoji, Luciana Castilho de Figuereido, Eveline Maria Calixtre, Cristiane Delgado Alves Rodrigues, Antonio Luis Eiras Falcão, Pedro Paulo Martins, Ana Paula Ragonete Dos Anjos, Desanka Dragosavac
OBJECTIVES: To analyze patients after cardiac surgery that needed endotracheal reintubation and identify factors associated with death and its relation with the severity scores. METHODS: Retrospective analysis of information of 1,640 patients in the postoperative period of cardiac surgery between 2007 and 2015. RESULTS: The reintubation rate was 7.26%. Of those who were reintubated, 36 (30.3%) underwent coronary artery bypass surgery, 27 (22...
April 2017: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/28975887/quality-assurance-of-the-western-denmark-heart-registry-a-population-based-healthcare-register
#13
Linda Aagaard Rasmussen, Hans Erik Bøtker, Lisette Okkels Jensen, Jan Ravkilde, Lars Riber, Per Hostrup Nielsen, Jan Jesper Andreasen, Carl-Johan Jakobsen
INTRODUCTION: During the past decade, the mandatory population-based healthcare database, the Western Denmark Heart Registry (WDHR), has provided the data for several research projects. As in most clinical registries, the data quality has not been validated thoroughly. This study was undertaken to evaluate the quality of registrations in the WDHR. METHODS: The audit supervised procedures from involved departments that were performed in 2013. An experienced research nurse completed data collection, and an experienced consultant evaluated the agreement between the WDHR and patient records...
October 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28974496/outcome-of-stable-patients-with-acute-myocardial-infarction-and-coronary-artery-bypass-surgery-within-48%C3%A2-hours-a-single-center-retrospective-experience
#14
Christina Grothusen, Christine Friedrich, Johannes Loehr, Jette Meinert, Eva Ohnewald, Ulysses Ulbricht, Tim Attmann, Assad Haneya, Katharina Huenges, Sandra Freitag-Wolf, Jan Schoettler, Jochen Cremer
BACKGROUND: The optimal timing of coronary artery bypass grafting (CABG) in clinically stable patients with acute myocardial infarction who are unsuitable for percutaneous coronary intervention is unclear. We report our experience with early CABG in these patients. METHODS AND RESULTS: Between January 2001 and May 2015, 766 patients with ST-segment-elevation myocardial infarction (STEMI, n=305) or non-STEMI (NSTEMI, n=461) not including cardiogenic shock underwent CABG within 48 hours at our department...
October 3, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28969306/the-acta-port-score-for-predicting-perioperative-risk-of-blood-transfusion-for-adult-cardiac-surgery
#15
A A Klein, T Collier, J Yeates, L F Miles, S N Fletcher, C Evans, T Richards
Background: A simple and accurate scoring system to predict risk of transfusion for patients undergoing cardiac surgery is lacking. Methods: We identified independent risk factors associated with transfusion by performing univariate analysis, followed by logistic regression. We then simplified the score to an integer-based system and tested it using the area under the receiver operator characteristic (AUC) statistic with a Hosmer-Lemeshow goodness-of-fit test. Finally, the scoring system was applied to the external validation dataset and the same statistical methods applied to test the accuracy of the ACTA-PORT score...
September 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28967721/prognostic-impact-of-frailty-in-elderly-cardiac-surgery-patients
#16
Francesco Vetta, Gabriella Locorotondo, Giampaolo Vetta, Maria Mignano, Sonia Bracchitta
Over the past few decades, the progressive aging of the population combined with the resulting increase in cardiovascular disease and the marked improvement of technologies applied to surgery justify the marked increase of the elderly patients requiring cardiovascular surgery. This claims a highly skilled perioperative management, which should be aimed at treating cardiac disease without increasing risk of hospitalization-related harmful events. Current preoperative assessment for cardiac surgery, such as the European System for Cardiac Operative Risk Evaluation II (EUROSCORE II) and the Society of Thoracic Surgeons (STS) risk score, are limited in their ability to predict perioperative outcomes in older patients...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/28964415/aortic-valve-replacement-with-perceval-bioprosthesis-single-center-experience-with-617%C3%A2-implants
#17
Giovanni Concistrè, Francesca Chiaramonti, Giacomo Bianchi, Alfredo Cerillo, Michele Murzi, Rafik Margaryan, Pierandrea Farneti, Marco Solinas
BACKGROUND: This study describes the clinical and echocardiographic outcomes in a large single-center cohort of patients who underwent aortic valve replacement (AVR) with a sutureless Perceval (LivaNova, Milan, Italy) aortic bioprosthesis. METHODS: Between March 2011 and December 2015, 617 patients underwent AVR with a Perceval bioprosthesis. The mean age was 76 ± 7 years, 388 patients were female (63%), and the mean European System for Cardiac Operative Risk Evaluation (EuroSCORE) II was 6...
September 27, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28958050/a-second-arterial-conduit-to-the-circumflex-circulation-significantly-improves-survival-after-coronary-artery-bypass-surgery
#18
Suvitesh Luthra, Miguel M Leiva-Juárez, Anil John, Maciej Matuszewski, Ian S Morgan, John S Billing
OBJECTIVES: Conventional coronary artery bypass surgery involves the use of a single left internal mammary artery to the left anterior descending artery and saphenous vein grafts reserved for other sites. This retrospective propensity-matched study investigated the impact of a second arterial conduit to the left-sided circulation on early and long-term survival after coronary artery bypass surgery. METHODS: Data were retrospectively collected from 2004 to 2014 for all revascularizations with at least 1 arterial and/or 1 venous graft to the circumflex circulation, in addition to an internal mammary artery to the left anterior descending artery...
September 12, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28941480/a-double-crossover-technique-in-an-obese-patient-undergoing-transfemoral-transcatheter-aortic-valve-implantation-how-to-accomplish-hemostasis-percutaneously
#19
Hirokazu Onishi, Toru Naganuma, Sunao Nakamura
Percutaneous transfemoral transcatheter aortic valve implantation (TF-TAVI) is generally an acceptable procedure but may be associated with vascular complications at femoral access sites, particularly in obese patients. This report aimed to describe a case of successful performance of our "double crossover technique" in an obese patient undergoing TF-TAVI with a percutaneous transfemoral intra-aortic balloon pump (TF-IABP). A 75-year-old man presented with heart failure due to a left ventricular ejection fraction of 35% and low-flow, low-gradient severe aortic stenosis...
September 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28941287/addition-of-albumin-to-traditional-risk-score-improved-prediction-of-mortality-in-individuals-undergoing-transcatheter-aortic-valve-replacement
#20
Yoni Grossman, Israel M Barbash, Paul Fefer, Ilan Goldenberg, Anat Berkovitch, Ehud Regev, Noam Fink, Sagit Ben-Zekry, Yafim Brodov, Alexander Kogan, Victor Guetta, Ehud Raanani, Amit Segev
OBJECTIVES: The ability of the Society of Thoracic Surgeons (STS) and European System for Cardiac Operative Risk Evaluation (EuroSCORE)-2 scores to predict outcomes after transcatheter aortic valve replacement (TAVR) is insufficient. Frailty and serum albumin as a frailty marker were shown to correlate with prognosis after TAVR. We sought to evaluate the additive value of serum albumin to STS and EuroSCORE-2 scores to predict mortality in individuals undergoing TAVR. DESIGN: Retrospective analysis...
September 23, 2017: Journal of the American Geriatrics Society
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