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JOURNAL ARTICLE
Thomas Modine, John K Forrest, Nicolas M Van Mieghem, G Michael Deeb, Steven J Yakubov, Walid Ben Ali, Didier Tchétché, Ka Yan Lam, Jae K Oh, Jian Huang, Roxana Mehran, Michael J Reardon
There are limited data from randomized controlled trials assessing the impact of transcatheter aortic valve replacement (TAVR) or surgery in women with aortic stenosis and small aortic annuli. We evaluated 2-year clinical and hemodynamic outcomes following AVR to understand acute valve performance and early and mid-term clinical outcomes. This post hoc analysis pooled women enrolled in the randomized, prospective, multicenter Evolut Low Risk and SURTAVI intermediate risk trials. Women with severe aortic stenosis at low or intermediate surgical risk who had a computed-tomography-measured annular perimeter of ≤ 72...
April 17, 2024: American Journal of Cardiology
#2
JOURNAL ARTICLE
Massimo Baudo, Serge Sicouri, Yoshiyuki Yamashita, Khalid Ridwan, Amer Kadri, Scott M Goldman, Roberto Rodriguez, Eric M Gnall, Paul M Coady, Michael J Reardon, Hemal Gada, William A Gray, Basel Ramlawi
Patients with small aortic annuli (SAA) pose a challenge in aortic valve replacement patients due to potential for prosthesis-patient mismatch (PPM). The objective of this study was to compare clinical and hemodynamic outcomes of self-expandable valves (SEV) versus balloon-expandable valves (BEV) transcatheter aortic valve implantation (TAVI) in patients with severe aortic stenosis and SAA. All patients who underwent TAVI for severe native aortic stenosis with a SAA between January 2018 and December 2022 were retrospectively included in the study from a single center...
April 16, 2024: American Journal of Cardiology
#3
JOURNAL ARTICLE
Jiaqing Zhu, Jiahao Sun, Jinzhu Liu, Bowen Ma, Chiyu Zhang, Chao Zhang, Tianwei Xia, Jirong Shen
OBJECTIVE: To explore the short-term effectiveness of hip revision surgery guided by artificial intelligence preoperative planning (AIHIP) system. METHODS: The clinical data of 22 patients (23 hips) who were admitted between June 2019 and March 2023 and met the selection criteria were retrospectively analyzed. There were 12 males and 10 females with an average age of 69.7 years (range, 44-90 years). There were 19 hips in the first revision, 3 hips in the second revision, and 1 hip in the third revision...
April 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
#4
JOURNAL ARTICLE
Nikolaos Schizas, Ilias Samiotis, Georgia Nazou, Dimitrios C Iliopoulos, Ioannis Anagnostopoulos, Maria Kousta, Nafsika Papaioannou, Mihalis Argiriou, Panagiotis Dedeilias
BACKGROUND: Perceval-S has become a reliable and commonly used option in surgical aortic valve replacement (AVR) since its first implantation in humans 15 years ago. Despite the fact that this aortic valve has been proven efficient enough in the short and mid-term period, there is still lack of evidence for the long-term outcomes. MATERIALS AND METHODS: This is an observational retrospective study in a high-volume cardiovascular center. Pertinent data were collected for all the patients in whom Perceval-S was implanted from 2013 to 2020...
April 9, 2024: Journal of Cardiothoracic Surgery
#5
REVIEW
Taylor Groginski, Amr Mansour, Diaa Kamal, Marwan Saad
Transcatheter aortic valve replacement (TAVR) has proven to be a safe, effective, and less invasive approach to aortic valve replacement in patients with aortic stenosis. In patients who underwent prior aortic valve replacement, transcatheter and surgical bioprosthetic valve dysfunction may occur as a result of structural deterioration or nonstructural causes such as prosthesis-patient mismatch (PPM) and paravalvular regurgitation. Valve-in-Valve (ViV) TAVR is a procedure that is being increasingly utilized for the replacement of failed transcatheter or surgical bioprosthetic aortic valves...
February 25, 2024: Journal of Clinical Medicine
#6
JOURNAL ARTICLE
Howard C Herrmann, Roxana Mehran, Daniel J Blackman, Stephen Bailey, Helge Möllmann, Mohamed Abdel-Wahab, Walid Ben Ali, Paul D Mahoney, Hendrik Ruge, David A Wood, Sabine Bleiziffer, Basel Ramlawi, Hemal Gada, Anna Sonia Petronio, Charles D Resor, William Merhi, Bruno Garcia Del Blanco, Guilherme F Attizzani, Wayne B Batchelor, Linda D Gillam, Mayra Guerrero, Toby Rogers, Joshua D Rovin, Molly Szerlip, Brian Whisenant, G Michael Deeb, Kendra J Grubb, Ratnasari Padang, Myra T Fan, Andrew D Althouse, Didier Tchétché
BACKGROUND: Patients with severe aortic stenosis and a small aortic annulus are at risk for impaired valvular hemodynamic performance and associated adverse cardiovascular clinical outcomes after transcatheter aortic-valve replacement (TAVR). METHODS: We randomly assigned patients with symptomatic severe aortic stenosis and an aortic-valve annulus area of 430 mm2 or less in a 1:1 ratio to undergo TAVR with either a self-expanding supraannular valve or a balloon-expandable valve...
April 7, 2024: New England Journal of Medicine
#7
JOURNAL ARTICLE
Mariusz Łaziński, Włodzimierz Niemyjski, Michał Niemyjski, Łukasz Olewnik, Marek Drobniewski, Marek Synder, Andrzej Borowski
INTRODUCTION: The optimal positioning of the hip prosthesis components is influenced by the mobility and balance of the spine. The present study classifies patients with pathology of the spino-pelvic-hip complex, showing possible methods of preventing hip dislocations after arthroplasty. HYPOTHESIS: Hip-Spine Classification helps arthroplasty surgeons to implant components in more patient-specific position. MATERIALS AND METHODS: The group of 100 patients treated with total hip arthroplasty...
March 30, 2024: Archives of Orthopaedic and Trauma Surgery
#8
JOURNAL ARTICLE
John E Connolly, Howard C Herrmann, Pavan Atluri, Nimesh Desai, Paul N Fiorilli, Jay Giri, Robert H Li, Taisei Kobayashi, Ashwin S Nathan, Wilson Y Szeto, Joshua C Grimm
BACKGROUND: Studies comparing transcatheter and surgical aortic valve replacement (TAVR and SAVR) for patients with trileaflet aortic stenosis (AS) have found similar or larger effective orifice area (EOA) for TAVR prostheses. To our knowledge, no studies have compared EOA in patients undergoing TAVR versus SAVR for bicuspid AS. METHODS: We retrospectively compared prosthetic valvular sizing and predicted EOA for patients with bicuspid AS undergoing TAVR or SAVR at our institution between January 1, 2016, and December 31, 2021...
March 21, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
#9
JOURNAL ARTICLE
Michel Pompeu Sá, Xander Jacquemyn, Jef Van den Eynde, Danny Chu, Derek Serna-Gallegos, Tjark Ebels, Marie-Annick Clavel, Philippe Pibarot, Ibrahim Sultan
BACKGROUND: It remains controversial whether prosthesis-patient mismatch (PPM) impacts long-term outcomes after surgical aortic valve replacement. We aimed to evaluate the association of PPM with mortality, rehospitalizations, and aortic valve reinterventions. METHODS AND RESULTS: We performed a systematic review with meta-analysis of reconstructed time-to-event data of studies published by March 2023 (according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses)...
March 27, 2024: Journal of the American Heart Association
#10
JOURNAL ARTICLE
Clemens Eckel, Won-Keun Kim, Dagmar Sötemann, Christina Grothusen, Vedat Tiyerili, Guido Dohmen, Matthias Renker, Efstratios I Charitos, Christian W Hamm, Yeong-Hoon Choi, Albrecht Elsässer, Helge Möllmann, Johannes Blumenstein
BACKGROUND: Comparative data on transcatheter self-expanding ACURATE neo2 (NEO2) and balloon-expandable SAPIEN 3 Ultra prostheses in technically challenging anatomy of severe aortic valve calcified aortic annuli are scarce. METHODS: A total of 1987 patients with severe native aortic stenosis treated with the self-expanding NEO2 (n=1457) or balloon-expandable SAPIEN 3 Ultra (n=530) from January 2017 to April 2023 were evaluated. The primary end point was procedural outcome according to the Valve Academic Research Consortium 3 definitions...
March 26, 2024: Circulation. Cardiovascular Interventions
#11
MULTICENTER STUDY
Won-Keun Kim, Moritz Seiffert, Andreas Rück, David M Leistner, Henryk Dreger, Hendrik Wienemann, Matti Adam, Helge Möllmann, Johannes Blumenstein, Clemens Eckel, Andrea Buono, Diego Maffeo, Antonio Messina, Andreas Holzamer, Samuel Sossalla, Giuliano Costa, Marco Barbanti, Silvia Motta, Corrado Tamburino, Ina von der Heide, Julius Glasmacher, Mohammad Sherif, Philipp Seppelt, Stephan Fichtlscherer, Thomas Walther, Fausto Castriota, Roberto Nerla, Christian Frerker, Tobias Schmidt, Alexander Wolf, Martin M Adamaszek, Francesco Giannini, Maarten Vanhaverbeke, Stefaan Van de Walle, Francis Stammen, Stefan Toggweiler, Stephanie Brunner, Antonio Mangieri, Mauro Gitto, Gerrit Kaleschke, Vlasis Ninios, Ilias Ninios, Judith Hübner, Erion Xhepa, Matthias Renker, Efstratios I Charitos, Michael Joner, Tobias Rheude
BACKGROUND: There is a lack of comparative data on transcatheter aortic valve implantation (TAVI) in degenerated surgical prostheses (valve-in-valve [ViV]). AIMS: We sought to compare outcomes of using two self-expanding transcatheter heart valve (THV) systems for ViV. METHODS: In this retrospective multicentre registry, we included consecutive patients undergoing transfemoral ViV using either the ACURATE neo/neo2 (ACURATE group) or the Evolut R/PRO/PRO+ (EVOLUT group)...
March 18, 2024: EuroIntervention
#12
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
#13
JOURNAL ARTICLE
Joeri Van Puyvelde, Bart Meyns, Filip Rega, Marc Gewillig, Benedicte Eyskens, Ruth Heying, Bjorn Cools, Thomas Salaets, Peter-William Hellings, Bart Meuris
OBJECTIVES: To investigate if there is still a place for bioprosthetic mitral valve replacement in children by comparing the prosthetic durability and transplant-free survival after bioprosthetic and mechanical mitral valve replacement. METHODS: We reviewed all mitral valve replacements in children between 1981 and 2020. Bioprosthetic mitral valve replacement cases were individually matched to mechanical mitral valve replacement cases. The incidence rate of a second replacement was calculated using the cumulative incidence function that considered death or transplantation as a competing risk...
March 6, 2024: Interdiscip Cardiovasc Thorac Surg
#14
Victor H Molina-Lopez, Ismael Ortiz-Cartagena, Josue Mercado-Crespo, Miguel A Campos-Esteve
Transcatheter aortic valve replacement (TAVR) has increasingly become a fundamental approach for treating aortic valve stenosis (AVS), especially in high surgical risk patients. This case study underscores the criticality of meticulous procedural planning and precise valve selection in patients with severe AVS compounded by obesity. We report a case of a patient who, after receiving a 26 mm Edwards Sapiens 3 valve, presented with worsening exertional dyspnea and a declining indexed effective orifice area (EOAi)...
January 2024: Curēus
#15
JOURNAL ARTICLE
Bart J J Velders, Michiel D Vriesendorp, Federico M Asch, Francois Dagenais, Rüdiger Lange, Michael J Reardon, Vivek Rao, Joseph F Sabik, Rolf H H Groenwold, Robert J M Klautz
BACKGROUND: Although various hemodynamic parameters to assess prosthetic performance are available, prosthesis-patient mismatch (PPM) is defined exclusively by effective orifice area (EOA) index thresholds. Adjusting for the Society of Thoracic Surgeons predicted risk of mortality (STS PROM), we aimed to explore the added value of postoperative hemodynamic parameters for the prediction of all-cause mortality at 5 years after aortic valve replacement. METHODS: Data were obtained from the Pericardial Surgical Aortic Valve Replacement (PERIGON) Pivotal Trial, a multicenter prospective cohort study examining the performance of the Avalus bioprosthesis...
February 2024: JTCVS open
#16
JOURNAL ARTICLE
Marianna Adamo, Luca Branca, Elisa Pezzola, Francesco Saia, Thomas Pilgrim, Mohamed Abdel-Wahab, Philippe Garot, Caterina Gandolfo, Claudia Fiorina, Sofia Sammartino, Azeem Latib, Ignacio Amat Santos, Darren Mylotte, Federico De Marco, Ole De Backer, Luis Nombela Franco, Mariama Akodad, Flavio Luciano Ribichini, Francesco Bedogni, Giulia Laterra, Alessandro Mazzapicchi, Daijiro Tomii, Pietro Laforgia, Stefano Cannata, Andrea Scotti, Simone Fezzi, Enrico Criscione, Enrico Poletti, Mattia Mazzucca, Roberto Valvo, MattiaLunardi, Andrea Mainardi, Stefano Andreaggi, Angelo Quagliana, Nicholas Montarello, Breda Hennessey, Matias Mon-Noboa, David Meier, Carmelo Sgroi, Claudia Maria Reddavid, Orazio Strazzieri, Silvia Crescenzia Motta, Valentina Frittitta, Elena Dipietro, Alessandro Comis, Chiara Melfa, Mariachiara Calì, Holger Thiele, John G Webb, Lars Sondergaard, Corrado Tamburino, Marco Metra, Giuliano Costa, Marco Barbanti
Evidence regarding sex-related differences in response to transcatheter aortic valve implantation according to the valve type is lacking. This study sought to evaluate the impact of sex on the treatment effect of Evolut-PRO/PRO+ (PRO) or Sapien 3 Ultra (ULTRA) devices on clinical outcomes. Comparative Analysis of Evolut PRO vs Sapien 3 Ultra Valves for Transfemoral Transcatheter Aortic Valve Implantation (OPERA-TAVI) is a multicenter multinational registry including patients undergoing latest-iteration PRO or ULTRA implantation...
February 22, 2024: American Journal of Cardiology
#17
JOURNAL ARTICLE
Atsushi Okada, Erik Beckmann, Erick E Rocher, Miho Fukui, Cheng Wang, Asa Phichaphop, Hideki Koike, Kiahltone R Thao, Andrew Willett, Evan Walser-Kuntz, Larissa I Stanberry, Maurice Enriquez-Sarano, John R Lesser, Benjamin Sun, Robert J Steffen, Paul Sorajja, João L Cavalcante, Vinayak N Bapat
BACKGROUND: Selection of transcatheter valve size using preprocedural computed tomography (CT) is standardized and well established. However, valve sizing for surgical aortic valve replacement (SAVR) is currently performed intraoperatively by using sizers, which may result in variation among operators and risk for prosthesis-patient mismatch. This study evaluated the usefulness of CT annulus measurement for SAVR valve sizing. METHODS: This study included patients who underwent SAVR using Inspiris or Magna Ease and received preoperative electrocardiogram-gated CT imaging...
February 19, 2024: Annals of Thoracic Surgery
#18
Alba Abril Molina, Mónica Fernández Quero, José E López Haldón, Manuel Villa Gil Ortega, José F Díaz Fernández
BACKGROUND: Ventricular septal defect (VSD) is an unusual complication of transcatheter aortic valve implantation (TAVI). The risk factors are not well understood but may include oversizing, calcification amount and location, left-ventricular chamber morphology, and valve-in-valve (ViV) procedures. Percutaneous treatment is challenging but is usually the preferred option. CASE SUMMARY: An 80-year-old woman with two previous surgical aortic valve replacements was admitted to our Cardiology Department for decompensated heart failure...
February 2024: European Heart Journal. Case Reports
#19
JOURNAL ARTICLE
Clara Großmann, Ihor Krasivskiy, Ilija Djordjevic, Mariya Mihaylova, Thorsten Wahlers, Kaveh Eghbalzadeh
INTRODUCTION: This case report aims to describe an aortic root enlargement in combination with the replacement of the ascending aorta in a patient presenting with severe aortic valve stenosis. CASE REPORT: A 68-year-old woman with severe aortic stenosis due to a type 0 bicuspid aortic valve and an aortic aneurysm underwent surgery for treatment. The annulus was preoperatively measured with 19 mm. Enlargement was performed by using a tissue patch to create a neo-noncoronary sinus and enlarge the root...
February 7, 2024: Perfusion
#20
JOURNAL ARTICLE
Patient-Prosthesis Mismatch After Surgical Aortic Valve Replacement: Analysis of the PARTNER Trials.
Vinod H Thourani, Amr E Abbas, Julien Ternacle, Rebecca T Hahn, Raj Makkar, Susheel K Kodali, Isaac George, Samir Kapadia, Lars G Svensson, Wilson Y Szeto, Howard C Herrmann, Gorav Ailawadi, Jonathon Leipsic, Philipp Blanke, John Webb, Wael A Jaber, Mark Russo, S Chris Malaisrie, Pradeep Yadav, Marie-Annick Clavel, Omar K Khalique, Neil J Weissman, Pamela Douglas, Jeroen Bax, Abdellaziz Dahou, Ke Xu, Vinayak Bapat, Maria C Alu, Martin B Leon, Michael J Mack, Philippe Pibarot
BACKGROUND: Our objective was to compare the impact of patient-prosthesis mismatch (PPM) for 2 years following surgical aortic valve replacement within the prospective, randomized PARTNER trials. METHODS: Surgical aortic valve replacement patients from the PARTNER 1, 2, and 3 trials were included. PPM was classified as moderate (indexed effective orifice area <0.85cm2 /m2 ) or severe (indexed effective orifice area <0.65cm2 /m2 ). 4 The primary endpoint was the composite of all-cause death and heart failure re-hospitalization at two years...
February 3, 2024: Annals of Thoracic Surgery
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