keyword
https://read.qxmd.com/read/38450376/intravascular-lithotripsy-ivl-enabled-the-percutaneous-closure-of-a-severely-calcified-paravalvular-leak-regurgitation-following-implantation-of-a-self-expandable-transcatheter-aortic-valve-a-case-report
#21
Salvatore Evola, Alessandro D'Agostino, Daniele Adorno, Oreste Fabio Triolo, Gioacchino Giarratana, Sebastiano Castrovinci, Vincenzo Argano, Eustaquio Maria Onorato
BACKGROUND: Closure of paravalvular leak (PVL) regurgitation after self-expandable (SE) transcatheter aortic valve implantation (TAVI) may be more challenging than after balloon-expandable (BE) valve implantation. CASE SUMMARY: An 85-year-old woman suffering from long-standing atrial fibrillation and severe symptomatic aortic stenosis underwent SE TAVI (26 mm Evolut™ R®, Medtronic Inc., MN, USA). A total of eighteen months after TAVI she was admitted for congestive heart failure and two-dimensional (2D) transesophageal echocardiography (TEE) color Doppler showed moderate-severe PVL regurgitation due to a long and heavily calcified leak located below the left coronary sinus...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38437486/the-shape-of-things-to-come-is-a-trial-of-combined-interventional-procedures-necessary-in-today-s-world
#22
EDITORIAL
Neal S Kleiman, Sachin S Goel
No abstract text is available yet for this article.
March 5, 2024: Circulation
https://read.qxmd.com/read/38436739/non-femoral-focused-transaxillary-access-in-tavi-gary-data-analysis-and-future-trends
#23
JOURNAL ARTICLE
Max M Meertens, Matti Adam, Andreas Beckmann, Stephan Ensminger, Christian Frerker, Moritz Seiffert, Jan-Malte Sinning, Raffi Bekeredjian, Thomas Walther, Friedhelm Beyersdorf, Helge Möllmann, Ümniye Balaban, Kaveh Eghbalzadeh, Tanja K Rudolph, Sabine Bleiziffer
BACKGROUND: In patients not suitable for transfemoral transcatheter aortic valve implantation (TAVI), several access strategies can be chosen. AIM: To evaluate the use and patient outcomes of transaxillary (TAx), transapical (TA), and transaortic (TAo) as alternative access for TAVI in Germany; to further evaluate surgical cutdown vs. percutaneous TAx access. METHODS: All patients entered the German Aortic Valve Registry (GARY) between 2011 and 2019 who underwent non-transfemoral TAVI were included in this analysis...
March 4, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38432474/deformation-in-transcatheter-heart-valves-clinical-implications-and-considerations
#24
REVIEW
Miho Fukui, João L Cavalcante, Vinayak N Bapat
Transcatheter aortic valve replacement (TAVR) has emerged as a preferred treatment modality for aortic stenosis, marking a significant advancement in cardiac interventions. Transcatheter heart valves (THVs) have also received approval for treating failed bioprosthetic valves and rings across aortic, mitral, tricuspid, and pulmonic positions. Unlike surgically implanted valves, which are sewn into the annulus, THVs are anchored through relative oversizing. Although THVs are designed to function optimally in a fully expanded state, they exhibit a certain degree of tolerance to underexpansion...
March 1, 2024: Journal of Cardiology
https://read.qxmd.com/read/38428553/kissing-shockwave-balloon-in-a-case-of-extensive-calcified-abdominal-aorta-during-transfemoral-tavi
#25
REVIEW
Angela Buonpane, Giancarlo Trimarchi, Cataldo Palmieri, Anees Ali Ahmed Al Jabri, Sergio Berti, Antonio Rizza
An 84-year-old man with extensive calcified atherosclerosis of the infrarenal abdominal aorta was diagnosed with severe aortic valve stenosis, presenting with dyspnea. To facilitate transfemoral approach during the TAVI procedure, IVUS-guided intravascular lithotripsy was successfully performed using Kissing Shockwave Balloon Technique.
February 28, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38425806/safety-and-efficacy-of-cerebral-embolic-protection-in-transcatheter-aortic-valve-implantation-an-updated-meta-analysis
#26
JOURNAL ARTICLE
Nicholas Tan, Gao Fei, Mohammed Rizwan Amanullah, Soo Teik Lim, Zameer Abdul Aziz, Sivaraj Govindasamy, Victor Tar Toong Chao, See Hooi Ewe, Kay Woon Ho, Jonathan Yap
BACKGROUND: The use of cerebral embolic protection devices during transcatheter aortic valve implantation (TAVI) reveals conflicting data. AIMS: This updated meta-analysis aims to evaluate the efficacy and safety of the SENTINEL Cerebral Protection System. METHODS: A literature search for relevant studies up to September 2022 was performed. Study outcomes were divided based on time period - overall (up to 30 days) and short (≤7 days)...
February 2024: AsiaIntervention
https://read.qxmd.com/read/38417913/midterm-outcomes-of-transcatheter-aortic-valve-replacement-in-patients-with-active-cancer
#27
JOURNAL ARTICLE
Masahiko Noguchi, Minoru Tabata, Joji Ito, Nahoko Kato, Kotaro Obunai, Hiroyuki Watanabe, Fumiaki Yashima, Yusuke Watanabe, Toru Naganuma, Masahiro Yamawaki, Futoshi Yamanaka, Shinichi Shirai, Hiroshi Ueno, Norio Tada, Masanori Yamamoto, Kentaro Hayashida
OBJECTIVES: The clinical outcomes of transcatheter aortic valve replacement (TAVR) in patients with aortic stenosis (AS) and concomitant active cancer remain insufficiently explored. This study aimed to assess the midterm outcomes of TAVR in patients diagnosed with AS and active cancer. METHODS: Data from the OCEAN-TAVI, a prospective Japanese registry of TAVR procedures, was analysed to compare prognoses and clinical outcomes in patients with and without active cancer at the time of TAVR...
February 27, 2024: Open Heart
https://read.qxmd.com/read/38404057/right-anterior-mini-thoracotomy-aortic-valve-replacement-versus-transcatheter-aortic-valve-implantation-in-octogenarians-a-single-center-experience-a-retrospective-study
#28
JOURNAL ARTICLE
Ji Eun Im, Eun Yeung Jung, Seok Soo Lee, Ho-Ki Min
BACKGROUND: The aim of this study was to compare the early outcomes of octogenarians undergoing minimally invasive right anterior mini-thoracotomy aortic valve replacement (RAT-AVR) with those undergoing transcatheter aortic valve implantation (TAVI) for aortic valve disease. METHODS: In this single-center retrospective study, data were collected from octogenarians before and after RAT-AVR and TAVI between January 2021 and July 2022. Short-term outcomes, including the length of hospital stay, in-hospital mortality, all-cause mortality, and other major postoperative complications, were compared and analyzed...
February 26, 2024: J Yeungnam Med Sci
https://read.qxmd.com/read/38390797/transcatheter-aortic-valve-implantation-wait-time-management-derivation-and-validation-of-the-canadian-tavi-triage-tool-can3t
#29
JOURNAL ARTICLE
Rafael N Miranda, Feng Qiu, Ragavie Manoragavan, Peter C Austin, David M J Naimark, Stephen E Fremes, Dennis T Ko, Mina Madan, Mamas A Mamas, Maneesh K Sud, Derrick Tam, Harindra C Wijeysundera
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has seen indication expansion and thus exponential growth in demand over the past decade. In many jurisdictions, the growing demand has outpaced capacity, increasing wait times and preprocedural adverse events. In this study, we derived prediction models that estimate the risk of adverse events on the waitlist and developed a triage tool to identify patients who should be prioritized for TAVI. METHODS AND RESULTS: We included adult patients in Ontario, Canada referred for TAVI and followed up until one of the following events first occurred: death, TAVI procedure, removal from waitlist, or end of the observation period...
February 23, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38389472/final-report-of-the-protembo-c-trial-a-prospective-evaluation-of-a-novel-cerebral-protection-device-during-tavi
#30
JOURNAL ARTICLE
Simone Fezzi, Dariusz Jagielak, Radoslaw Targonski, Tobias Schmidt, Christian Frerker, Adam Ryszard Witkowski, Michael Lauterbach, Juergen Leick, Andrejs Erglis, Inga Narbute, Marek Grygier, Marcin Misterski, Derk Frank, Mohamed Abdel-Wahab, Johannes Wilde, Matti Adam, Fernando Gatto, Robert Zivadinov, Michael Dwyer, Nikos Werner, Darren Mylotte
No abstract text is available yet for this article.
February 19, 2024: EuroIntervention
https://read.qxmd.com/read/38388290/clinical-effects-of-permanent-pacemaker-implantation-after-transcatheter-aortic-valve-implantation-insights-from-the-nationwide-france-tavi-registry
#31
JOURNAL ARTICLE
Vincent Auffret, Dominique Boulmier, Romain Didier, Guillaume Leurent, Marc Bedossa, Jacques Tomasi, Guillaume Cayla, Hakim Benamer, Sylvain Beurtheret, Jean-Philippe Verhoye, Philippe Commeau, Thierry Lefèvre, Bernard Iung, Hélène Eltchaninoff, Jean-Philippe Collet, Nicolas Dumonteil, Florence Du Chayla, Margaux Gouysse, Martine Gilard, Hervé Le Breton
BACKGROUND: The influence of permanent pacemaker implantation upon outcomes after transcatheter aortic valve implantation (TAVI) remains controversial. AIMS: To evaluate the impact of permanent pacemaker implantation after TAVI on short- and long-term mortality, and on the risk of hospitalization for heart failure. METHODS: Data from the large FRANCE-TAVI registry, linked to the French national health single-payer claims database, were analysed to compare 30-day and long-term mortality rates and hospitalization for heart failure rates among patients with versus without permanent pacemaker implantation after TAVI...
February 13, 2024: Archives of Cardiovascular Diseases
https://read.qxmd.com/read/38388247/use-of-safari-2%C3%A2-as-workhorse-wire-for-left-sided-structural-heart-interventions
#32
JOURNAL ARTICLE
Ibrahim H Inanc, Deniz Mutlu, Kostas Marmagkiolis, Cezar Iliescu, Ismail Ates, Mehmet Cilingiroglu
BACKGROUND: With the advances in percutaneous treatment technologies, the left atrial appendage occlusion (LAAO) and the transcatheter mitral valve repair using MitraClip (TMVR) are increasingly being performed today. The SAFARI 2™ guidewire is primarily used during transcatheter aortic valve implantation (TAVI), our group has also been using it during MitraClip and LAAO procedures. Our clinical study aimed to share our data on the safety and effectiveness for the use of the SAFARI 2™ guidewire during MitraClip or LAAO procedures...
February 8, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38388188/personalised-preinterventional-risk-stratification-of-mortality-length-of-stay-and-hospitalisation-costs-in-transcatheter-aortic-valve-implantation-using-a-machine-learning-algorithm-a-pilot-trial
#33
JOURNAL ARTICLE
Maria Zisiopoulou, Alexander Berkowitsch, Leonard Redlich, Thomas Walther, Stephan Fichtlscherer, David M Leistner
INTRODUCTION: Risk stratification based on Euroscore II (ESII) is used in some centres to assist decisions to perform transcatheter aortic valve implant (TAVI) procedures. ESII is a generic, non-TAVI-specific metric, and its performance fades for mortality at follow-up longer than 30 days. We investigated if a TAVI-specific predictive model could achieve improved predictive preinterventional accuracy of 1-year mortality compared with ESII. PATIENTS AND METHODS: In this prospective pilot study, 284 participants with severe symptomatic aortic valve stenosis who underwent TAVI were enrolled...
February 22, 2024: Open Heart
https://read.qxmd.com/read/38377679/immature-platelet-fraction-and-clinical-outcomes-in-patients-undergoing-transcatheter-aortic-valve-implantation
#34
JOURNAL ARTICLE
Lee Oppenheim, Ranel Loutati, David Marmor, Nimrod Perel, Meir Tabi, Louay Taha, Danny Dvir, Mony Shuvy, Rami Jubeh, Michael Glikson, Elad Asher
INTRODUCTION: Immature platelets or reticulated platelets are newly released thrombocytes. They can be identified by their large size and high RNA cytoplasm concentration. Immature platelet fraction (IPF) represents the percentage of immature circulative platelets relative to the total number of platelets. The role of IPF in patients undergoing transcatheter aortic valve implantation (TAVI) is unknown. The aim of the current trial was to assess the levels of IPF in patients undergoing TAVI and correlation with clinical outcomes...
2024: Clinical and Applied Thrombosis/hemostasis
https://read.qxmd.com/read/38362873/impact-of-transcatheter-aortic-valve-replacement-on-cardiac-reverse-remodeling-and-prognosis-in-mixed-aortic-valve-disease
#35
JOURNAL ARTICLE
Yoshihito Saijo, Kenya Kusunose, Tomonori Takahashi, Hirotsugu Yamada, Masataka Sata, Kimi Sato, Noor Albakaa, Tomoko Ishizu, Yoshihiro Seo
BACKGROUND: The management of mixed aortic valve disease (MAVD), defined as the concomitant presence of aortic stenosis (AS) and aortic regurgitation, remains a clinical challenging. The present study assessed the impact of transcatheter aortic valve replacement (TAVR) on cardiac geometry and prognosis in patients with MAVD. METHODS AND RESULTS: A retrospective multicenter TAVR registry was conducted, including patients who underwent TAVR for severe symptomatic AS between January 2015 and March 2019...
February 16, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38358902/impact-on-clinical-outcome-of-ventricular-arrhythmias-in-patients-undergoing-transcatheter-aortic-valve-implantation
#36
JOURNAL ARTICLE
Nello Cambise, Eleonora Gnan, Saverio Tremamunno, Alessandro Telesca, Antonietta Belmusto, Lorenzo Tinti, Antonio Di Renzo, Cristina Aurigemma, Francesco Burzotta, Carlo Trani, Filippo Crea, Gaetano Antonio Lanza
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has become a largely used treatment for severe aortic stenosis. There are limited data, however, about predictors of long-term prognosis in this population. In this study, we assessed whether ventricular arrhythmias may predict clinical outcomes in patients undergoing TAVI. METHODS AND RESULTS: We performed a 24 h ECG Holter monitoring in 267 patients who underwent TAVI for severe aortic stenosis within 30 days from a successful procedure...
February 13, 2024: Journal of Cardiovascular Medicine
https://read.qxmd.com/read/38345661/impact-of-prosthesis-oversizing-on-clinical-outcomes-of-transcatheter-aortic-valve-implantation-using-a-self-expandable-evolut-r-valve
#37
JOURNAL ARTICLE
Mohammed Moustafa Elnwagy, Mahmoud Mohamed Ali Baraka, Mohamed Saber Hafez, Diaa Kamal, Maiy Hamdy El-Sayed, Ahmad E Mostafa
BACKGROUND: Transcatheter Aortic Valve Implantation (TAVI) has a growing target population after being indicated even in low-surgical-risk patients with severe symptomatic aortic stenosis. However, postoperative outcomes can be compromised due to para-valvular leakage (PVL). A lot of procedural steps have been investigated to decrease this partially avoidable operational hazard. Oversizing is a main technique to decrease the PVL, despite being itself a risky step. Many studies have been conducted to identify the optimum degree of oversizing...
February 12, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38342976/the-influence-of-preoperative-right-ventricle-to-pulmonary-arterial-coupling-on-short-and-long-term-prognosis-in-patients-who-underwent-transcatheter-aortic-valve-implantation
#38
JOURNAL ARTICLE
Aykun Hakgor, Basak Catalbas Kahraman, Atakan Dursun, Arzu Yazar, Umeyir Savur, Aysel Akhundova, Fatih Erkam Olgun, Melike Zeynep Kenger, Bilal Boztosun
The present study evaluated the prognostic significance of right ventricular-pulmonary arterial (RV-PA) coupling, assessed by the tricuspid annular plane systolic excursion to systolic pulmonary artery pressure (TAPSE/sPAP) ratio, in patients undergoing transcatheter aortic valve implantation (TAVI) for severe aortic stenosis (AS). This retrospective, single-center study involved 403 patients (mean age: 78.2 ± 8.4; 50.9% female). RV-PA coupling was categorized based on the pre-procedural TAPSE/sPAP ratio: severe uncoupling (≤0...
February 11, 2024: Angiology
https://read.qxmd.com/read/38332924/an-unusual-complication-after-transcatheter-aortic-valve-implantation-a-case-report
#39
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
https://read.qxmd.com/read/38332920/single-access-non-contrast-transcatheter-aortic-valve-implantation-the-ultimate-minimalist-approach-a-case-report
#40
Mario E Diaz Nuila, Ashish Gupta, Mohammed Alkhalil
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is an established treatment for patients with symptomatic severe aortic stenosis. Patients with previous renal transplant are considered as a high-risk cohort who may develop procedural complications related to vascular access and renal impairment post-TAVI. CASE SUMMARY: Herein, we report a case of an 88-year-old male who presented with progressive dyspnoea. His transthoracic echocardiogram revealed severe aortic stenosis with a peak gradient of 75 mmHg and impaired left ventricle systolic function (an estimated ejection fraction of 40%)...
February 2024: European Heart Journal. Case Reports
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