Aortic Stenosis Connect
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Gastrointestinal bleeding during the transcatheter aortic valve replacement perioperative period: A Review

Gastrointestinal bleeding during the transcatheter aortic valve replacement perioperative period: A Review

Source : https://journals.lww.com/md-journal/Fulltext/2022/12020/Gastrointestinal_bleeding_during_the_transcatheter.53.aspx

technology and increasing experience of the operators, TAVR is regarded as a safe and feasible procedure. Bleeding events during the TAVR perioperative period, especially gastrointestinal (GI) bleeding, have been proven...



Relevance: This study aimed to characterize the pathology of TAVR patients and discuss treatment strategies for GI bleeding during the perioperative period.

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Accurate sizing of bicuspid valves for TAVR - where do we draw the line?

Accurate sizing of bicuspid valves for TAVR - where do we draw the line?

Source : https://www.asiaintervention.org/article/accurate-sizing-of-bicuspid-valves-for-tavr-where-do-we-draw-the-line/

AsiaIntervention 2022;8:71-73 | 10.4244/AIJ-E-22-00005 Ramesh Daggubati 1, MD; Mouhamed Amr Sabouni 2, MD; Yasar Sattar 1, MD 1. Department of Cardiology, West Virginia University School of Medicine, Morgantown, WV, USA;...



Conclusions/Relevance: This is the beginning of a new era for BAV TAVR, in terms of a focus on reduction of complications. A randomised clinical trial with longer follow-up is required in order to draw more extensive guidelines for the accurate sizing of TAVR valves and to draw any conclusions regarding such an important challenge in the TAVR...

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Comparison of clinical outcomes between use of overexpanding an undersized versus nominal-sized SAPIEN 3 ultra transcatheter heart valve in patients with borderline annulus area - PubMed

Comparison of clinical outcomes between use of overexpanding an undersized versus nominal-sized SAPIEN 3 ultra transcatheter heart valve in patients with borderline annulus area - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36453245/

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Conclusion: Overinflating a smaller-sized S3U THV may be a safer option in comparison to nominal sizing in patients with borderline annular area.

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Risk factors and clinical effects of subclinical leaflet thrombosis after transcatheter aortic valve replacement

Risk factors and clinical effects of subclinical leaflet thrombosis after transcatheter aortic valve replacement

Source : https://www.frontiersin.org/articles/10.3389/fcvm.2022.1001753/full

AimsThe number of trans-catheter aortic valve replacement (TAVR) procedure is increasing; However, the incidence of leaflet thrombosis is higher in TAVR than in surgical aortic valve replacement (SAVR).



Conclusion: Larger indexed SOV diameter, higher AV calcium volume, and smaller post-procedure AV EOA were risk factors for subclinical leaflet thrombosis after TAVR. Subclinical leaflet thrombosis has a benign course when properly managed.

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Waiting Times of Women versus Men Undergoing Transcatheter Aortic Valve Implantation - PubMed

Waiting Times of Women versus Men Undergoing Transcatheter Aortic Valve Implantation - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36460051/

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Conclusion: TAVI waiting times are significantly longer in women compared to men and are associated with increased mortality and HFH and reduced mobility at 30-days.