Sex Disparities in the Treatment of Aortic Stenosis and Related Outcomes: An Analysis of the National Inpatient Sample - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/36103808/
Introduction The impact of transcatheter aortic valve replacement (TAVR) on sex disparities has not been well established. This study sought to examine the impact of sex on outcomes following aortic...
Conclusion/Relevance: TAVR is associated with a lower in-hospital mortality in women compared to SAVR. Thus, TAVR may represent a potential intervention to narrow the sex-based disparities in the management of AS.
Concomitant anaortic OPCAB and transfemoral TAVR for high-risk patients: A case series - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/36098378/
Combined anaortic OPCAB and transfemoral TAVR is a safe and feasible approach to treating concomitant extensive coronary artery disease and severe aortic stenosis. The aortic no-touch technique provides benefits in...
Conclusions: Combined anaortic OPCAB and transfemoral TAVR is a safe and feasible approach to treating concomitant extensive coronary artery disease and severe aortic stenosis. The aortic no-touch technique provides benefits in the elderly high-risk patients by reducing the risk of postoperative myocardial infarction and cerebrovascular stroke.
Management of Failed Bioprosthetic Aortic Valves: Mitigating Complications and Optimizing Outcomes
Source : https://www.hindawi.com/journals/jitc/2022/9737245/
Management of Failed Bioprosthetic Aortic Valves: Mitigating Complications and Optimizing Outcomes: The use of bioprosthetic prostheses during surgical aortic valve replacements has increased dramatically over the last two decades, accounting...
Conclusions: Due to the increase in bioprosthetic valve utilization for the treatment of aortic valve disease and patients with longer life expectancy, bioprosthetic valve failure is becoming a significant problem requiring innovative treatment strategies. Redo-SAVR has traditionally been the only treatment modality for failed biologic valves,...
A Pilot Study to Assess the Clinical Onset of IV Heparin in Interventional Cardiology and Cardiac Surgery
Source : https://www.jcvaonline.com/article/S1053-0770(22)00546-8/fulltext
To determine the onset of heparin anticoagulation, using 2 different measures of activated clotting times (ACT), thromboelastography (TEG; R-time), and anti-Xa levels, after administering low- (100 U/kg) and high- (300...
Conclusions: In this pilot study, heparin anticoagulation was detected as early as 30 seconds after IV administration, based on ACT, anti-Xa levels, and TEG R-time.
A rare delayed complication after TAVR: Acute severe aortic insufficiency - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/36073090/
Transcatheter aortic valve replacement (TAVR) has become the standard of care for managing severe aortic stenosis (AS) in high surgical risk patients. Despite favorable outcomes, TAVR has been associated with...
Conclusion/Relevance: Herein, we describe a unique and atypical case of a patient who presented with heart failure and was found to have severe AR in the context of having had TAVR 5 years prior using an Evolut R prosthetic valve.