Conclusions: Surgery for aortic stenosis improved diastolic function in patients with high LV filling pressure in 50% of the patients. Our results could not confirm the previously suggested role of diastolic dysfunction as a marker for poor long-term survival after SAVR. Our findings showed that both PHF and high preoperative NT-proBNP were...
Evaluation of left ventricular diastolic function in patients operated for aortic stenosis
Source : https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0263824
Background Left ventricular diastolic dysfunction is common in patients with aortic valve stenosis (AS) and reportedly affects prognosis after surgical aortic valve replacement (SAVR). Here we investigated whether and how...
Incidence and predictors of transcatheter aortic valve replacement device emboligenic matter detected by transesophageal echocardiography - The International Journal of Cardiovascular Imaging
Source : https://link.springer.com/article/10.1007/s10554-022-02567-2
During transfemoral (TF) or transcatheter aortic valve replacement (TAVR), transesophageal echocardiography (TEE) sometimes reveals an unexpected mobile membranous mass on the catheter tip within the proximal part of the descending...
Conclusion/Relevance: The CoreValve’s InLine delivery system was identified as a predictor of EM during TF–TAVR, but symptomatic ischemic stroke was avoided while taking appropriate embolization preventive measures.
A Case Study on Reviewing Specialist Services Commissioning in Wales: TAVI for Severe Aortic Stenosis - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/35211878/
The Welsh Health Specialised Services Committee (WHSSC) is responsible for planning, commissioning and funding specialised healthcare in Wales. Investment in new technologies or services is based on clinical and economic...
Conclusion/Relevance: The rapid evidence review, expert advice and stakeholder feedback informed the revision process of the Commissioning Policy for transcatheter aortic valve implantation. This recommended the addition of patients unsuitable for surgical aortic valve replacement and the removal of explicit risk scoring. This recommendation...
Changes in demographics, treatment and outcomes in a consecutive cohort who underwent transcatheter aortic valve implantation between 2005 and 2020 - Netherlands Heart Journal
Source : https://link.springer.com/article/10.1007/s12471-022-01662-2
Introduction Transcatheter aortic valve implantation (TAVI) has matured to the treatment of choice for most patients with aortic stenosis (AS). We sought to identify trends in patient and procedural characteristics,...
Conclusion: Over our 15 years’ experience, patient age remained unchanged but the patient risk profile became more favourable. Simplification of the TAVI procedure occurred in parallel with major improvement in outcomes and survival. Bleeding/vascular complications and the need for pacemaker implantation remain the Achilles’ heel of TAVI.
Relevance: As described in this review, a more recent effort to include women in research studies and clinical trials has increased our knowledge about sex-based differences in epidemiology, pathophysiology, diagnostic criteria, treatment options, outcomes, and prognosis.
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Aortic Stenosis Connect4yrKey Points • Source: Circulation Research • Source: “As described in this review, a more recent effort to include women in research studies and clinical trials has increased our knowledge about sex-based differences in Show More