A statewide quality initiative database that included over 11,500 pts undergoing surgical AVR (SAVR) who were assessed for outcomes based on pre-TAVR and post-TAVR time periods (divided into early TAVR and commercial TAVR). SAVR rates increased with each time period, wheres predicted mortality rates decreased, observed mortality was lowest during th
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Aortic valve disease
May 27, 2017
May 27, 2017
Data from the Centers for Medicare and Medicaid Services related to patients aged 65 and older who underwent TAVR during a 2 year period were evaluated, stratified into older (age 90 or greater; 19.3%) and younger cohorts. Nonagenarians had fewer comorbidities. Mortality was higher in nonagenarians (8.4% vs 5.9%) as was morbidity (25.4% vs 21.5%).
May 25, 2017
This video shows the treatment of a 5-year-old patient with a rapidly enlarging aneurysm and left ventricular outflow tract to pulmonary artery shunt.
One-Year Outcomes of Transcatheter Aortic Valve Replacement in Patients With End-Stage Renal Disease
May 17, 2017
Using data from the CoreValve US Expanding Use Study, outcomes for patients with end stage renal disease (ESRD) undergoing TAVR were evaluated using an endpoint of all-cause mortality or major stoke at 1 year. Mortality at 1 year was 30%, and the stroke incidence was 2.1%. New permanent pacemaker need was 27%.
May 14, 2017
Bicuspid aortic valve (BAV) has been considered a relative contraindication for transcatheter aortic valve implantation (TAVI). Nevertheless, favourable results have been reported from registries and observational reports.
April 10, 2017
This video demonstrates a "hemi-commando" procedure in a 64-year-old female patient with aortic root abscess involving the intervalvular fibrosa.
March 27, 2017
Using MR scans and computational fluid dynamics, the authors sought to evaluate differences in flow, shear stress, and oscillatory shear stress in normal individuals and patients with 1 of 4 different categories of aortic valvular disease. The flow patterns were patient and category specific, and may provide the ability to determine interventions on
March 9, 2017
Mattia Glauber of Instituto Clinico Sant Amgrogio, Milan, Italy, argues in favor of the right anterior mini-thoracotomy approach for minimally invasive aortic valve replacement.
March 9, 2017
According to BBC Tyne & Wear, a patient died after surgeons inserted a heart valve upside down causing irreversible damage to her heart. The procedure was performed at the Freeman Hospital in Newcastle upon Tyne. NHS Foundation Trust has admitted the error, and the family has begun legal action.
February 27, 2017
This video demonstrates a technique for performing aortic and mitral valve replacements simultaneously through a partial sternotomy with an excellent exposure of the corresponding anatomical structures.