1,720,996 research outputs found
Navigating The Challenges of Redo-Transcatheter Aortic Valve Replacement: Predicting Sinus Sequestration and Coronary Obstruction in The Era Of Expanding Treatment
No full textTAVI and PCI: redefining treatment for aortic stenosis and complex coronary artery disease
No full textMechanical circulatory support in cardiogenic shock: a critical appraisal
No full textAcute myocardial infarction (AMI) complicated by cardiogenic shock (CS) is a life-threatening condition frequently encounter in patients with multivessel coronary artery disease (MVD)
Decoding High Post-TAVR Gradients
No full textEchocardiography is a well-established tool for evaluating bioprosthetic valve performance after transcatheter aortic valve replacement. The presence of higher-than-expected echocardiographic gradients is not an uncommon finding and can be related to different clinical settings. This case series proposes a practical and multiparametric approach to interpreting high residual gradients after transcatheter aortic valve replacement. We examine 4 common clinical scenarios: 1) pressure recovery; 2) high-flow state; 3) prosthesis–patient mismatch; and 4) suboptimal valve expansion. For each scenario, a comprehensive echocardiographic analysis, along with invasive hemodynamic evaluation, is reported
TAVR and stroke: A common evolution
Full text linkPeriprocedural cerebrovascular events (CVE) after transcatheter aortic‐valve replacement (TAVR) are infrequent (but not rare) and fearsome complications. Stroke rates after TAVR remain below 4% in recent literature, but data on predictors of peri‐procedural CVE occurrence is generally controversial and inconsistent. The incidence of peri‐procedural stroke seems to be lower in patients treated with TAVR rather than surgical aortic valve replacement, especially among those patients with low‐surgical risk
Nothing is ever so good that it cannot stand a little revision: The advance of WATCHMAN iterations
No full textSAPIEN 3 transcatheter heart valve in patients with borderline annulus: “stretched better than bigger?”
Full text linkLooking but not seeing the cap: The case for PROGRESS‐CTO
Full text linkKey points center dot Chronic total occlusion (CTO) procedures are a well-established treatment strategy for selected patients with chronic coronary disease. Proximal cap ambiguity is one of the key aspects impacting procedural success and final results.center dot In this issue of CCI, data from a large multicenter prospective registry confirmed that proximal cap ambiguity is related to worse procedural outcomes, more aggressive procedural techniques, and higher rates of procedural complications.center dot Proximal cap ambiguity should be considered for patients' selection and procedural planning. Further analysis will be needed to test different imaging modalities for a clearer cap visualization
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