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ABSTRACT


15 abril 2022

Percutaneous Coronary Intervention Volume and Cardiac Surgery Availability Effect on Acute Coronary Syndrome-Related Cardiogenic Shock

Samer Noaman, Sara Vogrin, Diem Dinh, Jeffrey Lefkovits, Angela L. Brennan, Christopher M. Reid, Antony Walton, David Kaye, Jason E. Bloom, Dion Stub, Yang Yang, Craig French, Stephen J. Duffy, Nicholas Cox, William Chan, and on behalf of the VCOR Investigators

Objectives This study sought to assess the association between cardiac surgery availability and percutaneous coronary intervention (PCI) volume with clinical outcomes of cardiogenic shock (CS) complicating acute coronary syndrome (ACS).

15 mayo 2022

Catheterization in Adults With Congenital Heart Disease: A Primer for the Noncongenital Proceduralist

William R. Miranda, Jamil A. Aboulhosn, and Donald J. Hagler

Currently in the United States, more than 1 million adults have congenital heart disease. Therefore, it will be inevitable for providers performing cardiac catheterization to be faced with adults with repaired congenital heart abnormalities. Moreover, a meticulous approach to every cardiac catheterization procedure is mandatory to avoid missing unrecognized congenital lesions presenting in adulthood. The authors provide a primer for cardiac catheterization procedures in adults with congenital heart disease, reviewing key procedural components: flow calculation, detection of shunts according to different lesions, and, when indicated, ventricular angiography and coronary angiography.

15 mayo 2022

Long-Term Outcomes of Patients With Elevated Mitral Valve Pressure Gradient After Mitral Valve Edge-to-Edge Repair

Benedikt Koell, Sebastian Ludwig, Jessica Weimann, Lara Waldschmidt, Annabel Hildebrandt, Niklas Schofer, Johannes Schirmer, Dirk Westermann, Hermann Reichenspurner, Stefan Blankenberg, Lenard Conradi, Edith Lubos, and Daniel Kalbacher

Objectives The aim of this study was to investigate the adverse impact of elevated postprocedural mitral valve pressure gradient (MPG) on outcome in a real-world population of patients with severe mitral regurgitation (MR) who underwent transcatheter mitral valve edge-to-edge repair (TEER).

15 mayo 2022

Prognostic Value of Increased Mitral Valve Gradient After Transcatheter Edge-to-Edge Repair for Primary Mitral Regurgitation

Sung-Han Yoon, Moody Makar, Saibal Kar, Tarun Chakravarty, Luke Oakley, Navjot Sekhon, Keita Koseki, Yusuke Enta, Mamoo Nakamura, Michele Hamilton, Jignesh K. Patel, Siddharth Singh, Sabah Skaf, Robert J. Siegel, Jeroen J. Bax, and Raj R. Makkar

Objectives This study sought to evaluate the prognostic value of an increased mean mitral valve pressure gradient (MVG) in patients with primary mitral regurgitation (MR) after transcatheter edge-to-edge repair (TEER).

15 mayo 2022

Patient-Level Analysis of Watchman Left Atrial Appendage Occlusion in Practice Versus Clinical Trials

Daniel J. Friedman, Chengan Du, Yongfei Wang, Vratika Agarwal, Paul D. Varosy, Frederick A. Masoudi, David R. Holmes, Vivek Y. Reddy, Matthew J. Price, Jeptha P. Curtis, and James V. Freeman

Objectives The aim of this study was to compare outcomes among patients from the PROTECT-AF (WATCHMAN Left Atrial Appendage System for Embolic PROTECTion in Patients With Atrial Fibrillation) and PREVAIL (Evaluation of the WATCHMAN Left Atrial Appendage [LAA] Closure Device in Patients With Atrial Fibrillation Versus Long Term Warfarin Therapy) left atrial appendage occlusion (LAAO) trials with matched patients from the National Cardiovascular Data Registry LAAO Registry using patient-level data.

15 septiembre 2022

Apixaban and Valve Thrombosis After Transcatheter Aortic Valve Replacement: The ATLANTIS-4D-CT Randomized Clinical Trial Substudy

Gilles Montalescot, Alban Redheuil, Flavien Vincent, Steffen Desch, Mauro De Benedictis, Hélène Eltchaninoff, Dietmar Trenk, Jean-Michel Serfaty, Etienne Charpentier, Khaoula Bouazizi, Mikael Prigent, Paul Guedeney, Tomy Salloum, Sergio Berti, Angel Cequier, Thierry Lefèvre, Pascal Leprince, Johanne Silvain, Eric Van Belle, Franz-Josef Neumann, Jean-Jacques Portal, Eric Vicaut, Jean-Philippe Collet, and on behalf of the ATLANTIS Investigators of the ACTION Group

Background Subclinical obstructive valve thrombosis after transcatheter aortic valve replacement (TAVR) is of uncertain frequency and clinical impact.

15 septiembre 2022

Management and Outcome of Acute Ischemic Stroke Complicating Transcatheter Aortic Valve Replacement

Amos Levi, Matthias Linder, Moritz Seiffert, Guy Witberg, Thomas Pilgrim, Daijiro Tomii, Yeela Talmor-Barkan, Nicolas M. Van Mieghem, Rik Adrichem, Pablo Codner, David Hildick Smith, Sandeep Arunothayaraj, Leor Perl, Ariel Finkelstein, Itamar Loewenstein, Michael Findler, Lars Søndergaard, Ole De Backer, Christina Wang, Rani Barnea, Giuseppe Tarantini, Luca Nai Fovino, Hana Vaknin-Assa, Darren Mylotte, Mattia Lunardi, Guy Raphaeli, John G. Webb, Mariama Akodad, Antonio Colombo, Antonio Mangieri, Azeem Latib, Faraj Kargoli, Francesco Giannini, Alfonso Ielasi, James Cockburn, Focko L. Higgen, Itay Aviram, Mauro Gitto, Thijmen W. Hokken, Eitan Auriel, Ran Kornowski, and on behalf of the ASTRO-TAVI Study Group

Background Despite advances in transcatheter aortic valve replacement (TAVR), periprocedural acute ischemic stroke remains a concern.

15 septiembre 2022

Impact of Right Ventricle-Pulmonary Artery Coupling on Clinical Outcomes in the PARTNER 3 Trial

Thomas J. Cahill, Philippe Pibarot, Xiao Yu, Vasilis Babaliaros, Philipp Blanke, Marie-Annick Clavel, Pamela S. Douglas, Omar K. Khalique, Jonathon Leipsic, Raj Makkar, Maria C. Alu, Susheel Kodali, Michael J. Mack, Martin B. Leon, and Rebecca T. Hahn

Background Physiologic right ventricle–pulmonary artery (RV-PA) coupling may be impaired in patients with aortic stenosis (AS).

15 septiembre 2022

Transvalvular Pressure Gradients and All-Cause Mortality Following TAVR: A Multicenter Echocardiographic and Invasive Registry

Houman Khalili, Philippe Pibarot, Rebecca T. Hahn, Sammy Elmariah, Thomas Pilgrim, Anthony A. Bavry, Brijeshwar Maini, Taishi Okuno, Karim Al-Azizi, Thomas E. Waggoner, Michael Mack, Joseph Rodès-Cabau, and Amr E. Abbas

Background Low ejection fraction (EF) and low flow as determined by an echocardiographic stroke volume index (SVi) <35 mL/m2 are associated with low transvalvular gradients and increased mortality in both severe aortic stenosis (AS) and post–transcatheter aortic valve replacement (TAVR). Absence of an elevated echocardiographic transaortic gradient post-TAVR is considered a marker of procedural success despite the absence of data on its impact on mortality

15 septiembre 2022

Ultrathin Bioresorbable Polymer Sirolimus-Eluting Stents Versus Durable Polymer Everolimus-Eluting Stents: BIOFLOW V Final 5-Year Outcomes

David E. Kandzari, Jacques J. Koolen, Gheorghe Doros, Hector M. Garcia-Garcia, Johan Bennett, Ariel Roguin, Elie G. Gharib, Donald E. Cutlip, Ron Waksman, and on behalf of the BIOFLOW V Investigators

Background Randomized trials have demonstrated the superiority of ultrathin strut drug-eluting stents compared with alternative stent designs. Whether these differences persist over late-term follow-up is uncertain.

15 septiembre 2022

Rotational Atherectomy or Balloon-Based Techniques to Prepare Severely Calcified Coronary Lesions

Tobias Rheude, Sean Fitzgerald, Abdelhakim Allali, Kambis Mashayekhi, Tommaso Gori, Florim Cuculi, Sebastian Kufner, Rayyan Hemetsberger, Dmitriy S. Sulimov, Himanshu Rai, Mohamed Ayoub, Matthias Bossard, Erion Xhepa, Massimiliano Fusaro, Ralph Toelg, Michael Joner, Robert A. Byrne, Gert Richardt, Adnan Kastrati, Salvatore Cassese, and Mohamed Abdel-Wahab

Background The comparative efficacy of percutaneous techniques for the preparation of calcified lesions before stenting remains poorly studied.

15 octubre 2022

Hemodynamic and Clinical Performance of Hearts Donated After Circulatory Death

David A. D’Alessandro, Stanley B. Wolfe, Asishana A. Osho, Kamila Drezek, Monica N. Prario, S. Alireza Rabi, Eriberto Michel, Lana Tsao, Erin Coglianese, Meaghan Doucette, Daniel A. Zlotoff, Christopher Newton-Cheh, Sunu S. Thomas, Van-Khue Ton, Nilay Sutaria, Mark W. Schoenike, Anastasia M. Christ, Dane C. Paneitz, Joren C. Madsen, Richard Pierson, and Gregory D. Lewis

Background Donor organ demand continues to outpace supply in heart transplantation. Utilization of donation after circulatory death (DCD) hearts could significantly increase heart donor availability for patients with advanced heart failure.

15 abril 2022

5-Year Follow-Up From the PARTNER 2 Aortic Valve-in-Valve Registry for Degenerated Aortic Surgical Bioprostheses

Rebecca T. Hahn, John Webb, Philippe Pibarot, Julien Ternacle, Howard C. Herrmann, Rakesh M. Suri, Danny Dvir, Jonathon Leipsic, Philipp Blanke, Wael A. Jaber, Susheel Kodali, Samir Kapadia, Raj Makkar, Vinod Thourani, Mathew Williams, Erwan Salaun, Flavien Vincent, Ke Xu, Martin B. Leon, and Michael Mack

Objectives The aim of this study was to report the outcomes of valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) at 5 years.

15 abril 2022

Risk of Coronary Obstruction During Redo-TAVR in Patients With Bicuspid Versus Tricuspid Aortic Valve Stenosis

Fei Chen, Tianyuan Xiong, Yijian Li, Xi Wang, Zhongkai Zhu, Yijun Yao, Yuanweixiang Ou, Xi Li, Xin Wei, Zhengang Zhao, Qiao Li, Sen He, Jiafu Wei, Yong Peng, Yuan Feng, and Mao Chen

Objectives The aim of this study was to investigate the risk of coronary obstruction during redo–transcatheter aortic valve replacement (TAVR) within a previously implanted self-expanding valve in bicuspid aortic valve (BAV) versus tricuspid aortic valve (TAV) stenosis.

15 abril 2022

Functional Status After Transcatheter and Surgical Aortic Valve Replacement: 2-Year Analysis From the SURTAVI Trial

Mark K. Tuttle, Bob Kiaii, Nicolas M. Van Mieghem, Roger J. Laham, G. Michael Deeb, Stephan Windecker, Stanley Chetcuti, Steven J. Yakubov, Atul Chawla, David Hockmuth, Patrick Teefy, Shuzhen Li, and Michael J. Reardon

Objectives This study sought to evaluate patient-centered metrics in intermediate-surgical-risk aortic stenosis patients enrolled in the SURTAVI (Surgical Replacement and Transcatheter Aortic Valve Implantation) trial treated with self-expanding transcatheter aortic valve replacement (TAVR) or surgery.

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