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TAVI, also a promising option for severe aortic regurgitation

Original title:&nbsp;Initial German Experience With Tranapical Implantation of a Second-Generation Trascatheter heart Valve for the Treatment of Aortic Regurgitation.&nbsp;Reference:&nbsp;Moritz Seiffert, et al. JACC Cardiovasc Interv. 2014 Oct;7(10):1168-74. There is a group of patients with severe aortic regurgitation and they are not candidates for surgery; percutaneous implant is an option, but until now, there is little<a href="https://solaci.org/en/2014/11/11/tavi-also-a-promising-option-for-severe-aortic-regurgitation/" title="Read more" >...</a>

Patent Foramen Ovale: when to indicate closure

References:&nbsp;Matthew Nayor et al. Contemporary Approach to Paradoxical Embolism. Circulation. 2014;129:1892-1897. Marco Hernandez-Enrıquez et al. &nbsp;Current Indications for Percutaneous Closure of Patent Foramen Ovale. &nbsp;Rev Esp Cardiol. 2014;67(8):603&ndash;607. The debate on patent foramen ovale behavior in different clinical contexts remains open, no pun intended. Based on numerous observational studies and expert recommendations, when facing the<a href="https://solaci.org/en/2014/10/27/patent-foramen-ovale-when-to-indicate-closure/" title="Read more" >...</a>

Worse post TAVI ejection fraction recovery in coronary artery disease patients without revascularization

Original title:&nbsp;Impact of coronary artery disease on left ventricular ejection fraction recovery following transcatheter aortic valve implantation.&nbsp;Reference:&nbsp;Freixa X et al. Catheter Cardiovasc Interv. 2014;Epub ahead of print. This single center study analyzed data form 56 consecutive patients with severe aortic stenosis and LVEF of &le; 50% undergoing TAVI (transcatheter aortic valve implantation) between March 2006<a href="https://solaci.org/en/2014/10/06/worse-post-tavi-ejection-fraction-recovery-in-coronary-artery-disease-patients-without-revascularization/" title="Read more" >...</a>

Mitra-Clip: a valid alternative for high risk patients

Original title:&nbsp;Percutaneous Mitral Valve Repair for Mitral Regurgitation in High-Risk Patients. Results of the EVEREST II Study.&nbsp;Reference:&nbsp;Donald D. Glower et al. J Am Coll Cardiol 2014;64:172-81 Severe mitral regurgitation (MR) often lead to hospitalization for cardiac failure and heart surgery. Half of these patients are rejected for high surgical risk. Percutaneous intervention is a valid<a href="https://solaci.org/en/2014/09/24/mitra-clip-a-valid-alternative-for-high-risk-patients/" title="Read more" >...</a>

The permanent pacemaker implantation after TAVI does not negatively impact on the results or even helps

Original title:&nbsp;Pacemaker implantation following transcatheter aortic valve implantation: Impact on late clinical outcomes and left ventricular function. &nbsp;Reference:&nbsp;Urena M &nbsp;et al. Circulation. 2014 Mar 18;129(11):1233-43. The need for permanent pacemaker implantation (PPI) is one of the most frequent complications associated with TAVI. Although data suggest that right ventricle stimulation has a potential negative impact, the<a href="https://solaci.org/en/2014/07/24/the-permanent-pacemaker-implantation-after-tavi-does-not-negatively-impact-on-the-results-or-even-helps/" title="Read more" >...</a>

Prognostic factors for early mortality in patients undergoing TAVI; Individual risk calculation using a simple score: Derivative analysis from FRANCE II Registry.

Original title:&nbsp;Predictive factors of early mortality after transcatheter aortic valve implantation: individual risk assessment using a simple escore.&nbsp;Reference:&nbsp;Heart. 2014 Apr 16. doi: 10.1136/heartjnl-2013-305314. Epub ahead of print. &nbsp; The decision to perform an intervention in symptomatic aortic stenosis must balance surgery or transcatheter aortic valve implantation (TAVI) risk. Factors associated with early mortality after TAVI<a href="https://solaci.org/en/2014/04/30/prognostic-factors-for-early-mortality-in-patients-undergoing-tavi-individual-risk-calculation-using-a-simple-score-derivative-analysis-from-france-ii-registry/" title="Read more" >...</a>

The need for pacemaker post TAVI does not change the prognosis

Original title:&nbsp;Impact of Permanent Pacemaker Implantation on Clinical Outcome Among Patients Undergoing Transcatheter Aortic Valve Implantation.&nbsp;Reference:&nbsp;Lutz Buellesfeld et al. J Am Coll Cardiol 2012;60:493&ndash;501 Although pacemaker implantation after a percutaneous aortic valve (TAVI) implantation, constitutes a significant proportion of the complications related to the procedure, this is generally considered a benign event.&nbsp; This study analyzed<a href="https://solaci.org/en/2013/03/25/the-need-for-pacemaker-post-tavi-does-not-change-the-prognosis/" title="Read more" >...</a>

Appendage trans-catheter closure is equivalent to anticoagulation in fibrillated patients.

Original title:&nbsp;Percutaneous Left Atrial Appendage Closure for Stroke Prophylaxis in Patients With Atrial Fibrillation: 2.3-Year Follow-up of the PROTECT AF (Watchman Left Atrial Appendage System for Embolic Protection in Patients With Atrial Fibrillation) Trial.&nbsp;Reference:&nbsp;Vivek Y. Reddy et al. Circulation. 2013;127:720-729. Atrial fibrillation is the most common sustained arrhythmia in the world and its importance lies<a href="https://solaci.org/en/2013/03/01/appendage-trans-catheter-closure-is-equivalent-to-anticoagulation-in-fibrillated-patients/" title="Read more" >...</a>

More evidence supports ventricular assist devices in complex angioplasty procedures

Original title:&nbsp;Percutaneous Left Ventricular Assist Device with Tandem Heart for High-Risk Percutaneous Coronary Intervention: The Mayo Clinic Experience.&nbsp;Reference:&nbsp;Oluseun O Alli, et al. Catheterization and Cardiovascular Intervention 80:728:734 There is a small group of poor surgical patients admitted for surgery that due to complex comorbidity, coronary anatomy and compromised left ventricular function that can be treated<a href="https://solaci.org/en/2012/12/17/more-evidence-supports-ventricular-assist-devices-in-complex-angioplasty-procedures/" title="Read more" >...</a>

Complex angioplasty with ventricular assist

Original title:&nbsp;Real-Word of the Impella 2.5 Circulatory Support System in Complex High-Risk Percutaneous Coronary Intervention: The USpella Registry&nbsp;Reference:&nbsp;Brijeshwar maini, et al. Catheterization and Cardiovscular Intervention For about a decade angioplasty has begun to be performed in increasingly complex patients (PE) such as those with left coronary trunk injury, 3-vessel injury, poor ventricular function and surgically<a href="https://solaci.org/en/2012/11/29/complex-angioplasty-with-ventricular-assist/" title="Read more" >...</a>

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