Original title: Initial German Experience With Tranapical Implantation of a Second-Generation Trascatheter heart Valve for the Treatment of Aortic Regurgitation. Reference: 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: Matthew Nayor et al. Contemporary Approach to Paradoxical Embolism. Circulation. 2014;129:1892-1897. Marco Hernandez-Enrıquez et al. Current Indications for Percutaneous Closure of Patent Foramen Ovale. Rev Esp Cardiol. 2014;67(8):603–607. 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: Impact of coronary artery disease on left ventricular ejection fraction recovery following transcatheter aortic valve implantation. Reference: 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 ≤ 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: Percutaneous Mitral Valve Repair for Mitral Regurgitation in High-Risk Patients. Results of the EVEREST II Study. Reference: 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: Pacemaker implantation following transcatheter aortic valve implantation: Impact on late clinical outcomes and left ventricular function. Reference: Urena M 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: Predictive factors of early mortality after transcatheter aortic valve implantation: individual risk assessment using a simple escore. Reference: Heart. 2014 Apr 16. doi: 10.1136/heartjnl-2013-305314. Epub ahead of print. 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: Impact of Permanent Pacemaker Implantation on Clinical Outcome Among Patients Undergoing Transcatheter Aortic Valve Implantation. Reference: Lutz Buellesfeld et al. J Am Coll Cardiol 2012;60:493–501 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. 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: 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. Reference: 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: Percutaneous Left Ventricular Assist Device with Tandem Heart for High-Risk Percutaneous Coronary Intervention: The Mayo Clinic Experience. Reference: 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: Real-Word of the Impella 2.5 Circulatory Support System in Complex High-Risk Percutaneous Coronary Intervention: The USpella Registry Reference: 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>