TAVI: la estrategia minimalista es favorable en el EPOC severo

TAVR: minimalist strategy Is favorable in severe COPD

Courtesy of Dr. Carlos Fava. The presence of chronic obstructive pulmonary disease (COPD) is a criterion for which patients are ruled out for surgery and proposed as candidates for its current alternative, transcatheter aortic valve replacement (TAVR). A minimalist strategy could benefit this patient group, given the use of conscious sedation instead of general anesthesia.  <a href="https://solaci.org/en/2017/05/14/tavr-minimalist-strategy-is-favorable-in-severe-copd/" title="Read more" >...</a>

Post TAVR thrombosis, is it more common than we know?

Courtesy of Dr. Carlos Fava Few post TAVR scenarios remain to be analyzed. One of them is post TAVR valve thrombosis. This event has been reported in around 0.5% of cases, but its incidence, consequences and adequate treatment remain unclear.   The study analyzed 642 patients undergoing TAVR. Patients were followed up with Doppler Echocardiography<a href="https://solaci.org/en/2017/04/25/post-tavr-thrombosis-is-it-more-common-than-we-know/" title="Read more" >...</a>

Trombólisis local en tromboembolismo pulmonar

Diastolic Dysfunction: Shall We Begin to Assess It?

Courtesy of Dr. Carlos Fava. The association between diastolic dysfunction (DD) and aortic insufficiency (AI) after transcatheter aortic valve replacement (TAVR) has not been studied yet, but the presence of aortic regurgitation has proved to be associated with worse outcomes.   A total of 144 out of 195 patients who underwent TAVR with balloon-expandable SAPIENS or SAPIENS XT<a href="https://solaci.org/en/2017/04/19/diastolic-dysfunction-shall-we-begin-to-assess-it/" title="Read more" >...</a>

Closing off the Appendage While Performing Cardiac Surgery Results in a Reduction in Risk of Embolic Stroke

Closing off the left appendage as an add-on procedure while performing other cardiac surgery in patients with atrial fibrillation resulted in a reduction in risk of embolic stroke of nearly 40% over 12 months, according to an analysis carried out on the Society of Thoracic Surgeons (STS) database.   Patients who had surgical appendage occlusion had<a href="https://solaci.org/en/2017/04/11/closing-off-the-appendage-while-performing-cardiac-surgery-results-in-a-reduction-in-risk-of-embolic-stroke/" title="Read more" >...</a>

Surgery or TAVR in intermediate risk? Results of the SURTAVI Study

Courtesy of Dr. Gustavo Leiva. Transcatheter aortic-valve replacement (TAVR) with the use of a self-expanding prosthesis is superior to medical therapy in patients with severe, symptomatic aortic stenosis in whom surgical aortic-valve replacement has been associated with prohibitive risk. Among patients considered at high risk, TAVR may be an alternative to surgery.   The comparative<a href="https://solaci.org/en/2017/04/06/surgery-or-tavr-in-intermediate-risk-results-of-the-surtavi-study/" title="Read more" >...</a>

Percutaneous Repair of Paravalvular Leaks After TAVR: The Challenge of Identifying Eligible Subjects

Courtesy of Dr. Carlos Fava. This study enrolled 72 patients who underwent transcatheter aortic valve replacement with an Edwards Sapiens valve, and then experienced a leak of at least moderate severity.   Fifteen of them underwent a percutaneous leak repair after identification of the leak mostly through the presence of symptoms.   Both groups were similar. Patients who<a href="https://solaci.org/en/2017/04/06/percutaneous-repair-of-paravalvular-leaks-after-tavr-the-challenge-of-identifying-eligible-subjects/" title="Read more" >...</a>

dispositivo de cierre manta en acceso femoral

MANTA Closure Device for large-bore arteriotomy closure: Is It Safe?

 Courtesy of Dr. Agustín Vecchia.  The number of transcatheter aortic valve replacements (TAVR) and the placement of aortic endoprosthesis and ventricular assist devices, among others, have grown exponentially worldwide in the last few years. In a short time, many of these procedures will surely become the new standard of care. Logically, this growth comes hand in hand<a href="https://solaci.org/en/2017/03/27/manta-closure-device-for-large-bore-arteriotomy-closure-is-it-safe/" title="Read more" >...</a>

TAVI Frailty Indices: We Should Start Using Them

Courtesy of Dr. Carlos Fava. Frailty should be taken into account when deciding transcatheter aortic valve implantation (TAVI). Even though several scales of frailty are available, they are yet to be tested in this group, with this strategy.   The study analyzed 101 patients, frailty was assessed clinically according to the following tests: Katz index<a href="https://solaci.org/en/2017/03/15/tavi-frailty-indices-we-should-start-using-them/" title="Read more" >...</a>

All you need to know about Bolivia Sessions 2017

Are you planning on participating of the next Bolivia Sessions 2017? Here is all you need to know.   When are the Sessions taking place? April 20th and 21st, 2017.   Where are they taking place? In Santa Cruz de la Sierra, Bolivia.   Where can I sign up? Send an email to jornadas@solaci.org.   <a href="https://solaci.org/en/2017/03/10/all-you-need-to-know-about-bolivia-sessions-2017/" title="Read more" >...</a>

Pacing with a 0.035” Guidewire, an Old Technique Coming Back to Simplify TAVR

This study seeks to prove the safety and efficacy of rapid left ventricular pacing through a 0.035” guidewire during aortic valvuloplasty and transcatheter aortic valve replacement (TAVR).   Right ventricular temporary pacing placed through venous access during aortic valvuloplasty or during TAVR is time-consuming and, above all, associated with cardiac perforation and tamponade.   Since<a href="https://solaci.org/en/2017/03/06/pacing-with-a-0-035-guidewire-an-old-technique-coming-back-to-simplify-tavr/" title="Read more" >...</a>