Tag Archives: severe aortic stenosis

Anillo pequeño, ¿debemos comenzar a elegir la válvula?

Small Annulus: Should We Start Choosing the Valve?

Small Annulus: Should We Start Choosing the Valve?

Courtesy of Dr. Carlos Fava. A small annulus in patients with Severe Aortic Stenosis is a real challenge, since it is associated with post-surgical prosthesis patient mismatch (PPM), which negatively affects prosthesis duration and evolution. TAVR has become a good alternative strategy, with better hemodynamic profile and lower PPM incidence in this group. The present study included 246

Predicción de mortalidad en TAVI - Marcapaso

A Simple Electrocardiography to Predict Mortality in TAVR

Conduction abnormalities, such as new left bundle branch block, atrioventricular block, and need for a pacemaker, are still among the most frequent complications in transcatheter aortic valve replacement (TAVR). New valve generations have (mostly) not managed to reduce significantly electrical abnormalities; furthermore, some modifications such as external skirts, which are extremely effective for the reduction

Estenosis aórtica severa asintomática en añosos: ¿cuándo intervenir?

Asymptomatic Severe Aortic Stenosis in the Elderly: When to Intervene

This work studies the natural history of aortic stenosis and the optimal timing to intervene elderly patients with asymptomatic severe aortic stenosis.   This disease is increasingly misdiagnosed in the elderly population, and this goes hand in hand with enhanced therapeutic options.   Prior studies on the natural history of this disease were made on

accesos transapical transaortico femoral tavi

Transapical and Transaortic TAVR: Valid Alternatives to the Transfemoral

Courtesy of Dr. Carlos Fava.   The femoral approach has been the gold standard for the transcatheter aortic valve replacement procedure (TAVR); however, it is anatomically unsuitable for an important number of patients, and these require a different approach. At present, there is little evidence in support of the transapical or transaortic access sites as

tavi anestesia local

Local Anesthesia for TAVR Was Safe and Reduced Hospital Stays

A minimalist approach to transcatheter aortic valve replacement (TAVR) involving local anesthesia appears to have several advantages, according to this new meta-analysis.   In addition to shortening times for procedures and lengths of stay in the critical care unit and hospital, lighter sedation may lower the need for transfusions or treatment with inotropes or vasopressors.

TAVI o cirugía en pacientes de riesgo intermedio

TAVR or Surgery for Intermediate-Risk Patients? (GARY Registry)

New findings from the GARY (German Aortic Valve Registry) registry show that intermediate-risk patients with severe aortic stenosis presented significantly higher mortality at 1 year when treated with transcatheter aortic valve replacement (TAVR) rather than with conventional surgery.   Results reflect everyday realities, which might include various bias tipping the scales towards one strategy or the

Solo un quinto de los pacientes que podrían beneficiarse del TAVI lo recibe

Less than 20% of patients that could benefit from TAVR are receiving it

 The introduction of transcatheter aortic valve replacement procedures (TAVR) seems to have increased the number of elderly patients hospitalized with severe aortic stenosis, as well as the number of interventions. However, less than one fifth of patients over 85 are intervened, according to a Canadian registry.   Given the significant difference in mortality with TAVR,

bajo IMC muerte

Low BMI Is a Predictor of Death for TAVI

Courtesy of Dr. Carlos Fava.     Body mass index (BMI) has always played an important role in heart surgery. However, there is little evidence on BMI effects on TAVI. This study included 491 patients, which were divided according to BMI into:   low (<20 Kg/m2 ) normal (20-24.9 Kg/m2 ) overweight (25-30 Kg/m2 ) obese

sapien 3 TAVR

SAPIEN 3 for TAVR: Lower One-Year Mortality

Original Title: One-year clinical outcomes with SAPIEN 3 transcatheter aortic valve replacement in high risk and inoperable patients with severe aortic stenosis. Reference: Herrmann H et al. Circulation. 2016; Epub ahead of print.   Data presented at this last TCT annual meeting about the low rate of events at one year in inoperable patients with

telemetria post tavr

Post TAVR AVB: Is Telemetry Monitoring Necessary?

Original Title: The Electrocardiogram after Transcatheter Aortic Valve Replacement Determines the Risk for Post-Procedural High-Degree AV Block and the Need for Telemetry Monitoring Reference: J Am Coll Cardiol Intv. 2016;9(12):1269-1276.   Courtesy of Dr.  Agustín Vecchia. So far, we have not been able to determine the moment high degree atrioventricular block (AVB) takes place after