Article
Cardiac & Cardiovascular Systems
Dritan Useini, Blerta Beluli, Hildegard Christ, Markus Schloemicher, Elias Ewais, Polykarpos Patsalis, Peter Haldenwang, Hamid Naraghi, Vadim Moustafine, Matthias Bechtel, Justus Strauch
Summary: The study aimed to evaluate the mid-term outcomes of patients with diverse aortic diseases undergoing transapical TAVI. Results showed that transapical TAVI is a safe and effective method, with reasonable median survival time and freedom from death and cardio-cerebral adverse events.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Akihiro Ikuta, Masanobu Ohya, Shunsuke Kubo, Kohei Osakada, Makoto Takamatsu, Kotaro Takahashi, Takeshi Maruo, Harumi Katoh, Takehiko Matsuo, Jota Nakano, Kazushige Kadota, Tatsuhiko Komiya, Yasushi Fuku
Summary: This study examined the association between renal morphological findings and changes in renal function in patients undergoing TAVI. The results showed a significant correlation between the renal cortex thickness index and changes in eGFR, suggesting that it could be used as a predictor for renal function changes in these patients.
Article
Medicine, General & Internal
Alessandro Vairo, Lorenzo Zaccaro, Andrea Ballatore, Lorenzo Airale, Fabrizio D'Ascenzo, Gianluca Alunni, Federico Conrotto, Luca Scudeler, Daniela Mascaretti, Davide Miccoli, Michele La Torre, Mauro Rinaldi, Gianni Pedrizzetti, Stefano Salizzoni, Gaetano Maria De Ferrari
Summary: Echocardiographic evaluation of hemodynamic forces (HDFs) can predict improvement in left ventricular (LV) function after transcatheter aortic valve implantation (TAVI) in patients with severe aortic stenosis. HDF parameters significantly improved after the procedure, while global longitudinal strain and LV ejection fraction showed no significant difference. Analysis of HDFs can differentiate patients with LV function recovery from those with persistent hemodynamic dysfunction after TAVI.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Ming-Chon Hsiung, Wei-Hsian Yin, Yung-Tsai Lee, Tien-Ping Tsao, Kuo-Chen Lee, Kuan-Chih Huang, Pei-En Chen, Wei-Hsuan Chiang, Tao-Hsin Tung, Jeng Wei
Summary: This study compared transapical transcatheter mitral valve-in-valve implantation (TAMVI) with surgical redo mitral valve replacement (SRMVR) in terms of clinical outcomes. The findings showed that while TAMVI patients had higher STS scores, they experienced shorter procedure and post-procedure stay times, with no significant difference in mortality post-adjustment.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Yunxing Xue, Qing Zhou, Shuchun Li, Jie Li, Dan Mu, Xuan Luo, Chang Liu, Can Xu, Dongjin Wang
Summary: The J-Valve system is effective in treating patients with aortic valve diseases, with a high technical success rate and low complication rate. It offers advantages for high-risk patients and cases of pure aortic regurgitation.
ANNALS OF THORACIC SURGERY
(2021)
Article
Geriatrics & Gerontology
Wieneke Vlastra, Astrid C. van Nieuwkerk, Anne-Sophie G. T. Bronzwaer, Adriaan Versteeg, Esther E. Bron, Wiro J. Niessen, Henk J. M. M. Mutsaerts, Bjorn J. P. van Der Ster, Charles B. L. M. Majoie, Geert J. Biessels, Aart J. Nederveen, Mat J. A. P. Daemen, Matthias J. P. van Osch, Jan Baan, Jan J. Piek, Johannes J. Van Lieshout, Ronak Delewi
Summary: Following TAVI, an increase in cardiac output was associated with an increase in cerebral blood flow, but the extent of increase in cerebral blood flow varied among patients.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Review
Cardiac & Cardiovascular Systems
Chetan P. Huded, Keith B. Allen, Adnan K. Chhatriwalla
Summary: TAVI for isolated aortic regurgitation (AR) is a challenging procedure with lack of randomized clinical trials, no commercially approved devices, and potential complications due to dynamic size of the aortic annulus and high regurgitant volume. Observational studies show worse outcomes for TAVI in AR compared to aortic stenosis (AS), but newer generation devices may offer improved performance. Emerging valves like the JenaValve and the J-Valve show promise for treating AR by anchoring in a non-calcified annulus, although more data and clinical investigation are needed to establish safety and efficacy in randomized clinical trials.
Review
Medicine, General & Internal
Louhai Alwan, Benedikt Bernhard, Nicolas Brugger, Stefano F. de Marchi, Fabien Praz, Stephan Windecker, Thomas Pilgrim, Christoph Grani
Summary: Transcatheter aortic valve implantation (TAVI) has become the standard of care for elderly high-risk patients with symptomatic severe aortic stenosis. However, diagnosing bioprosthetic valve dysfunction after TAVI is challenging and there are limited evidence-based criteria to guide therapy. This review focuses on the role of imaging modalities in monitoring the integrity of transcatheter heart valves.
Article
Multidisciplinary Sciences
Alina Zubarevich, Marcin Szczechowicz, Arian Arjomandi Rad, Robert Vardanyan, Philipp Marx, Alexander Lind, Rolf Alexander Janosi, Mehdy Roosta-Azad, Rizwan Malik, Markus Kamler, Matthias Thielmann, Mohamed El Gabry, Bastian Schmack, Arjang Ruhparwar, Alexander Weymann, Daniel Wendt
Summary: The study compared outcomes of transapical transcatheter mitral valve replacement and conventional redo mitral valve replacement in high-risk patients, showing no significant differences in postoperative major adverse events and similar survival rates. Transapical transcatheter mitral valve replacement can be considered as an alternative to conventional surgical redo procedures in selected patients.
Article
Cardiac & Cardiovascular Systems
Uri Landes, Olga Morelli, Haim Danenberg, Janarthanan Sathananthan, Ole De Backer, Lars Sondergaard, Mohamed Abdel-Wahab, Sung-Han Yoon, Raj R. Makkar, Holger Thiele, Won-Keun Kim, Christian Hamm, Mayra Guerrero, Josep Rodes-Cabau, Taishi Okuno, Thomas Pilgrim, Antonio Mangieri, Nicolas M. Van Mieghem, Didier Tchetche, Wolfgang H. Schoels, Marco Barbanti, Jan-Malte Sinning, Alfonso Ielasi, Giuseppe Tarantini, Federico De Marco, Ariel Finkelstein, Horst Sievert, Martin Andreas, Azeem Latib, Rebecca Godfrey, David Hildick-Smith, Lisa Manevich, Ran Kornowski, Tamim M. Nazif, Martin B. Leon, John G. Webb
Summary: The study focused on the efficacy of redo-TAVI in reducing para-valvular regurgitation after transcatheter aortic valve implantation. Results showed that redo-TAVI was effective in reducing regurgitation and improving procedural success rates for PVR patients. Further investigation is needed for patient selection in PVR therapies.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2022)
Review
Cardiac & Cardiovascular Systems
Emma Bergonzoni, Augusto D'Onofrio, Florinda Mastro, Gino Gerosa
Summary: Microinvasive cardiac surgery includes off-pump procedures performed on the beating heart with limited or absent skin incision and live imaging techniques. The transapical off-pump beating heart neochordae implantation is a valid alternative to conventional surgery for severe mitral valve regurgitation. This review aims to describe the devices, indications, patient screening process, clinical and echocardiographic results, and future perspectives of this procedure.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Multidisciplinary Sciences
Anne Caroline Wolpers, Thomas Welchowski, Alexander Sedaghat, Maximilian W. M. Wintergerst, Baravan Al-Kassou, Robert P. Finger, Jan Henrik Terheyden
Summary: Cerebral embolization is a known complication of transcatheter aortic valve implantation (TAVI), but the effect of the procedure on ocular perfusion is unclear. This study found that TAVI resulted in reduced choroidal perfusion, areas of retinal ischemia, and embolization in a considerable proportion of patients. These complications should be monitored and included in consent procedures for TAVI.
SCIENTIFIC REPORTS
(2023)
Article
Cardiac & Cardiovascular Systems
Augusto D'Onofrio, Alessandro Fiocco, Matteo Nadali, Florinda Mastro, Patrizia Aruta, Giulia Lorenzoni, Demetrio Pittarello, Gino Gerosa, Giuseppe Evangelista, Lorenzo Long-Inotti, Dario Gregori
Summary: The objective of this study was to evaluate the clinical and echocardiographic outcomes of patients who underwent Transapical off-pump beating-heart neochord implantation for degenerative mitral regurgitation over a 5 year follow-up period. The results demonstrated that this procedure is an acceptable option for patients with degenerative mitral valve disease and favorable anatomy, with favorable clinical outcomes.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Germano Junior Ferruzzi, Angelo Silverio, Arturo Giordano, Nicola Corcione, Michele Bellino, Tiziana Attisano, Cesare Baldi, Alberto Morello, Giuseppe Biondi-Zoccai, Rodolfo Citro, Carmine Vecchione, Gennaro Galasso
Summary: This study found that the presence of moderate to severe mitral regurgitation (MR) in patients with low flow, low-gradient aortic stenosis undergoing transcatheter aortic valve replacement (TAVR) is associated with a worse clinical outcome at 1 year. TAVR may improve MR severity in some patients, resulting in potential benefits after discharge.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Cardiac & Cardiovascular Systems
Dritan Useini, Markus Schloemicher, Peter Haldenwang, Dirk Buchwald, Justus Strauch
Summary: This study aimed to evaluate the early and midterm outcomes after transapical-transcatheter aortic valve implantation (TA-TAVI) in patients with iliofemoral and concomitant iliofemoral-remote arteriopathies who cannot undergo transfemoral or other alternative transvascular approaches. The study included 72 consecutive elderly patients, and no procedural deaths or conversion to conventional surgery was registered. The 30-day and midterm mortality rates were 5% and 28%, respectively. TA-TAVI showed good early and midterm outcomes in patients with extensive panarteriopathy for whom transfemoral and other alternative transvascular approaches are contraindicated or at high interventional risk.
JOURNAL OF CARDIAC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)
