Article
Medicine, General & Internal
William D. Toff, David Hildick-Smith, Jan Kovac, Michael J. Mullen, Olaf Wendler, Anita Mansouri, Ines Rombach, Keith R. Abrams, Simon P. Conroy, Marcus D. Flather, Alastair M. Gray, Philip MacCarthy, Mark J. Monaghan, Bernard Prendergast, Simon Ray, Christopher P. Young, David C. Crossman, John G. F. Cleland, Mark A. de Belder, Peter F. Ludman, Stephen Jones, Cameron G. Densem, Steven Tsui, Manoj Kuduvalli, Joseph D. Mills, Adrian P. Banning, Rana Sayeed, Ragheb Hasan, Douglas G. W. Fraser, Uday Trivedi, Simon W. Davies, Alison Duncan, Nick Curzen, Sunil K. Ohri, Christopher J. Malkin, Pankaj Kaul, Douglas F. Muir, W. Andrew Owens, Neal G. Uren, Renzo Pessotto, Simon Kennon, Wael Awad, Saib S. Khogali, Maciej Matuszewski, Richard J. Edwards, Bandigowdanapalya C. Ramesh, Miles Dalby, Shahzad G. Raja, Giovanni Mariscalco, Clinton Lloyd, Ian D. Cox, Simon R. Redwood, Mark G. Gunning, Paul D. Ridley
Summary: This study aimed to determine whether TAVI was noninferior to surgery in patients at moderately increased operative risk. The results showed that among patients aged 70 years or older with severe, symptomatic aortic stenosis and moderately increased operative risk, TAVI was noninferior to surgery with respect to all-cause mortality at 1 year.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Cardiac & Cardiovascular Systems
Taishi Okuno, Daijiro Tomii, Eric Buffle, Jonas Lanz, Christoph Ryffel, Caglayan Demirel, Suliman Hashemi, Daniel Hagemeyer, Athanasios Papadis, Dik Heg, Fabien Praz, Stefan Stortecky, Stephan Windecker, Thomas Pilgrim
Summary: This study aimed to compare the clinical and procedural outcomes of patients with rheumatic aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI) with patients undergoing TAVI for degenerative AS. The results showed that the technical success rate and 1-year cardiovascular mortality rate were comparable between patients with rheumatic AS and degenerative AS. However, patients with rheumatic AS had lower rates of 30-day and 1-year cardiovascular mortality compared with patients with degenerative AS.
Article
Cardiac & Cardiovascular Systems
Alberto Alperi, Josep Rodes-Cabau, Matheus Simonato, Didier Tchetche, Gaetan Charbonnier, Henrique B. Ribeiro, Azeem Latib, Matteo Montorfano, Marco Barbanti, Sabine Bleiziffer, Bjorn Redfors, Mohamed Abdel-Wahab, Abdelhakim Allali, Giuseppe Bruschi, Massimo Napodano, Marco Agrifoglio, Anna Sonia Petronio, Cristina Giannini, Albert Chan, Ran Kornowski, Nili Schamroth Pravda, Matti Adam, Alessandro Iadanza, Stephane Noble, Andrew Chatfield, Magdalena Erlebach, Joerg Kempfert, Timm Ubben, Harindra Wijeysundera, Moritz Seiffert, Thomas Pilgrim, Won-Keun Kim, Luca Testa, David Hildick-Smith, Roberto Nerla, Claudia Fiorina, Christina Brinkmann, Lars Conzelmann, Didier Champagnac, Francesco Saia, Henrik Nissen, Hafid Amrane, Brian Whisenant, Jasmin Shamekhi, Lars Sondergaard, John G. Webb, Danny Dvir
Summary: In a large series of ViV-TAVR procedures, the incidence of periprocedural PPI was relatively low and decreased with the use of new-generation THV systems. Older age, larger THV size, and previous right bundle branch block were associated with an increased risk of PPI. Although there were no significant differences in 30-day mortality between the PPI and no-PPI groups, PPI patients exhibited a trend toward higher mortality risk at follow-up.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Review
Medicine, General & Internal
Pierfranco Terrosu, Alessandro Boccanelli, Giuseppe Sabino, Paolo Alboni, Samuele Baldasseroni, Mario Bo, Giovambattista Desideri, Niccolo Marchionni, Giuseppe Palazzo, Renzo Rozzini, Andrea Ungar, Francesco Vetta, Giovanni Zito
Summary: Transcatheter aortic valve replacement (TAVR) has become the standard treatment for symptomatic severe aortic stenosis. Frailty and medical comorbidities in the elderly population are significant predictors of outcomes after TAVR.
Article
Cardiac & Cardiovascular Systems
Kees van der Wulp, Marleen H. van Wely, Yvonne Schoon, Priya Vart, Marcel G. M. Olde Rikkert, Wim J. Morshuis, Niels van Royen, Michel W. A. Verkroost, Helmut R. Gehlmann, Leen A. F. M. Van Garsse, Peter C. Kievit
Summary: This study highlights impaired mobility as the best single predictor for postoperative delirium and 2-year mortality in high-risk elderly patients undergoing TAVI. Prospective multicenter studies are needed to further explore and optimize the use of predictors for delirium in TAVI care pathways.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Stephan Dobner, Thomas Pilgrim, Daniel Hagemeyer, Dik Heg, Jonas Lanz, Nicole Reusser, Christoph Graeni, Ali Afshar-Oromieh, Axel Rominger, Bettina Langhammer, David Reineke, Stephan Windecker, Stefan Stortecky
Summary: This study aims to determine the prevalence of ATTR-CM in elderly patients with severe aortic stenosis and evaluate the differences in clinical presentation and outcomes of patients with concomitant ATTR-CM undergoing transcatheter aortic valve implantation. The results showed that ATTR-CM was observed in 10.8% of patients with severe aortic stenosis, and elderly age, male sex, and prior carpal tunnel surgery were associated with the coexistence of ATTR-CM. However, there were no significant differences in peri-interventional risk and one-year clinical outcomes between patients with concomitant pathologies.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Medicine, General & Internal
Hatim Seoudy, Mohammed Saad, Mostafa Salem, Kassem Allouch, Johanne Frank, Thomas Puehler, Mohamed Salem, Georg Lutter, Christian Kuhn, Derk Frank
Summary: This study found that elevated PVS is significantly associated with all-cause mortality and heart failure hospitalization within 1 year after TAVI surgery in patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Jacek Kwiecinski, Evangelos Tzolos, Timothy R. G. Cartlidge, Alexander Fletcher, Mhairi K. Doris, Rong Bing, Jason M. Tarkin, Michael A. Seidman, Gaurav S. Gulsin, Nicholas L. Cruden, Anna K. Barton, Neal G. Uren, Michelle C. Williams, Edwin J. R. van Beek, Jonathon Leipsic, Damini Dey, Raj R. Makkar, Piotr J. Slomka, James H. F. Rudd, David E. Newby, Stephanie L. Sellers, Daniel S. Berman, Marc R. Dweck
Summary: The study aimed to assess the disease activity in native aortic valves and durability of bioprosthetic valves in patients who underwent TAVI, comparing them with those who had bioprosthetic SAVR. The findings suggest that TAVI patients show ongoing disease activity in their native aortic valves, but the durability of bioprosthetic valves in TAVI is similar to that in bioprosthetic SAVR in the midterm.
Article
Medicine, General & Internal
Suk Ho Sohn, Kyung Hwan Kim, Yoonjin Kang, Jae Woong Choi, Seung Hyun Lee, Sung Ho Shinn, Cheong Lim, Kiick Sung, Jae Suk Yoo, Suk Jung Choo
Summary: This study aimed to evaluate the early and mid-term outcomes of isolated surgical aortic valve replacement using bioprosthetic valves in contemporary Korea. The results showed low operative mortality, as well as relatively low incidences of cardiovascular events and bioprosthetic valve dysfunction in patients.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2023)
Article
Cardiac & Cardiovascular Systems
Flavien Vincent, Julien Ternacle, Tom Denimal, Mylene Shen, Bjorn Redfors, Cedric Delhaye, Matheus Simonato, Nicolas Debry, Basile Verdier, Bahira Shahim, Thibault Pamart, Hugues Spillemaeker, Guillaume Schurtz, Francois Pontana, Vinod H. Thourani, Philippe Pibarot, Eric Van Belle
Summary: TAVR is rapidly expanding its indications, but faces technical challenges and knowledge gaps when dealing with patients with bicuspid aortic valve (BAV). Physicians need to understand the BAV anatomy and TAVR procedure planning comprehensively to guide treatment decisions.
Article
Nutrition & Dietetics
Dennis van Erck, Christine D. Dolman, Wilma J. M. Scholte Op Reimer, Jose P. Henriques, Peter J. M. Weijs, Ronak Delewi, Josje D. Schoufour
Summary: The nutritional status and physical activity level of older patients waiting for elective surgical procedures are poor, and they do not significantly improve after a cardiac procedure.
Article
Multidisciplinary Sciences
Ching-Hu Chung, Yu-Jen Wang, Xiayu Jiao, Chia-Ying Lee
Summary: A study in Taiwan compared the clinical outcomes of patients with aortic stenosis who underwent TAVI and SAVR. The study found that patients who underwent TAVI had better survival rates and shorter hospital stays.
Article
Cardiac & Cardiovascular Systems
Darko Boljevic, Milovan Bojic, Mihajlo Farkic, Dragan Sagic, Dragan Topic, Vladimir Kovacevic, Jovana Lakcevic, Stefan Veljkovic, Milan Dobric, Sasa Hinic, Nenad Ilijevski, Marko Nikolic, Aleksandra Kaludjerovic, Matjaz Bunc, Aleksandra Nikolic
Summary: The Dedinje Cardiovascular Institute has successfully established a TAVI program, and the initial results are comparable to previous large randomized trials, setting the foundation for further development.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Raviteja R. Guddeti, Gauravpal S. Gill, Jai D. Parekh, Aravdeep S. Jhand, Ryan W. Walters, Sidakpal S. Panaich, Andrew M. Goldsweig, Venkata Mahesh Alla
Summary: Mixed aortic valve disease (MAVD), characterized by the presence of both aortic stenosis (AS) and insufficiency (AI), is frequently observed in patients who have undergone transcatheter aortic valve implantation (TAVI). This study aimed to compare the outcomes of TAVI in MAVD patients with those with isolated severe AS. The results showed that TAVI in MAVD is associated with comparable outcomes at 1 year compared to isolated severe AS patients.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Keita Koseki, Sung-Han Yoon, Danon Kaewkes, Ofir Koren, Vivek Patel, Isic Kim, Rohan Sharma, Navjot Sekhon, Tarun Chakravarty, Mamoo Nakamura, Wen Cheng, Issei Komuro, Raj Makkar
Summary: The Geriatric Nutritional Risk Index (GNRI) is an important surrogate marker for predicting prognosis and mortality in patients undergoing transcatheter aortic valve implantation (TAVI). Subgroup analyses showed that GNRI retained its predictive value stratified by age and Society of Thoracic Surgeons (STS) score.
AMERICAN JOURNAL OF CARDIOLOGY
(2021)