Review
Medicine, General & Internal
Pier Pasquale Leone, Andrea Scotti, Edwin C. Ho, Manaf Assafin, James Doolittle, Mei Chau, Leandro Slipczuk, Matthew Levitus, Damiano Regazzoli, Antonio Mangieri, Azeem Latib
Summary: Transcatheter aortic valve implantation (TAVI) has emerged as a safe and effective alternative to surgical aortic valve replacement for severe aortic stenosis. This review focuses on commercially available TAVI devices and provides a guide for selecting the appropriate prosthesis based on patient-related factors.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Medicine, General & Internal
Lola Gutierrez, Mauro Boiago, Chiara De Biase, Omar Oliva, Pietro Laforgia, Souheib Feliachi, Alessandro Beneduce, Nicolas Dumonteil, Didier Tchetche
Summary: Bicuspid aortic valve disease is the most common congenital heart disease, associated with unique morphological features and lack of consensus in sizing measurement. Multi-slice computed tomography plays a crucial role in TAVI procedure planning, and advancements in devices and procedure planning have improved clinical outcomes.
JOURNAL OF CLINICAL 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
Medicine, General & Internal
Taishi Okuno, Caglayan Demirel, Daijiro Tomii, Gabor Erdoes, Dik Heg, Jonas Lanz, Fabien Praz, Rainer Zbinden, David Reineke, Lorenz Raber, Stefan Stortecky, Stephan Windecker, Thomas Pilgrim
Summary: This study aimed to evaluate the risk of noncardiac surgery after TAVI. The results suggest that noncardiac surgery can be performed early after successful TAVI, and device performance may impact the risk of adverse outcomes after surgery.
Review
Medicine, General & Internal
Simona Sperlongano, Francesca Renon, Maurizio Cappelli Bigazzi, Rossella Sperlongano, Giovanni Cimmino, Antonello D'Andrea, Paolo Golino
Summary: Cardiac rehabilitation (CR) after transcatheter aortic valve implantation (TAVI) can improve exercise tolerance and quality of life in patients, and potentially reduce mortality during follow-up. While major guidelines currently do not recommend CR after TAVI, emerging scientific evidence supports the benefits of such programs.
JOURNAL OF CLINICAL MEDICINE
(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)
Article
Medicine, General & Internal
Gabriele Pesarini, Gabriele Venturi, Domenico Tavella, Leonardo Gottin, Mattia Lunardi, Elena Mirandola, Francesco Onorati, Giuseppe Faggian, Flavio Ribichini
Summary: This research describes the performance of transcatheter aortic valve implantations (TAVIs) in a high-volume center with a real-world population, highlighting the significant impact of operator experience on clinical outcomes, especially in high-risk patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Cardiac & Cardiovascular Systems
Mi Chen, Jonathan Michel, Barbara E. Stahli, Christian Templin, Philipp Jakob, Felix C. Tanner, Albert Markus Kasel
Summary: This tutorial review provides systematic and detailed techniques for the retrograde valve-crossing of a stenotic aortic valve in transcatheter aortic valve implantation. It depicts the main challenges in retrograde valve-crossing, provides step-by-step guidance on the technique, and offers an in-depth description of the three-dimensional anatomy under a two-dimensional fluoroscopy view. Modified techniques for different anatomies are also described.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Health Care Sciences & Services
Aneta Klotzka, Patrycja Wozniak, Marcin Misterski, Michal Rodzki, Mateusz Puslecki, Marek Jemielity, Marek Grygier, Aleksander Araszkiewicz, Sylwia Iwanczyk, Piotr Buczkowski
Summary: Transcatheter aortic valve implantation (TAVI) is the preferred method in high-risk patients with severe aortic valve stenosis, but it can lead to post-TAVI complications. These complications often stem from concomitant aortic stenosis with significant aortic insufficiency, paravalvular leak, and atrioventricular block. Thorough imaging assessments, such as echocardiography and angio-CT, are crucial in the TAVI qualification process to ensure accurate valve measurements and optimal valve selection. Introducing new interventional treatment approaches and improved imaging tools have reduced the occurrence of significant paravalvular leaks and improved prognosis for TAVI patients.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Review
Cardiac & Cardiovascular Systems
Giulia Costa, Marco Angelillis, Anna Sonia Petronio
Summary: Transcatheter aortic valve implantation (TAVI) is an established therapy for severe aortic stenosis, with expanding indications towards younger patients. However, the presence of bicuspid aortic valve (BAV) poses challenges due to its anatomical features and lack of consensus on optimal sizing strategy. This paper aims to review the unique aspects of BAV and discuss the currently available sizing methods, emphasizing the role of pre-procedural imaging and aspects to consider for optimal procedural planning.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Review
Cardiac & Cardiovascular Systems
Muzamil Khawaja, Hafeez Ul Hassan Virk, Dhrubajyoti Bandyopadhyay, Mario Rodriguez, Johao Escobar, Mahboob Alam, Hani Jneid, Chayakrit Krittanawong
Summary: For patients with a clinical indication for aortic valve replacement, they can choose surgical aortic valve replacement or Transcatheter Aortic Valve Implantation. The choice depends on factors such as age, life expectancy, comorbidities, frailty, and patient preference. However, there are controversies regarding the outcomes of TAVI, including death, stroke, and major cardiovascular events. We propose that a precision medicine approach should be emphasized in the selection and management of TAVI patients.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Tadeja Kolar, Nikola Lakic, Alesa Kotnik, David Stubljar, Zlatko Fras, Matjaz Bunc
Summary: This study compared the outcomes of transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in octogenarians. The results showed similar clinical outcomes in terms of clinical endpoints in low- and medium-risk groups, but differences were observed in certain indicators such as paravalvular leak, acute kidney injury, and new onset atrial fibrillation.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Paola D'Errigo, Andrea Marcellusi, Fausto Biancari, Marco Barbanti, Francesco Cerza, Giuseppe Tarantini, Marco Ranucci, Gian Paolo Ussia, Giuliano Costa, Gabriella Badoni, Chiara Fraccaro, Francesco Meucci, Giovanni Baglio, Fulvia Seccareccia, Corrado Tamburino, Stefano Rosato, OBSERVANT II Res Grp
Summary: This study estimated the change in the financial burden of TAVI therapy over time and found that the introduction of newer-generation TAVI devices and increased center experience led to significant cost savings, reduced rehospitalizations, and decreased mortality rates.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Jun Shi, Lai Wei, Yucheng Chen, Xu Wang, Jian Ye, Chaoyi Qin, Lulu Liu, Hong Qian, Chunsheng Wang, Yingqiang Guo
Summary: The study showed good midterm outcomes of transcatheter aortic valve implantation with the J-Valve system in treating patients with aortic stenosis or pure aortic insufficiency, suggesting it as a promising alternative therapy for high-risk patients.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Francesco Saverio Mennini, Francesco Meucci, Gabriele Pesarini, Pietro Vandoni, Maddalena Lettino, Archita Sarmah, Judith Shore, Michelle Green, Stefano Giardina
Summary: This cost-utility analysis showed that TAVI with SAPIEN 3 is likely to be cost effective compared with SAVR for the treatment of low-risk sSAS patients.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2022)
Article
Computer Science, Information Systems
Hongxu Yang, Caifeng Shan, Arthur Bouwman, Lukas R. C. Dekker, Alexander F. Kolen, Peter H. N. de With
Summary: In this article, a semi-supervised learning framework is proposed for instrument segmentation in 3D ultrasound, which requires less annotation effort and achieves better segmentation results and inference time compared to existing methods.
IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
(2022)
Article
Acoustics
Fredericus H. J. Van Loon, Harm J. Scholten, Hendrikus H. M. Korsten, Angelique T. M. Dierick-van Daele, Arthur R. A. Bouwman
Summary: Competency in US-guided peripheral intravenous cannulation can be gained through experience and a fixed educational curriculum. The study found that with increased number of procedures performed, the success rate of first attempt cannulation also increased.
MEDICAL ULTRASONOGRAPHY
(2022)
Article
Anesthesiology
Harm J. Scholten, Yomi Hoever, Fredericus H. J. van Loon, Elke Kanters, Tamara Hoveling, Marco de Wild, R. Arthur Bouwman, Erik H. M. Korsten
Summary: The study aimed to investigate the impact of the beam width artefact on the performance of ultrasound-guided needle-based procedures and provide a solution. The results showed that using an acoustic lens significantly improved the first pass success rate and reduced the number of punctures needed. Both experienced and inexperienced users benefited from the acoustic lens.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Article
Oncology
Jonna A. van der Stam, Eveline H. J. Mestrom, Simon W. Nienhuijs, Ignace H. J. T. de Hingh, Arjen-Kars Boer, Natal A. W. van Riel, Koen T. J. de Groot, Wim Verhaegh, Volkher Scharnhorst, R. Arthur Bouwman
Summary: This study aimed to develop a remote early warning scoring (REWS) system based on continuous measurements using a wearable device, and compare its diagnostic performance with the conventional modified early warning score (MEWS) in patients following major abdominal cancer surgery. The results showed that the REWS method, which is based on continuous measurements of heart and respiratory rates, has comparable diagnostic value to the MEWS, detecting the same amount of deteriorations without requiring manual spot check measurements.
Article
Computer Science, Interdisciplinary Applications
Tom Bakkes, Anouk van Diepen, Ashley De Bie, Leon Montenij, Francesco Mojoli, Arthur Bouwman, Massimo Mischi, Pierre Woerlee, Simona Turco
Summary: An automatic detection and classification algorithm for patient-ventilator asynchrony (PVA) was developed using a neural network and simulated data. The algorithm achieved over 90% accuracy in detecting and classifying PVAs, providing a tool to optimize mechanical ventilation and monitor ventilation strategies.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2023)
Article
Multidisciplinary Sciences
E. S. van Ede, J. Scheerhoorn, M. P. Buise, R. A. E. Bouwman, S. W. E. Nienhuijs, Steven E. Wolf
Summary: This study aimed to evaluate the non-inferiority and feasibility of an outpatient recovery pathway after bariatric surgery, supported by remote monitoring compared to standard care. The results showed that outpatient surgery supported with telemonitoring is clinically comparable to standard overnight bariatrics in terms of treatment outcomes. Same-day discharge reduced hospitalization days while maintaining patient satisfaction and safety.
Review
Chemistry, Analytical
Laura Bogatu, Simona Turco, Massimo Mischi, Lars Schmitt, Pierre Woerlee, Rick Bezemer, Arthur R. Bouwman, Erik H. H. M. Korsten, Jens Muehlsteff
Summary: Hemodynamic monitoring technologies are continuously evolving, with a variety of bedside monitoring options becoming available in clinics. While these technologies have made monitoring safer and more accurate, limitations in the available information for diagnosis and treatment still exist. Further research is needed to allow for the measurement of more hemodynamic parameters in clinical settings.
Article
Chemistry, Analytical
Meike A. C. van den Eijnden, Jonna A. van der Stam, R. Arthur Bouwman, Eveline H. J. Mestrom, Wim F. J. Verhaegh, Natal A. W. van Riel, Lieke G. E. Cox
Summary: Assessing post-operative recovery is important for perioperative care, but it is difficult to assess and predict. This research aims to create a model that predicts continuous recovery scores in perioperative care using wearable sensors and the XGBoost algorithm. The proposed model provided high predictive performance and identified fast and slow recovery trajectories.
Article
Multidisciplinary Sciences
A. van Diepen, T. H. G. F. Bakkes, A. J. R. De Bie, S. Turco, R. A. Bouwman, P. H. Woerlee, M. Mischi
Summary: There is a clinical need to monitor inspiratory effort in patients receiving mechanical ventilation. This study evaluated the accuracy of different pressure-based estimation techniques using a sophisticated respiratory system and ventilator model. The whole breath occlusion technique proved to be the most accurate, with the lowest average and maximum errors for all patient archetypes.
Letter
Anesthesiology
M. Elisa Barajas van Langen, Michael I. Meesters, Robert J. Hiensch, R. Arthur Bouwman, Marc P. Buise
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Multidisciplinary Sciences
Eveline H. J. J. Mestrom, Tom H. G. F. Bakkes, Nassim Ourahou, Hendrikus H. M. Korsten, Paulo de Andrade Serra, Leon Montenij, Massimo Mischi, Simona Turco, R. Arthur Bouwman
Summary: Currently, there is no evidence-based criteria for decision making in the post anesthesia care unit (PACU). This study aims to assess whether including intra- and postoperative factors improves the prediction of postoperative patient deterioration and unanticipated ICU admissions.
Article
Health Care Sciences & Services
Mariana Nikolova-Simons, Rikkert Keldermann, Yvon Peters, Wilma Compagner, Leon Montenij, Ymke de Jong, R. Arthur Bouwman
Summary: Effective capacity management of operation rooms is crucial to prevent surgery cancellations and long waiting lists. The development of new predictive models has improved the accuracy of surgery scheduling and reduced waiting times.
NPJ DIGITAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Frederique M. de Raat, Joris van Houte, Leon. J. Montenij, Sjoerd Bouwmeester, Suzanne E. A. Felix, Peter Bingley, Esmee C. de Boer, Patrick Houthuizen, Arthur R. Bouwman
Summary: This study compared the validity of handheld ultrasound (HAND) measurements with standard echocardiography (SE) and three-dimensional echocardiography (3DE) for the quantification of stroke volume (SV) and left ventricular ejection fraction (LVEF). The results showed that HAND measurements demonstrated clinically acceptable accuracy, precision, and image quality compared to SE. Additionally, HAND showed clinically acceptable accuracy and precision for LVEF quantification compared to 3DE.
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Joris van Houte, Anniek E. Raaijmaakers, Frederik J. Mooi, Loek P. B. Meijs, Esmee C. de Boer, Irene Suriani, Saskia Houterman, Leon J. Montenij, Arthur R. Bouwman
Summary: This study evaluated the correlation and trending ability between ccFT calculated using different equations and invasive CO and SV measurements. The results showed that different equations led to variable correlation and concordance rates between ccFT and CO/SV measurements.
JOURNAL OF ULTRASOUND
(2023)
Article
Medicine, General & Internal
Chantal van Giersbergen, Hendrikus H. M. Korsten, Ashley J. R. De Bie Dekker, Eveline H. J. Mestrom, R. Arthur Bouwman
Summary: This study evaluated the performance of a computerized clinical decision support system in calculating the CHA(2)DS(2)-VASc score in patients with atrial rhythm disturbances. The results showed a high correlation between the automated system and manual calculation, with the automated system being more time efficient.
MEDICINA-LITHUANIA
(2022)