- Invasive electrophysiological testing to predict and guide permanent pacemaker implantation after transcatheter aortic valve implantation: A meta-analysis. [Journal Article]Heart Rhythm O2. 2023 Jan; 4(1):24-33.HR
- CONCLUSIONS: Selective EPS testing may assist in the risk stratification of post-TAVI HG-AVB and in the guidance of PPM implantation, especially in patients with equivocal PPM indications post-TAVI.
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- Efficient screening for severe aortic valve stenosis using understandable artificial intelligence: a prospective diagnostic accuracy study. [Journal Article]Eur Heart J Digit Health. 2022 Jun; 3(2):141-152.EH
- CONCLUSIONS: Our CNN model combining multiple auscultation locations and exported on smartphone application could efficiently identify severe AS based on heart sounds. The visual explanation of AI decisions for heart sounds was interpretable. These technologies may support medical training and remote consultations.
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- Harnessing feature extraction capacities from a pre-trained convolutional neural network (VGG-16) for the unsupervised distinction of aortic outflow velocity profiles in patients with severe aortic stenosis. [Journal Article]Eur Heart J Digit Health. 2022 Jun; 3(2):153-168.EH
- CONCLUSIONS: Transfer learning enables sophisticated pattern recognition even in clinical data sets of limited size. Importantly, it is the left ventricular compensation capacity in the face of increased afterload, and not so much the actual obstruction of the aortic valve, that determines fate after TAVR.
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- Identification of early cardiac dysfunction and heterogeneity after pressure and volume overload in mice by high-frequency echocardiographic strain imaging. [Journal Article]Front Cardiovasc Med. 2022; 9:1071249.FC
- CONCLUSIONS: Strain imaging is superior to conventional echocardiography to detect subtle changes in myocardial deformation, with longitudinal strain and strain rate indicating distinct functional changes in pressure versus volume overload myocardial hypertrophy, making it potentially an advanced approach for early detection and differential diagnosis of cardiac dysfunction.
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- Redo-Transcatheter Aortic Valve Implantation Using the SAPIEN 3/Ultra Transcatheter Heart Valves-Expert Consensus on Procedural Planning and Techniques. [Journal Article]Am J Cardiol. 2023 Jan 27 [Online ahead of print]AJ
- Recent guidelines on valvular heart disease in Europe and the United States have expanded the indications for transcatheter aortic valve implantation (TAVI) to younger patients and those at lower surgical risk with severe symptomatic aortic stenosis. Consequently, the number of TAVI procedures will significantly increase worldwide. Patients with longer life expectancies will outlive their transca…
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- Risk score for coronary heart disease (CHD-RISK) and hemodynamically significant aortic valve stenosis. [Journal Article]Nutr Metab Cardiovasc Dis. 2023 Jan 12 [Online ahead of print]NM
- CONCLUSIONS: CHD-RISK was associated with AS. CHD-RISK and AS were high in females, age ≥55 yrs, current smokers, and BMI ≥ 30 kg/m2. This investigation suggests CHD-RISK may be applied to forecast AS risk similar to CHD. Future studies are required to detect, manage, and establish better treatment strategies in these high-risk subgroups.
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- Thrombocytopenia Following Perceval Sutureless Aortic Valve Replacement in Asian Patients. [Journal Article]Circ J. 2023 Jan 28 [Online ahead of print]CJ
- CONCLUSIONS: Thrombocytopenia was common after Perceval sutureless AVR, although its impact was not significant. Although Perceval sutureless AVR was found to be a safe and effective option, preoperative assessment of potential bleeding should be performed and the Perceval valve should not be used for patients with a high bleeding risk.
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- Iliofemoral artery predilation prior to transfemoral transcatheter aortic valve implantation in patients with aortic valve stenosis and advanced peripheral artery disease. [Journal Article]Catheter Cardiovasc Interv. 2023 Jan 29 [Online ahead of print]CC
- CONCLUSIONS: Predilation of IFA is safe and effective in patients with advanced PAD. Careful preprocedural planning is paramount in improving procedural safety and efficacy. This strategy has the potential to broaden the spectrum of patients eligible for Tf-TAVI.
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- Comparison of the Recent Updates to the ACC/AHA and ESC Guidelines for the Management of Valvular Heart Disease: Similarities and Differences. [Review]Curr Cardiol Rep. 2023 Jan 28 [Online ahead of print]CC
- There have been several advances in the diagnosis and management of valvular heart disease (VHD) over the last decade. These have been reflected in the latest European and North American guidelines, although both contain significant similarities and differences. In this review, we highlight the important overlaps and variations between the updated guidelines and their previous versions to help gu…
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- Effect of rheological models on pulsatile hemodynamics in a multiply afflicted descending human aortic network. [Journal Article]Comput Methods Biomech Biomed Engin. 2023 Jan 28 [Online ahead of print]CM
- In the cardiovascular diseased (CVD) conditions, it is essential to choose a suitable rheological model for capturing the correct physics behind the hemodynamic in the multiply afflicted diseased arterial network. This study investigates the effect of blood rheology on hemodynamics in a blood vessel with abdominal aortic aneurysm (AAA) and right internal iliac stenosis (RIIAS). A model with AAA a…
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- Transcatheter aortic valve implantation using the SAPIEN 3 valve to treat aortic regurgitation: The French multicentre S3AR study. [Journal Article]Arch Cardiovasc Dis. 2023 Jan 09 [Online ahead of print]AC
- CONCLUSIONS: Transcatheter aortic valve implantation using the SAPIEN 3 transcatheter heart valve seems promising to treat selected high-risk patients with pure aortic regurgitation on non-calcified native valves, contraindicated to surgical aortic valve replacement.
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- Role of exercise echocardiography in paradoxical low gradient severe aortic stenosis. [Letter]Rev Port Cardiol. 2023 Jan 24 [Online ahead of print]RP
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- Operative management after transcatheter aortic valve replacement. [Journal Article]Kardiol Pol. 2023 Jan 27 [Online ahead of print]KP
- With broadening applications of transcatheter aortic valve replacement (TAVR) and increasing use in intermediate- and low-risk patients, the incidence of surgical re-interventions after TAVR is growing. Transcatheter heart valves suffer from similar long-term complications as surgical heart valve prostheses that require surgical re-intervention, including endocarditis and structural valve deterio…
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- Routine cerebral embolic protection in transcatheter aortic valve implantation: rationale and design of the randomised British Heart Foundation PROTECT-TAVI trial. [Journal Article]EuroIntervention. 2023 Jan 26 [Online ahead of print]E
- Transcatheter aortic valve implantation (TAVI) is an established treatment for aortic stenosis. Cerebral embolic protection (CEP) devices may impact periprocedural stroke by capturing debris destined for the brain. However, there is a lack of high-quality randomised trial evidence supporting the use of CEP during TAVI. The British Heart Foundation (BHF) PROTECT-TAVI trial will address whether the…
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- Neurovascular Outcomes in Relation With Carotid Artery Stenosis in Patients Undergoing Transcatheter Aortic Valve Implantation. [Journal Article]J Invasive Cardiol. 2023 Jan 26 [Online ahead of print]JI
- CONCLUSIONS: CAS is common among TAVI patients. While CAS as a whole was not a predictor of neurovascular complications, the subgroup of bilateral CAS was associated with an increased risk of stroke.
- Conscious sedation/monitored anesthesia care versus general anesthesia in patients undergoing transcatheter aortic valve replacement: A meta-analysis. [Systematic Review]
- CONCLUSIONS: Compared with GA, our results demonstrated that the use of CS/MAC may be feasible and safe in patients receiving TAVR. However, more evidence is needed to support our findings because of our inclusion of mostly retrospective studies.
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- Left ventricular hypertrophy, diastolic dysfunction and right ventricular load predict outcome in moderate aortic stenosis. [Journal Article]
- CONCLUSIONS: The presence of ≥2 pathophysiological changes is a strong predictor of outcome in moderate AS and may be useful for risk stratification, particularly for scheduling follow-up time intervals and deciding the timing of AVR.
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- Management of Severe Coarctation of the Aorta and Bilateral Carotid Artery Stenosis: An Interventional Catch-22. [Case Reports]
- We present a case of an adult with concurrent severe aortic coarctation, bilateral carotid artery stenosis, and anomalous right subclavian artery, posing the interventional dilemma of accepting potential cerebral hyperperfusion syndrome vs hypoperfusion ischemic injury. Transcatheter stenting of the aortic coarctation was successfully performed without any neurological deficits. (Level of Difficu…
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- Catheter versus surgical approach for the management of concomitant aortic stenosis and coronary artery disease: An inverse probability treatment weighting analysis. [Journal Article]Arch Cardiovasc Dis. 2023 Jan 18 [Online ahead of print]AC
- CONCLUSIONS: In our study, patients with aortic stenosis and coronary artery disease treated by catheter were older and had a higher co-morbidity burden than those treated by surgery. The surgical strategy was associated with a higher rate of 30-day complications, but long-term outcomes were similar between the two strategies.
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- Emergent transcatheter aortic valve implantation combined with enterectomy for acute decompensated heart failure caused by severe aortic stenosis and strangulated femoral hernia. [Journal Article]Eur Heart J. 2023 Jan 26 [Online ahead of print]EH
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- Added value of heart valve clinics in the management of asymptomatic aortic stenosis. [Editorial]Heart. 2023 Jan 26 [Online ahead of print]H
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- Outcomes of the modified Yacoub aortocoronary flap technique for "non-separable" single sinus coronary arteries with intramural course in the neonatal arterial switch operation. [Journal Article]Eur J Cardiothorac Surg. 2023 Jan 25 [Online ahead of print]EJ
- CONCLUSIONS: Although close monitoring of early coronary events seems crucial to prevent perioperative mortality, the modified Yacoub aortocoronary flap technique may serve as a viable bail-out option in patients with "non-separable" single sinus coronary anatomy with intramural course, with excellent results among hospital survivors.
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- Bicuspid Aortic Valve Durability with Valve-Sparing Aortic Root Replacement: Comparison to Tricuspid Valve. [Journal Article]Eur J Cardiothorac Surg. 2023 Jan 25 [Online ahead of print]EJ
- CONCLUSIONS: VSARR for bicuspid aortic valve patients has excellent 12-year survival and low reoperation/reintervention rates, that were not observed to be different from TAV patients. However, higher incidence of reoperation/reintervention was observed in the late years after BAV VSARR. Our study provides key information for surgical consultation of patients with bicuspid aortopathy.
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- [Interventional treatment of heart failure : Stents and valves]. [Review]Herz. 2023 Jan 26 [Online ahead of print]HERZ
- The pharmacotherapy of heart failure has evolved in recent years and with the aid of new classes of drugs symptomatic and prognostic improvements can be achieved in patients with heart failure. Heart failure is particularly frequently associated with coronary artery disease or higher grade, often functional valve defects. In the context of the underlying disease, the operative risk is often incre…
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- A Contrast Frugal Approach to Transcatheter Aortic Valve Replacement in Chronic Kidney Disease: A Pilot Study. [Journal Article]Cureus. 2022 Dec; 14(12):e32878.C
- CONCLUSIONS: "Contrast frugal" approach is feasible and safe for pre-TAVR evaluation and the procedure itself. Our pilot study showed no significant paravalvular leak of the prosthetic valve following this proposed protocol. No statistically significant decrease in eGFR was noted on a one-year follow-up.
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- 4D-flow MRI derived wall shear stress for the risk stratification of bicuspid aortic valve aortopathy: A systematic review. [Systematic Review]Front Cardiovasc Med. 2022; 9:1075833.FC
- CONCLUSIONS: WSS has the potential to be a valid biomarker for BAV aortopathy. Future work would benefit from larger study cohorts with longitudinal evaluations to further characterize WSS association with aortopathy, mortality, and morbidities.
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- Systolic reverse flow derived from 4D flow cardiovascular magnetic resonance in bicuspid aortic valve is associated with aortic dilation and aortic valve stenosis: a cross sectional study in 655 subjects. [Journal Article]
- CONCLUSIONS: 4D flow CMR derived reverse flow associated with BAV was successfully captured even in the absence of AR or AS and in comparison to TAV patients with aortic dilation. Diastolic AAo reverse flow increased with AR severity while AS severity strongly correlated with increased systolic reverse flow in the AAo. Additionally, increasing MAAD was independently associated with increasing systolic AAo reverse flow. Thus, systolic AAo reverse flow may be a valuable metric for evaluating disease severity in future longitudinal outcome studies.
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- "Side-by-Side Buddy Balloon Technique": A New Old Utility for Complex Aortic Valve-in-Valve Procedure. [Journal Article]JACC Cardiovasc Interv. 2023 Jan 23; 16(2):235-236.JC
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- Simplified Pacing-Over-the-Wire Technique to Streamline TAVR With Sentinel Cerebral Protection Device: The SENTIPACE Approach. [Journal Article]JACC Cardiovasc Interv. 2023 Jan 23; 16(2):226-228.JC
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- The Heterogeneity of Old Age: Healthy Aging in Older Adults Undergoing TAVR. [Editorial]JACC Cardiovasc Interv. 2023 Jan 23; 16(2):189-192.JC
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