Structural Heart Intervention. Beyond Transcatheter Valve Therapy

Published on May 1, 2012in Revista Espanola De Cardiologia4.753
路 DOI :10.1016/J.REC.2012.02.003
Igor F. Palacios94
Estimated H-index: 94
(Harvard University),
Dabit Arzamendi16
Estimated H-index: 16
(Harvard University)
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Abstract
馃摉 Papers frequently viewed together
2005
References20
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Objectives The purpose of this study was to evaluate the feasibility and efficacy of the percutaneous device closure of a consecutive series of patients with periprosthetic paravalvular leaks referred to our structural heart disease center with congestive heart failure and hemolytic anemia. Background Clinically significant periprosthetic paravalvular leak is an uncommon but serious complication after surgical valve replacement. Percutaneous closure has been utilized as an alternative to surgica...
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#1Paul Sorajja (Mayo Clinic)H-Index: 39
#2Allison K. Cabalka (Mayo Clinic)H-Index: 31
Last. Charanjit S. Rihal (Mayo Clinic)H-Index: 98
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Objectives The goal of this study was to determine the long-term clinical efficacy of percutaneous repair of paravalvular prosthetic regurgitation. Background Percutaneous repair has emerged as an effective therapy for patients with paravalvular prosthetic regurgitation. Methods We retrospectively identified 126 patients who underwent catheter-based treatment of symptomatic prosthetic paravalvular regurgitation. Patients were contacted for symptoms, clinical events, and vital status. Results The...
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Background鈥擫eft ventricular pseudoaneurysm is a rare but serious complication from myocardial infarction and cardiac surgery. Although standard treatment is surgical intervention, percutaneous closure of left ventricular pseudoaneurysm has become an option for high-risk surgical candidates. Experience with percutaneous treatment is limited to a few single case reports. This is the first series of percutaneous treatment of the left ventricular pseudoaneurysms. Methods and Results鈥擳his is a retros...
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#1Vivek Y. Reddy (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 95
#2David R. HolmesH-Index: 192
Last. Saibal KarH-Index: 59
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Background鈥 The Watchman Left Atrial Appendage System for Embolic Protection in Patients With AF (PROTECT AF) randomized trial compared left atrial appendage closure against warfarin in atrial fibrillation (AF) patients with CHADS 2 鈮1. Although the study met the primary efficacy end point of being noninferior to warfarin therapy for the prevention of stroke/systemic embolism/cardiovascular death, there was a significantly higher risk of complications, predominantly pericardial effusion and proc...
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#1Anthony J. Furlan (Case Western Reserve University)H-Index: 29
#2Mark ReismanH-Index: 40
Last. Lawrence R. Wechsler (University of Pittsburgh)H-Index: 71
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Background and Purpose鈥擲ome strokes of unknown etiology may be the result of a paradoxical embolism traversing through a nonfused foramen ovale (patent foramen ovale [PFO]). The utility of percutaneously placed devices for treatment of patients with cryptogenic stroke or transient ischemic attack (TIA) and PFO is unknown. In addition, there are no clear data about the utility of medical interventions or other surgical procedures in this situation. Despite limited data, many patients are being tr...
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El primer caso de implantacion de valvula percutanea en posicion aortica para el tratamiento de la estenosis aortica sintomatica se realizo en el ano 2002, y fue seguido de una serie de registros monocentricos que demostraron que esta nueva tecnologia era viable para el tratamiento de los pacientes inoperables o con riesgo muy elevado para la cirugia de remplazo valvular aortico. La seguridad y eficacia de este nuevo tratamiento se ha confirmado en los resultados de recientes registros multicent...
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#1Elzbieta Sucho艅 (Jagiellonian University)H-Index: 5
#2Monika Pieculewicz (Jagiellonian University)H-Index: 5
Last. Piotr Podolec (Jagiellonian University)H-Index: 24
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Background: The clinical efficacy of transcatheter atrial septal defect (ASD) closure with the Amplatzer Septal Occluder (ASO) can only be judged against the results of contemporaneous surgery. The present study compared early and late results of ASD closure using ASO versus open-heart surgery. Material/Methods: Forty-eight adult patients were found eligible for transcatheter closure in transesophageal echocardiography. The surgical group consisted of 52 patients with isolated ostium secundum AS...
#1St茅phane Noble (MHI: Montreal Heart Institute)H-Index: 9
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#1David R. Holmes (Mayo Clinic)H-Index: 192
#2Vivek Y. Reddy (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 95
Last. Peter SickH-Index: 20
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Summary Background In patients with non-valvular atrial fibrillation, embolic stroke is thought to be associated with left atrial appendage (LAA) thrombi. We assessed the efficacy and safety of percutaneous closure of the LAA for prevention of stroke compared with warfarin treatment in patients with atrial fibrillation. Methods Adult patients with non-valvular atrial fibrillation were eligible for inclusion in this multicentre, randomised non-inferiority trial if they had at least one of the fol...
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#1Eduardo PinarH-Index: 24
Last. Josepa MauriH-Index: 22
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En este articulo se revisan los avances mas relevantes relacionados con la cardiologia intervencionista, publicados en el ultimo ano. En cuanto al intervencionismo coronario, se revisan los avances relacionados con los stents farmacoactivos (SFA), el intervencionismo en el sindrome coronario agudo con y sin elevacion del ST, el intervencionismo en el tronco comun, las lesiones bifurcadas, las oclusiones cronicas y las novedades en relacion con el intervencionismo en pacientes diabeticos. Se desc...
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#2D. Arzamendi-Aizpurua (Autonomous University of Barcelona)H-Index: 1
Last. Joan Mart铆-F脿bregas (Autonomous University of Barcelona)H-Index: 43
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Abstract Introduction The use of oral anticoagulants in patients with a history of atrial fibrillation (AF) and intracranial haemorrhage (ICH) is controversial on account of the risk of haemorrhagic stroke recurrence. This study presents our experience regarding the safety and efficacy of percutaneous left atrial appendage closure (LAAC), an alternative to anticoagulation in these patients. Methods We conducted a retrospective, single-centre, observational study. LAAC was performed in patients w...
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#1Yiting Fan (CUHK: The Chinese University of Hong Kong)H-Index: 7
#2Randolph H.L. Wong (CUHK: The Chinese University of Hong Kong)H-Index: 18
Last. Alex Pui-Wai Lee (CUHK: The Chinese University of Hong Kong)H-Index: 22
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Three-dimensional (3D) printing refers to the process by which physical objects are built by depositing materials in layers based on a specific digital design. It was initially used in manufacture industry. Inspired by the technology, clinicians have recently attempted to integrate 3D printing into medical applications. One of the medical specialties that has recently made such attempt is cardiology, especially in the field of structural heart disease (SHD). SHD refers to a group of non-coronary...
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A 59-year-old woman presented with a sudden onset of breathlessness and chest pain. An echocardiography and CT scan showed pulmonary embolism and infarction with a paradoxical thrombus visualised in both atria. For haemodynamically stable patients, the optimal management strategy is poorly defined. Three main strategies were considered: surgical thrombectomy, thrombolysis and anticoagulation. Surgery with reversal of anticoagulation may lead to further coagulation and increased risk of bleeding ...
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#1Jos茅 Juli谩n Carvajal-Rivera (Complutense University of Madrid)H-Index: 1
#2Miguel 脕ngel Garc铆a Fern谩ndez (Complutense University of Madrid)H-Index: 7
Last. Gustavo Restrepo MolinaH-Index: 2
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Resumen La evolucion en el intervencionismo estructural percutaneo ha generado un desarrollo paralelo en las tecnicas de imagen avanzada. Teniendo en cuenta que este tipo de procedimientos requiere un entendimiento total de la anatomia cardiaca y con el fin de garantizar los mejores resultados y seguridad para el paciente durante procedimientos complejos, se desarrollo un software capaz de fusionar la fluoroscopia y la ecocardiografia 3聽D en una sola imagen. La tecnologia del Echonavigator庐 inte...
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#1F. Fayos-Vidal (Autonomous University of Barcelona)H-Index: 1
#2D. Arzamendi Aizpurua (Autonomous University of Barcelona)
Last. Joan Mart铆-F脿bregas (Autonomous University of Barcelona)H-Index: 43
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Resumen Introduccion El uso de anticoagulantes orales es controvertido en pacientes con antecedentes de fibrilacion auricular (FA) y hemorragia intracraneal (HIC), por riesgo de recurrencia de ictus hemorragico. Presentamos la experiencia de nuestro centro en relacion con la seguridad y la eficacia del cierre percutaneo de orejuela (CPO), una alternativa a la anticoagulacion en dicho contexto. Metodos Estudio observacional, retrospectivo y unicentrico. El CPO se realizo en pacientes con antecede...
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#1David L Dunkerley (UW: University of Wisconsin-Madison)H-Index: 29
#2Jordan M. Slagowski (UW: University of Wisconsin-Madison)H-Index: 3
Last. Michael A. Speidel (UW: University of Wisconsin-Madison)H-Index: 11
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Scanning-beam digital x-ray (SBDX) is an inverse geometry x-ray fluoroscopy system capable of tomosynthesis-based 3-D catheter tracking. This work proposes a method of dose-reduced 3-D catheter tracking using dynamic electronic collimation (DEC) of the SBDX scanning x-ray tube. This is achieved through the selective deactivation of focal spot positions not needed for the catheter tracking task. The technique was retrospectively evaluated with SBDX detector data recorded during a phantom study. D...
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#1David L Dunkerley (UW: University of Wisconsin-Madison)H-Index: 29
#2Tobias FunkH-Index: 10
Last. Michael A. Speidel (UW: University of Wisconsin-Madison)H-Index: 11
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Scanning-beam digital x-ray (SBDX) is an inverse geometry x-ray fluoroscopy system capable of tomosynthesis-based 3D catheter tracking. This work proposes a method of dose-reduced 3D tracking using dynamic electronic collimation (DEC) of the SBDX scanning x-ray tube. Positions in the 2D focal spot array are selectively activated to create a regionof- interest (ROI) x-ray field around the tracked catheter. The ROI position is updated for each frame based on a motion vector calculated from the two...
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#1Roberto M. S谩nchez (Hospital Cl铆nico San Carlos)H-Index: 15
#2Eliseo Vano (Complutense University of Madrid)H-Index: 60
Last. Antonio Fern谩ndez-Ortiz (Hospital Cl铆nico San Carlos)H-Index: 68
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New European regulation regarding radiological protection of workers and more specifically the new occupational dose limit for the eye lens recently reduced to 20 mSv yr鈭1 may affect interventional cardiologists. This paper presents a set of measurements of occupational doses performed in five interventional cardiology centres and then compared with the new dose limit. The measurement of occupational doses was performed over the apron at chest level using electronic dosemeters recording H p(10)....
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Resumen El intervencionismo en cardiopatias estructurales no valvulares es un campo en expansion. Analizamos las complicaciones por embolizacion o desplazamiento en los ultimos 2 anos, encontrando 4 casos, de los cuales 2 fueron dispositivos de cierre de comunicacion interauricular, uno de oclusion de ductus arterioso persistente y otro de cierre de orejuela izquierda. Estas complicaciones necesitaron rescate quirurgico del dispositivo, tres bajo circulacion extracorporea y una sin extracorporea...
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Aims To review the safety and feasibility of a transradial (TR) approach during transcatheter structural or congenital heart disease interventions when utilized as either as a primary or secondary arterial access site. Methods and Results Studies and case reports published between 2002 and 2014 utilizing the TR access during transcatheter structural and congenital heart disease interventions during alcohol septal ablation (ASA), ventricular septal defect (VSD), renal denervation (RD), paravalvul...
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