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Anticoagulation Not Routinely Needed After TAVR: ADAPT-TAVR

Better Success With Next-Generation Robotic PCI: PRECISION GRX

April 30, 2021 A second-generation robotic PCI system improves both clinical and technical success over its predecessor and shows the potential to positively impact operators’ health and quality of life, according to data from the PRECISION GRX study. “[I]f you work in the cath lab for more than 15 years, you have significant occupational hazards, both orthopedic related, as well as associated with radiation,” said Ehtisham Mahmud, MD (University of California, San Diego), in his presentation yesterday at the Society for Cardiovascular Angiography and Interventions (SCAI) 2021 Scientific Sessions. Mahmud said data from the PRECISE and RAPID studies indicate that operators who sit at a cockpit without their lead and conduct PCI robotically for either coronary or peripheral interventions can reduce their radiation exposure by as much as 95%. However, while first-generation systems were demonstrated to

As Market Forces Drive TAVI Access, Rural Patients Left Behind

April 29, 2021 Since the approval of TAVI for the treatment of symptomatic severe aortic stenosis more than a decade ago, the overwhelming number of new TAVI programs have been launched in metropolitan areas, according to a new study presented today. Moreover, more than half of these programs were launched in cities where TAVI was already available at another nearby center. The findings, said lead investigator Ashwin Nathan, MD (Hospital of the University of Pennsylvania, Philadelphia), highlight the disparities in access to new advances in cardiovascular medicine. “The increased number of TAVR programs over the last 10 years has not necessarily translated to increased access,” said Nathan. “TAVR sites are predominantly located in metropolitan areas, and the majority of TAVR sites, when they open, open in areas with a preexisting program. This increase numerically does not necessarily translate into increased geographic access.”

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