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For Failed MitraClip, Next Procedure Might Depend on MR Etiology


Photo Credit: Hannes Alessandrini)
As MitraClip procedures continue to expand as an option for nonsurgical patients with functional or degenerative mitral regurgitation (MR), a new question will increasingly arise: what’s the best approach for treating patients whose clip procedures fail?
Now, a small, retrospective, single-center study is trying to shed some light. As Hannes Alessandrini, MD (Asklepios Klinik St. Georg, Hamburg, Germany), and colleagues write in
EuroIntervention this month, the best approach may depend on the source of mitral valve dysfunction in the first place.
“There are two conclusions that we have reached,” Alessandrini told TCTMD. “The first is that we have less concern about considering a surgical intervention after transcatheter mitral valve repair in patients with primary mitral regurgitation. . . . And the second is that we also have less concern about performing a second intervention with the edge-to-edge therapy in patients wh ....

New York , United States , Mitraclip Abbott , Thomas Modine , Gilbert Tang , Hannes Alessandrini , Md Mount Sinai Health System , Asklepios Klinik , Walid Ben Ali , Mount Sinai Health System , புதியது யார்க் , ஒன்றுபட்டது மாநிலங்களில் , கில்பர்ட் டாங் , ம்ட் ஏற்ற சினை ஆரோக்கியம் அமைப்பு , ஏற்ற சினை ஆரோக்கியம் அமைப்பு ,

People Age 90-Plus Do Fine With EVAR


April 13, 2021
Abdominal aortic aneurysm (AAA) patients who are 90 or older fare just as well as their younger counterparts after endovascular aneurysm repair (EVAR), a study shows.
After accounting for differences in comorbidity burden and other factors with propensity-score matching, 30-day mortality and major adverse event rates did not significantly differ between nonagenarians and patients from other age groups, lead author Carlota Fernandez Prendes, MD (Ludwig-Maximilians-University Hospital, Munich, Germany), and colleagues report.
The findings, published in the April 20, 2021, issue of the
Journal of the American College of Cardiology, were consistent in patients with either intact or ruptured aneurysms.
“Just using age as a [criterion] for intact and for ruptured aneurysms should not exclude patients from receiving treatment” with EVAR, Prendes told TCTMD. Instead, she and her co-authors recommend “tailored indications and carefully balanced ris ....

New York , United States , Gilbert Tang , Carlota Fernandez Prendes , Journal Of The American College Cardiology , Ludwig Maximilians University Hospital , American College , Rami Tadros , Mount Sinai Hospital , புதியது யார்க் , ஒன்றுபட்டது மாநிலங்களில் , கில்பர்ட் டாங் , இதழ் ஆஃப் தி அமெரிக்கன் கல்லூரி இருதயவியல் , லுட்விக் அதிகபட்சம் பல்கலைக்கழகம் மருத்துவமனை , அமெரிக்கன் கல்லூரி , ஏற்ற சினை மருத்துவமனை ,