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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 ,

Should Cardiologists Be Performing Stroke Thrombectomy?


April 08, 2021
It’s possible to start a successful stroke thrombectomy program in an experienced cardiac cath lab when cardiologists, neurologists, and radiologists work together closely, the experience at a single center in Prague, Czech Republic, suggests.
In the 7 years after the program launched, the team achieved outcomes similar to those seen in randomized trials conducted at experienced stroke thrombectomy centers, lead author Jakub Sulženko, MD, PhD (Charles University and University Hospital Kralovske Vinohrady), and colleagues report.
A good functional outcome defined as a modified Rankin Scale (mRS) score of 0 to 2 at 90 days was observed in 47.9% of patients, right around the 46% rate from a meta-analysis of five randomized stroke thrombectomy trials. There did not appear to be a learning curve. ....

New York , United States , United Kingdom , Czech Republic , Kralovske Vinohrady , Marius Hornung , Horst Sievert , Petr Widimsk , Jakub Sul , Society Of Neurointerventional Surgery , European Association Of Percutaneous Cardiovascular Interventions , European Society Of Cardiology Council On Stroke , Cardiovascular Center Frankfurt , Md Mount Sinai Health System , Drsc Charles University , University Hospital Kralovske Vinohrady , Phd Charles University , Charles University , Rankin Scale , Mount Sinai Health System , Neurointerventional Surgery , Cardiovascular Interventions , European Society , Cardiology Council , European Association , Percutaneous Cardiovascular Interventions ,

Excluded from Pivotal Trials, Low-risk Complex Patients Warrant Caution


January 22, 2021
A significant proportion of real-world patients with severe aortic stenosis and low surgical risk have an additional valvular or CV condition that was never accounted for in pivotal trials of TAVI versus SAVR and that requires a serious discussion by the heart team, Canadian research shows.
In the study of primarily low-risk patients who underwent SAVR between 2000 and 2019, 40.8% had at least one of the following conditions: non-tricuspid aortic valve (NTAV), severe coronary artery disease (SevCAD), concomitant mitral/tricuspid valve (CMTV), or concomitant ascending aorta replacement (CAAR). All four of those patient subgroups were routinely excluded from RCTs of TAVI compared with SAVR. ....

New York , United States , Alberto Alperi , Gilbert Tang , Poonam Velagapudi , Md Mount Sinai Health System , Journal Of The American College Cardiology , Ms University Of Nebraska Medical Center , Md Laval University , Laval University , American College , Mount Sinai Health System , Holistic Approach , Nebraska Medical Center , புதியது யார்க் , ஒன்றுபட்டது மாநிலங்களில் , கில்பர்ட் டாங் , பூனம் வேலகப்பூடி , ம்ட் ஏற்ற சினை ஆரோக்கியம் அமைப்பு , இதழ் ஆஃப் தி அமெரிக்கன் கல்லூரி இருதயவியல் , செல்வி பல்கலைக்கழகம் ஆஃப் நெப்ராஸ்கா மருத்துவ மையம் , ம்ட் லாவள் பல்கலைக்கழகம் , லாவள் பல்கலைக்கழகம் , அமெரிக்கன் கல்லூரி , ஏற்ற சினை ஆரோக்கியம் அமைப்பு , முழுமையான அணுகுமுறை ,