Patient–prosthesis mismatch after transapical aortic valve implantation: Incidence and impact on survival Marian Kukucka, MD, Miralem Pasic, MD, PhD,

Slides:

Advertisements

Similar presentations

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Advertisements

Of mice and men and surgical transcatheter aortic valve insertion

Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.

Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters Victor Dayan, MD, PhD, Philippe Pibarot,

Aborted episode of sudden death due to delayed heart block after transcatheter aortic valve insertion Kevin L. Greason, MD, Paul A. Friedman, MD, Daniel.

Analysis of Survival in 300 High-Risk Patients up to 2

Mitral stenosis with pulmonary hypertension: We should operate early

Impact of patient–prosthesis mismatch after transcatheter aortic valve-in-valve implantation in degenerated bioprostheses Moritz Seiffert, MD, Lenard.

Sotiris C. Stamou, MD, PhD, Michael Robich, MD, MSPH, Robert E

A meta-analysis of comparative studies of endovascular versus open repair for blunt thoracic aortic injury Hisato Takagi, MD, PhD, Norikazu Kawai, MD,

Acute impact of left ventricular unloading by left ventricular assist device on the right ventricle geometry and function: Effect of nitric oxide inhalation

Three-dimensional template-based planning for transapical aortic valve implantation Stephan Jacobs, MD, PhD, Michael Gessat, PhD, Thomas Walther, MD,

Relative amplitude index: A new tool for hemodynamic evaluation of periprosthetic regurgitation after transcatheter valve implantation Anneliese Heinz,

Blood transfusion determines postoperative morbidity in pediatric cardiac surgery applying a comprehensive blood-sparing approach Matthias Redlin, MD,

Long-term prognosis of ascending aortic aneurysm after aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis Evaldas Girdauskas,

Introducing transapical aortic valve implantation (part 1): Effect of a structured training program on clinical outcome in a series of 500 procedures

Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients Björn.

Improved Mitral Valve Performance After Transapical Aortic Valve Implantation Martin Haensig, MD, David Michael Holzhey, MD, PhD, Michael Andrew Borger,

Prolonged QTc affects short-term and long-term outcomes in patients with normal left ventricular function undergoing cardiac surgery Nattachai Anantasit,

Transapical aortic valve implantation in patients with severely depressed left ventricular function Axel Unbehaun, MD, Miralem Pasic, MD, PhD, Semih.

Transapical Aortic Valve Implantation: Learning Curve With Reduced Operating Time and Radiation Exposure Giuseppe D'Ancona, MD, PhD, Miralem Pasic, MD,

Transcatheter aortic valve implantation combined with conventional heart surgery: Hybrid approach for complex cardiac pathologic features Miralem Pasic,

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Victor van Berkel, MD, PhD

Impact of long-axis function on cardiac surgical outcomes in patients with radiation- associated heart disease Srisakul Chirakarnjanakorn, MD, Zoran B.

It is still mostly about the mitral valve

Go on-pump or off-pump in diabetic patients?

Bicuspid aortic valve aortopathy: One size fits all?

Cost-effectiveness of the Edwards SAPIEN transcatheter heart valve compared with standard management and surgical aortic valve replacement in patients.

Recurrence of mitral regurgitation after partial versus complete mitral valve ring annuloplasty for functional mitral regurgitation Michael H. Kwon,

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

The St Jude Medical Trifecta aortic pericardial valve: Results from a global, multicenter, prospective clinical study Joseph E. Bavaria, MD, Nimesh D.

One-year results of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial) Ali Khoynezhad, MD, PhD, FACS, Carlos E. Donayre,

The lord of the rings Antonio Miceli, MD, PhD

Esophagectomy versus endoscopic resection for patients with early-stage adenocarcinoma: Mercedes versus Tesla Toni Lerut, MD The Journal of Thoracic.

Support Your Specialty

Quality of mitral valve surgery at the United States Department of Veterans Affairs Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Transcatheter aortic valve replacement in intermediate-risk patients

Innovation and science: The future of valve design

The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair Rakesh M. Suri,

Mitral valve repair in heart failure: Five-year follow-up from the mitral valve replacement stratum of the Acorn randomized trial Michael A. Acker, MD,

Michele Gallo, MD, Gino Gerosa, MD

Successful combined procedure of HeartMate II left ventricular assist device implantation and minimally invasive transapical aortic valve replacement

Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,

Preoperative prediction of long-term survival after coronary artery bypass grafting in patients with low left ventricular ejection fraction Joseph J.

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

The Journal of Thoracic and Cardiovascular Surgery

The empire strikes back: Surgical ventricular reconstruction works very well in Japan Lorenzo A. Menicanti, MD The Journal of Thoracic and Cardiovascular.

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Replicating the success of mitral valve repair in the aortic valve

Commentary: Bioprosthetic aortic valve replacement: A high standard of comparison for transcatheter aortic valve implantation Aaron Martin, MD, Michael.

James O. O’Neill, MB, Randall C

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Sutureless valve implantation: Every detail counts

Sutureless replacement versus transcatheter valve implantation in aortic valve stenosis: A propensity-matched analysis of 2 strategies in high-risk patients

The Journal of Thoracic and Cardiovascular Surgery

New 29-mm Balloon-Expandable Prosthesis for Transcatheter Aortic Valve Implantation in Large Annuli Axel Unbehaun, MD, Miralem Pasic, MD, PhD, Thorsten.

Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Postcardiac transplant survival in the current era in patients receiving continuous-flow left ventricular assist devices Forum Kamdar, MD, Ranjit John,

Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable Craig M. Jarrett,

Commentary: When a choice is not an echo

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

Pasquale Totaro, MD, Vincenzo Argano, MD

Seeing is believing: A call for routine early postoperative hemodynamic transesophageal echocardiography monitoring after left ventricular assist device.

TAVI for Pure Aortic Valve Insufficiency in a Patient With a Left Ventricular Assist Device Giuseppe D'Ancona, MD, PhD, Miralem Pasic, MD, PhD, Semih.

Transcatheter aortic valve implantation versus surgical aortic valve replacement: A propensity score analysis in patients at high surgical risk Lenard.

How do we follow up our patients

Presentation transcript:

Patient–prosthesis mismatch after transapical aortic valve implantation: Incidence and impact on survival Marian Kukucka, MD, Miralem Pasic, MD, PhD, Stephan Dreysse, MD, Alexander Mladenow, MD, Helmut Habazettl, MD, PhD, Roland Hetzer, MD, PhD, Axel Unbehaun, MD The Journal of Thoracic and Cardiovascular Surgery Volume 145, Issue 2, Pages 391-397 (February 2013) DOI: 10.1016/j.jtcvs.2012.01.043 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Kaplan-Meier survival curves for patients without P-PM (iEOA > 0.85), with moderate P-PM (iEOA 0.65-0.85), and with severe P-PM (iEOA < 0.65). Censored patients are represented by vertical marks. Only severe P-PM was associated with increased early mortality within the first 3 months after TAVI. This effect was confirmed in a multivariate analysis. The difference in survivals persisted for 1 year and leveled off thereafter. P values were derived from the log–rank test nd all pairwise comparisons by Holm-Sidak (adjusted P = .0014 and .009 for severe versus no and moderate P-PM at 3 months and .037 and .13 at 12 month, respectively). P-PM, Patient–prosthesis mismatch; iEOA, indexed effective orifice area; TAVI, transcatheter aortic valve implantation. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 391-397DOI: (10.1016/j.jtcvs.2012.01.043) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier survival curves for patients with ejection fraction (EF) greater than 50% versus less than 50% (left panel) and for patients with left ventricular end-systolic volume (LVESV) less than 35 mL versus greater than 35 mL (right panel). Cutoff values for risk stratification were selected from receiver operating characteristics curves. Censored patients are represented by vertical marks. P values were derived from log–rank tests. The association of EF and LVESV with survival was, however, not confirmed in the multivariate analysis. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 391-397DOI: (10.1016/j.jtcvs.2012.01.043) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions