The authors present a step-by-step description of mitral valve annuloplasty ring implantation that takes into account not only the surgical technique, including positioning of annular stitches and correct sizing, but also mitral annulus anatomy and its close relationship with surrounding structures.
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Cardiac
October 24, 2017
This condensed video goes through the key steps of a minimally invasive aortic valve replacement via a right anterior thoracotomy in one minute.
October 20, 2017
Many answers need to be addressed before transcatheter aortic valve implantation (TAVI) is adopted in lower risk patients. This paper highlights the pros and cons of TAVI based mostly on randomized clinical trials involving the two device platforms approved in the United States.
October 20, 2017
Physicians are sometimes at risk related to services they provide for patients. This study describes the effects of low dose radiation in the cath lab on the brains of interventional cardiologists. This is something for CT surgeons to be aware of as they become more involved in catheter-based techniques.
October 19, 2017
Ganesh Manoharan of the Royal Victoria Hospital in Belfast, Northern Ireland, discusses design features of transcatheter aortic valves.
October 19, 2017
The authors review cybersecurity issues related to newer generations of pacemakers. Telemetric capabilities providing patient data to health care workers can be co-opted, enabling malicious software to endanger patients. Risks include intentional battery depletion and malicious reprogramming.
October 18, 2017
In this video, PEARS inventor and first patient, Tal Golesworthy, interviews the 100th PEARS patient.
October 18, 2017
This study evaluates 1028 octogenarians who underwent isolated aortic valve replacement (AVR, 306 TAVR and 722 SAVR) between 2002 and 2015 at Brigham and Women’s Hospital in the US. The mean age of patients was 84.4 ± 3.4 years old, with overall STS-PROM score of 5.96 ± 3.87.
October 18, 2017
The authors report the non-intuitive finding that blood from female donors who had ever been pregnant was associated with increased mortality among male recipients (HR 1.13). If validated by other studies, might this substantially complicate matching donated blood with appropriate recipients? Clearly the underlying mechanism will be interesting to
October 18, 2017
The author decries what he sees as the corporatization of airline pilots, with their accompanying loss of autonomy and prestige. He speculates on whether a similar future is ahead for physicians, but does not provide specific suggestions on how to avoid this from occurring.