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Journal and News Scan
April 1, 2014
Submitted by: Mark Ferguson
Transcatheter AVR (TAVR) was compared to surgical AVR for treatment of aortic stenosis in 795 high risk patients. TAVR was associated with a decreased risk of death at 1 year (14% vs 19%; p<0.04). This was likely due to a reduction in the risk of adverse cardiovascular and cerebrovascular events.
April 1, 2014
Submitted by: Mark Ferguson
This randomized trial including more than 10,000 patients undergoing noncardiac surgery evaluated the use of perioperative aspirin in patients at increased risk for vascular complications. The end points were death or MI. The end points occurred in equal numbers (7%) in both groups. Bleeding complications were more common in the aspirin group (4.6% vs 3.8%).
March 31, 2014
Submitted by: Ruben Osnabrugge
The authors of this article sought to compare long-term outcome with early surgery with a conventional treatment strategy in patients with asymptomatic severe mitral regurgitation. In a propensity matched analysis of 207 pairs, they found that early surgery was associated with a lower risk of mortality (p=0.033) and cardiac events (p=0.002) than conventional treatment. In additional Cox proportional hazard analyses, the benefit of early early surgery seemed to be restricted to patients >50 years old.
March 30, 2014
Submitted by: Tom C. Nguyen
Randomized trial in high risk patients (n=121) with severe aortic stenosis comparing a balloon-expandable valve (Edwards Sapien XT) versus a self-expandable valve (Medtronic CoreValve). Higher device success and lower PPM implantation was appreciated in the ballon-expandable group.
March 30, 2014
Submitted by: Tom C. Nguyen
Randomized trial in high risk patients (n=121) with severe aortic stenosis comparing a balloon-expandable valve (Edwards Sapien XT) versus a self-expandable valve (Medtronic CoreValve). Higher device success and lower PPM implantation was appreciated in the ballon-expandable group.
March 29, 2014
Submitted by: Tom C. Nguyen
Recognized educational leaders Dr. Curt Tribble and Dr. Walter Merrill describe how to effectively use language during teaching, specifically the language of science, performance, and memory.
March 29, 2014
Submitted by: Tom C. Nguyen
Consensus guidelines on performing PCI without on-site surgery backup. The document outlines best practices and requirements for centers performing PCI without on-site surgery and evaluates the role of PCI without on-site surgery within the context of the US healthcare system.
March 27, 2014
Submitted by: Joel Dunning
The authors analysed the influence of Haloperidol on post-cardiotomy delirium. The study on over 200 patients revealed that Haloperidol is not effective for reducing the duration of delirium.
March 27, 2014
Submitted by: Joel Dunning
The authors review 17 publications on the use of artificial chordae in mitral valve repair. Rates of mortality, morbidity, complications and reoperation are low. Correct determination of the length of the chordae presents still one of the most important problems.
March 27, 2014
Submitted by: Joel Dunning
A prospective multicentre study analysed 532 patients with a first surgical procedure for pulmonary metastases of colorectal carcinoma. Complications arose in 16%, reoperations were necessary in 1% and mortality was 0.4%. Major lung resection and respiratory and/or cardiovascular co-morbidity were identified as independent risk factors, whereas a video-assisted approach was protective.