Dr Om Prakesh Yadava of the National Heart Institute in New Delhi, India, and Professor Vinayak Bapat of Columbia University in New York, USA, discuss transcatheter valve therapies and sutureless valves.
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Transcatheter
March 31, 2018
70-year-old Arnold Schwarzenegger has undergone successful redo heart surgery at Ceders-Sinai Hospital, after an initial attempt to replace his pulmonic valve percutaneously. He famously underwent an attempted Ross Procedure in 1997, and the pulmonic valve left from that operation now required repeat surgery.
March 29, 2018
This video shows a novel technique using a transcatheter valve deployed in the mitral position during open surgery.
March 19, 2018
A medium-size RCT comparing full sternotomy to limited sternotomy for conventional aortic valve replacement, presented at the SCTS Annual Meeting in Glasgow. The 7-10% one year attrition rate seems quite disappointing, and will most probably be discussed. We will await the full paper to see what was the learning curve for the innovative approach.
March 9, 2018
Patient Care
Carter Capps, a pitcher for professional baseball team the San Diego Padres, has made himself a necklace out of the rib surgeons removed during his thoracic outlet surgery.
March 3, 2018
The STS/ACC TAVR Registry was analyzed to determine the effect of tricuspid regurgitation (TR) on outcomes after transcatheter aortic valve replacement (TAVR). The authors found that TR, of any severity, is quite common in TAVR patients (80%). The breakup of TR severity was as follows:
February 21, 2018
A well-written, brief, pessimistic editorial on the loss of surgeon autonomy in innovation.
February 16, 2018
Patient Care
February 9, 2018
In this meta-analysis, the authors compare surgical aortic valve replacement (SAVR) with transcatheter aortic valve implantation (TAVI) in patients at low surgical risk. They included two randomized controlled trials and four propensity-matched studies for a total of almost 3500 patients.
February 2, 2018
A brief note on the feasibility (or not) of RCT on surgery for mitral fibroelastic prolapse.