We have done 140+ consecutive now, including two cases of endocarditis. The results remained the same. Hemodynamics and LVH further improved in the second year. Median AVA went up to 2.4 cm2, and mean gradient remained 6-7 mmHg, better than TAVR (presented at STS 2023)
Look into figure 8. The PPM defined using EOA by individual echo measurement reflects dramatic difference of long term survival between no PPM and any PPM. That’s how PPM should be defined, not the EOA from valve company or predicted EOA published in literature
💥Nice work by @leoneppmd and colleagues!
🚨⬆️Severe PPM with intra-annular vs supra-annular #TAVR
8.8% vs 3.6%; p=0.007
🚨⬆️Severe PPM in BEV vs SEV
8.7% vs 4.6%; p=0.041
BUT…
🚨More than mild PVL more often with SEV versus BEV (11.6% vs 2.6%; p<0.001).
❓❓PVL vs PPM❓❓
😁Great news #LatAm! 🇧🇷Minister of Health just published the approval of #TAVI#TAVR in the public health system.
💥Details:
1. Only in patients older than 75y
2. NOT in every corner: only at centers of high complexity (tertiary🏥)
3. Mandatory 🫀Team = ICs and CTsurgeons👍👍👍
🔥Hot off the press🔥 Just published in @JAMACardio https://t.co/kSsOUBqMiy
💥Acute Uncomplicated Type B #AorticDissection#AortaEd
💥#TEVAR vs MT
💥TEVAR not associated with ⬇️☠️ or ⬇️🏥 in 5 years, but in a sensitivity analysis including 30-day☠️, TEVAR associated with ⬇️☠️
Happy to share our most recent review on
“Considerations for Reoperative Heart Valve Surgery”
Published by Structural Heart @crfshj
Open Access, free full text: https://t.co/neyByouSqW
Standard root enlargement patch cut from 34mm Hemashield tube graft. Easy to duplicate. Annulus size 19mm w surgical valve sizer. Upsized to 23mm with standard Manougian. BSA 1.6. Gradient 3mmHg. Adds 10 minutes to clamp time, & tremendous value. @AspiringCTS@M_Pompeu_Sa_MD
@LuisCastroMD@AspiringCTS This is something that we should learn early on in our training. I believe that the more we recognize the issue of mismatch, the more we will see ourselves using this technique to improve outcomes and to make ViV-TAVI a valuable technique (ViV in small valves is a disaster)…👍