Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Apr 2013
Comparative StudyClinical profile and outcome of patients with severe aortic stenosis at high surgical risk: single-center prospective evaluation according to treatment assignment.
The study sought to assess the clinical profile, outcome, and predictors for mortality of "real-world" high-risk severe aortic stenosis patients according to the mode of treatment assigned. ⋯ TAVR, performed in carefully selected high-risk patients, is associated with an excellent survival rate and high functional class. Patients treated with another of the available modalities, including SAVR, had a worse outcome, regardless of which alternative treatment they receive.
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Catheter Cardiovasc Interv · Apr 2013
Comparative StudySafety and efficacy of everolimus-eluting stents versus paclitaxel-eluting stents in a diabetic population.
This study aimed to analyze the use of everolimus-eluting stents (EES) and paclitaxel-eluting stents (PES) in an unrestricted diabetic population and to compare the performance of these two drug-eluting stents. ⋯ In a diabetic population undergoing PCI, the use of an EES compared to PES was associated with lower rates of stent thrombosis; but after adjustment the composite TLR-MACE at 1 year was similar between both stents.
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Catheter Cardiovasc Interv · Apr 2013
Case ReportsSuccessful percutaneous transvenous antegrade mitral valve-in-valve implantation.
We report a case of transcatheter valve-in-valve therapy performed on an 85-year-old man with severe mitral bioprosthetic valve dysfunction. He was a high risk candidate for conventional surgery and he underwent placement of the Melody transcatheter heart valve into the mitral bioprosthesis via the right femoral vein.
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Catheter Cardiovasc Interv · Apr 2013
Usefulness of balloon angioplasty for the right ventricle-pulmonary artery shunt with the modified Norwood procedure.
We sought to evaluate the efficacy of balloon angioplasty (BA) for severely desaturated patients due to a stenotic right ventricle (RV) to pulmonary artery (PA) shunt following modified Norwood procedure. ⋯ A BA-alone strategy for a stenotic RV-PA shunt was effective for all three shunt portions, minimizing shunt-related premature surgical intervention.
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Catheter Cardiovasc Interv · Apr 2013
Case ReportsBalloon-assisted tracking of a guide catheter through difficult radial anatomy: a technical report.
A small caliber or significant tortuosity of radial artery may create difficulty in negotiating a 6F or 7F guide catheter while performing intervention through transradial approach. We describe a technique that helps tracking a guide catheter in such demanding situation for successful completion of procedure without increasing the chance of perforation and dissection.