Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Dec 2013
Comparative StudyCost-analysis of percutaneous pulmonary valve implantation compared to surgical pulmonary valve replacement.
To perform cost evaluation and economic modeling of percutaneous pulmonary valve implantation (PPVI) compared to surgical revision. ⋯ PPVI holds a significant cost advantage over the surgical approach, fewer hospital days, and incurs less patient wage loss. Furthermore, it would need to have a very high failure rate at 10 years to lose its cost advantage.
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Catheter Cardiovasc Interv · Dec 2013
Randomized Controlled Trial Comparative StudyComparison of ultrasound guidance with the traditional palpation and fluoroscopy method for the common femoral artery puncture.
To compare the success and complication rates of ultrasound-guided or palpation-guided punctures of the common femoral artery in a prospective randomized study. ⋯ Ultrasound guidance improves secondary outcomes of the common femoral artery puncture when compared to palpation-guided puncture. Technical success and complication rates seem lower in the presence of ultrasound guidance but larger study populations are needed to verify the result.
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Catheter Cardiovasc Interv · Dec 2013
Endovascular treatment of type B dissection in patients with Marfan syndrome: mid-term outcomes and aortic remodeling.
To evaluate the mid-term outcomes, and the aortic remodeling in Marfan syndrome (MFS) patients with type B dissection that were treated with endovascular repair. ⋯ Our results suggest that TEVAR is feasible, safe, and associated with a high reintervention rate and reduced rate of positive aortic remodeling in patients with Marfan syndrome. Survival at 8 years was comparable to contemporary series of open repair.
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Catheter Cardiovasc Interv · Nov 2013
Observational StudyTransseptal antegrade transcatheter aortic valve replacement for patients with no other access approach - a contemporary experience.
To assess the feasibility and outcomes in patients undergoing transvenous transseptal (TS) transcatheter aortic valve replacement (TAVR). ⋯ The antegrade TS approach to TAVR is a technically feasible option for "no-access" patients. Prospective assessment of the safety and efficacy of this approach in the current era warrants further study.