The authors compared mechanically expanded TAVR to self-expanding TAVR in a randomized non-inferiority trial. Major adverse events occurred in 20% and 17% of patients, respectively (safety measure). The one-year rates of mortality, stroke, or paravalvular leak for the valves were 15.4% and 25.5%, respectively (effectiveness measure). Mechanically
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Aortic valve disease
December 26, 2017
The Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) copublished the 2017 guidelines for the management of valvular disease in the European Heart Journal and in the European Journal of Cardio-Thoracic Surgery.
December 19, 2017
This technical video illustrates the minimally invasive approach to valve-sparing aortic root replacement.
December 15, 2017
Patient Care
A baby in the UK has surgery to put her ectopic heart back inside her chest.
December 14, 2017
Heyman Luckraz of the American Hospital Dubai, UAE, presents an overview of different access routes for transcatheter aortic valve replacement.
December 12, 2017
This video demonstrates a sutureless aortic valve replacement via a right anterior thoracotomy on minicardiopulmonary bypass.
December 1, 2017
Patient Care
November 16, 2017
This brief article compares costs and morbidities for TAVR and SAVR in the current era. TAVR costs are higher than for SAVR and have increased despite no apparent change in comorbidity index. In contrast, SAVR costs remained stable during the same period.
November 9, 2017
Using a data set from 682 US hospitals during a 10-year period, the relationship of hospital procedure volume for AVR and MVR to adjusted mortality rate was evaluated. Using terciles of volume to classify hospitals according to quality resulted in misclassification of 305 hospitals. Hospital volume has only a modest association with quality as judg
November 8, 2017
Trends in the use of bioprosthetic versus mechanical valves for AVR and MVR were assessed using a California-based surgical population from 1996-2013. During this period the use of bioprosthetic devices increased from 12% to 52% for AVR and from 17% to 54% for MVR. Bioprostheses were associated with substantially increased 15-year mortality in youn