Structural Heart最新文献

{"title":"Editorial: Flattening the Curve","authors":"Tsuyoshi Kaneko MD, Connor P. Callahan MD, MSc","doi":"10.1016/j.shj.2023.100215","DOIUrl":"10.1016/j.shj.2023.100215","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"8 1","pages":"Article 100215"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S247487062300101X/pdfft?md5=99355c67bcf72d28913f94e6c0f85623&pid=1-s2.0-S247487062300101X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46526585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aims & Scope/Disclaimers","authors":"","doi":"10.1016/S2474-8706(23)00215-4","DOIUrl":"https://doi.org/10.1016/S2474-8706(23)00215-4","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"8 1","pages":"Article 100272"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623002154/pdfft?md5=caabf78f94bd77d36db01ce7a9272de3&pid=1-s2.0-S2474870623002154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139487897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aims & Scope/Disclaimers","authors":"","doi":"10.1016/S2474-8706(23)00189-6","DOIUrl":"10.1016/S2474-8706(23)00189-6","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100260"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623001896/pdfft?md5=09053ae3f13e5c97187884b28fd99cee&pid=1-s2.0-S2474870623001896-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best Practices in Left Ventricular Pacing for Transcatheter Aortic Valve Replacement","authors":"David Blusztein MBBS ,&nbsp;Aidan Raney MD ,&nbsp;Joe Walsh MD, MSc ,&nbsp;Tamim Nazif MD ,&nbsp;Christopher Woods MD, PhD ,&nbsp;David Daniels MD","doi":"10.1016/j.shj.2023.100213","DOIUrl":"10.1016/j.shj.2023.100213","url":null,"abstract":"<div><p>Transcatheter aortic valve replacement (TAVR) is continually evolving, with a recent emphasis on a “minimalist” approach toward reducing procedural invasiveness, duration, and recovery time. Whereas a better understanding of the relationship between TAVR and new conduction disturbances has led to improved periprocedural management, intraprocedural rapid-pacing techniques have not evolved beyond traditional right ventricular temporary pacing. An alternative strategy utilizing the left ventricular guidewire for rapid pacing has been developed with evidence supporting its safety, effectiveness, and potential reductions in procedure time and cost. This review will outline the current best practices in left ventricular pacing for TAVR, a practical technique that embraces the minimalist approach to TAVR and may be considered for routine use. It aims to explore the current evidence and combine this with expert opinion to offer a strategy for temporary pacing that encourages efficiencies for physicians and patients without compromising periprocedural safety.</p></div>","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623000994/pdfft?md5=8be5c3b5c62930458967075bc873f4e7&pid=1-s2.0-S2474870623000994-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45500457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcatheter Closure of Aortic Root Rupture and Pseudoaneurysm After Surgical Implantation of Transcatheter Valve in Native Mitral Annular Calcification With Concomitant Surgically Implanted Transcatheter Aortic Valve","authors":"Alexander Cubberley MD ,&nbsp;Rahul Sawhney DO ,&nbsp;Paul Grayburn MD ,&nbsp;Ambarish Gopal MD ,&nbsp;Justin Schaffer MD ,&nbsp;Robert L. Smith MD ,&nbsp;Molly Szerlip MD ,&nbsp;Srinivasa Potluri MD","doi":"10.1016/j.shj.2023.100205","DOIUrl":"10.1016/j.shj.2023.100205","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100205"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623000878/pdfft?md5=2a8508971aafb7365bb61392188105cd&pid=1-s2.0-S2474870623000878-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43894255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rheumatic Heart Disease in the Developing World","authors":"Michael T. Simpson MD ,&nbsp;Mateusz Kachel MD ,&nbsp;Robert C. Neely MD ,&nbsp;W. Clinton Erwin MD ,&nbsp;Aleena Yasin MD ,&nbsp;Amisha Patel MD ,&nbsp;Dasari Prasada Rao MBBS, MS, MCh ,&nbsp;Kaushal Pandey MBBS, MCh ,&nbsp;Isaac George MD","doi":"10.1016/j.shj.2023.100219","DOIUrl":"10.1016/j.shj.2023.100219","url":null,"abstract":"<div><p>Despite recent public policy initiatives, rheumatic heart disease (RHD) remains a major source of morbidity worldwide. Rheumatic heart disease occurs as a sequela of <em>Streptococcus pyogenes</em> (group A streptococcal [GAS]) infection in patients with genetic susceptibility. Strategies for prevention of RHD or progression of RHD include prevention of GAS infection with community initiatives, effective treatment of GAS infection, and secondary prophylaxis with intramuscular penicillin. The cardiac surgical community has attempted to improve the availability of surgery in RHD-endemic areas with some success, and operative techniques and outcomes of valve repair continue to improve, potentially offering patients a safer, more durable operation. Innovation offers hope for a more scalable solution with improved biomaterials and transcatheter delivery technology; however, cost remains a barrier.</p></div>","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100219"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623001057/pdfft?md5=ef21e1bacad86ba04cf2e936b16cd85d&pid=1-s2.0-S2474870623001057-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135388557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relevance of Motion Artifacts in Planning Computed Tomography on Outcomes After Transcatheter Aortic Valve Implantation","authors":"Stefan Toggweiler MD ,&nbsp;Lucca Loretz MD ,&nbsp;Mathias Wolfrum MD ,&nbsp;Ralf Buhmann MD ,&nbsp;Jürgen Fornaro MD ,&nbsp;Matthias Bossard MD ,&nbsp;Adrian Attinger-Toller MD ,&nbsp;Florim Cuculi MD ,&nbsp;Justus Roos MD ,&nbsp;Jonathon A. Leipsic MD ,&nbsp;Federico Moccetti MD","doi":"10.1016/j.shj.2023.100214","DOIUrl":"10.1016/j.shj.2023.100214","url":null,"abstract":"<div><h3>Background</h3><p>Motion artifacts in planning computed tomography (CT) for transcatheter aortic valve implantation (TAVI) can potentially skew measurements required for procedural planning. Whether such artifacts may affect safety or efficacy has not been studied.</p></div><div><h3>Methods</h3><p>We conducted a retrospective analysis of 852 consecutive patients (mean age, 82 years; 47% women) undergoing TAVI-planning CT at a tertiary care center. Two independent observers divided CTs according to the presence of motion artifacts at the annulus level (Motion vs. Normal group). Endpoints included surrogate markers for inappropriate valve selection: annular rupture, valve embolization or misplacement, need for a new permanent pacemaker, paravalvular leak (PVL), postprocedural transvalvular gradient, all-cause death.</p></div><div><h3>Results</h3><p>Forty-six (5.4%) patients presented motion artifacts on TAVI-planning CT (Motion group). These patients had more preexisting heart failure, moderate-severe mitral regurgitation, and atrial fibrillation. Interobserver variability of annular measurement (Normal vs. Motion group) did not differ for mean annular diameter but was significantly different for perimeter and area. Presence of motion artifacts on planning CT did not affect the prevalence of PVL (≥moderate PVL 0% vs. 2.5% <em>p</em> = 0.5), mean transvalvular gradient (6±3 mmHg vs 7±5 mmHg, <em>p</em> = 0.1), or the need for additional valve implantation (0% vs. 2.8%, <em>p</em> = 0.6). One annular rupture occurred (Normal group). Pacemaker implantation, procedural duration, hospital stay, 30-day outcomes, and all-cause mortality did not differ between the groups.</p></div><div><h3>Conclusions</h3><p>Motion artifacts on planning CT were found in about 5% of patients. Measurements for valve selection were possible without the need for repeat CT, with mean diameter-derived annulus measurement being the most accurate. Motion artifacts were not associated with worse outcomes.</p></div>","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100214"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623001008/pdfft?md5=ab9de2727a69de5cd589d785c4f240e5&pid=1-s2.0-S2474870623001008-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48932664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VersaCross Transseptal System for Mitral Transcatheter Edge-To-Edge Repair With the PASCAL Repair Platform","authors":"Sagar N. Doshi MD, MBChB, FRCP ,&nbsp;Panagiotis Savvoulidis MD, PhD, FESC ,&nbsp;Anthony Mechery MBBS, DM, MRCP ,&nbsp;Ewa Lawton RN ,&nbsp;M. Adnan Nadir MD, MRCP, FACC","doi":"10.1016/j.shj.2023.100203","DOIUrl":"10.1016/j.shj.2023.100203","url":null,"abstract":"<div><h3>Background</h3><p>VersaCross is a novel radiofrequency transseptal solution that may improve the efficiency and workflow of transseptal puncture (TSP). The aim of this study was to compare the VersaCross transseptal system with mechanical needle systems during mitral transcatheter edge-to-edge repair (M-TEER) with the PASCAL device.</p></div><div><h3>Methods</h3><p>This is a single-center retrospective study of consecutive patients who underwent M-TEER with the PASCAL. Transseptal puncture was undertaken with either a mechanical needle or the VersaCross wire. The primary endpoints were success of TSP and successful delivery of the Edwards sheath on the chosen delivery wire. Secondary endpoints included number of wires used, tamponade rate, interval from femoral venous access to TSP and first PASCAL device deployment, procedural death, and stroke.</p></div><div><h3>Results</h3><p>Thirty-three consecutive patients (10 with mechanical needle, 23 with VersaCross) who underwent M-TEER with the Edwards PASCAL device were identified. All patients had successful TSP. In the mechanical needle group, the Edwards sheath was successfully delivered on the Superstiff Amplatz wire in all cases. In the VersaCross arm, the radiofrequency wire was used successfully for delivery of the sheath in all cases. There were no cases of pericardial effusion/tamponade in either arm. Interval from femoral venous access to TSP and to deployment of the first PASCAL device was shorter with the VersaCross system. Significantly fewer wires were used with VersaCross. There were no procedural deaths or strokes in either group.</p></div><div><h3>Conclusions</h3><p>VersaCross appears a safe and effective method of TSP and for delivery of the 22Fr sheath for M-TEER with PASCAL.</p></div>","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100203"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623000854/pdfft?md5=98e9d7751b553658ccbc1d6289c564ff&pid=1-s2.0-S2474870623000854-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46010295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and Outcomes of Patients Ineligible for Transcatheter Mitral Valve Replacement","authors":"Taha Hatab MD ,&nbsp;Syed Zaid MD ,&nbsp;Priscilla Wessly MD ,&nbsp;Nadeen Faza MD ,&nbsp;Stephen H. Little MD ,&nbsp;Marvin D. Atkins MD ,&nbsp;Michael J. Reardon MD ,&nbsp;Neal S. Kleiman MD ,&nbsp;William A. Zoghbi MD ,&nbsp;Sachin S. Goel MD","doi":"10.1016/j.shj.2023.100206","DOIUrl":"10.1016/j.shj.2023.100206","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S247487062300088X/pdfft?md5=72911fc9b9f8818c83c70d83e91706cd&pid=1-s2.0-S247487062300088X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41526417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Backed Against a Wall: Iatrogenic Type A Aortic Dissection Pinned by Transcatheter Aortic Valve","authors":"Alexander E. Sullivan MD ,&nbsp;Melissa M. Levack MD ,&nbsp;Colin M. Barker MD ,&nbsp;Kashish Goel MD","doi":"10.1016/j.shj.2023.100218","DOIUrl":"10.1016/j.shj.2023.100218","url":null,"abstract":"","PeriodicalId":36053,"journal":{"name":"Structural Heart","volume":"7 6","pages":"Article 100218"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2474870623001045/pdfft?md5=c3eea6d70d74bd0edf80119d8a0b011b&pid=1-s2.0-S2474870623001045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}