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TAVI: implante coplanar vs overlapping-cusp TAVI：共面植入与重叠尖头植入
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.02.009
Francisco Estévez-Cid , Victor X. Mosquera Rodríguez , Consuelo M. Sisinni Ganly , Carmen Iglesias Gil , Jose J. Cuenca Castillo , Juan J. Legarra Calderón
{"title":"TAVI: implante coplanar vs overlapping-cusp","authors":"Francisco Estévez-Cid ,&nbsp;Victor X. Mosquera Rodríguez ,&nbsp;Consuelo M. Sisinni Ganly ,&nbsp;Carmen Iglesias Gil ,&nbsp;Jose J. Cuenca Castillo ,&nbsp;Juan J. Legarra Calderón","doi":"10.1016/j.circv.2024.02.009","DOIUrl":"10.1016/j.circv.2024.02.009","url":null,"abstract":"<div><div>In recent years, TAVI using the cusp overlap projection, or cups-overlap technique (POC), has been postulated as a new alternative for the higher implantation of self-expanding bioprostheses.</div><div>The aim of this review is to describe the POC technique and to analyze the reported experience in comparison with the coplanar or standard technique.</div><div>TAVI procedures with self-expanding bioprostheses using the POC technique have been shown to be safe and have been associated with better commissural alignment and a higher prosthetic implantation depth, which leads to lower rates of conduction disorders and permanent pacemaker implantation. However, this technique has been associated with higher radiation doses during the procedure.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 88-92"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402237","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}
引用次数: 0
Implante valvular aórtico transcatéter transfemoral paso a paso 经导管经股动脉主动脉瓣植入术步骤
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.02.010
Miguel Ángel Gómez Vidal
{"title":"Implante valvular aórtico transcatéter transfemoral paso a paso","authors":"Miguel Ángel Gómez Vidal","doi":"10.1016/j.circv.2024.02.010","DOIUrl":"10.1016/j.circv.2024.02.010","url":null,"abstract":"<div><div>The transfemoral implantation technique of a transcatheter Aortic valve (TAVI) is the most widespread of all, and although it is basically the same as the rest of the retrograde transarterial implantation techniques, it has its peculiarities, and practically all devices are adapted to this access, being currently the most used in the world.</div><div>Talking about transfemoral TAVI implant with everything that is currently written and protocolized by different authors is a bit repetitive, but in general the current descriptions usually refer to a specific device, adapting it to its specific peculiarities, being the most popular. devices from Medtronic (Corevalve and evolut-pro) and Edwards (Sapiens 3 and ultra).</div><div>For this reason, I am going to try to give this document an eminently general and practical nature, trying to provide you with the technical possibilities and tricks that experience has allowed me to know and learn.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 72-79"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407894","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}
引用次数: 0
TAVI frente a cirugía convencional aórtica. ¿Dónde están los límites? TAVI 与传统主动脉手术：极限在哪里？
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.01.011
Miguel Piñón
{"title":"TAVI frente a cirugía convencional aórtica. ¿Dónde están los límites?","authors":"Miguel Piñón","doi":"10.1016/j.circv.2024.01.011","DOIUrl":"10.1016/j.circv.2024.01.011","url":null,"abstract":"<div><div>Transcatheter aortic valve implantation (TAVI) has experienced an increase in the number of procedures of 50% with its expansion to low risk, over the numbers obtained with high and intermediate risks. Recently, updates have been made public in the follow-up of the main randomized clinical studies (RCTs) in this group of patients. Although the results of these studies have served as a basis for recommending TAVI in elderly patients with intermediate or high risks, there are still several aspects that need to be clarified before expanding, in an indiscriminate or unselected manner to low-risk young patients. This review's aim is to analyze the results available in the published evidence, as well as the most significant variables that can affect their consistency, both in early and long term; for consideration in individualized patient-centered decision making.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 102-109"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279846","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}
引用次数: 0
Credits 学分
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/S1134-0096(25)00037-3
{"title":"Credits","authors":"","doi":"10.1016/S1134-0096(25)00037-3","DOIUrl":"10.1016/S1134-0096(25)00037-3","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Page i"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577658","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}
引用次数: 0
La importancia de la planificación en el tratamiento transcatéter de la estenosis aórtica severa 规划在经导管治疗重度主动脉瓣狭窄中的重要性
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.01.009
Omar A. Araji-Tiliani
{"title":"La importancia de la planificación en el tratamiento transcatéter de la estenosis aórtica severa","authors":"Omar A. Araji-Tiliani","doi":"10.1016/j.circv.2024.01.009","DOIUrl":"10.1016/j.circv.2024.01.009","url":null,"abstract":"<div><div>Angio CT has become an essential tool for choosing the size and type of prosthesis to use, as well as the best approach, for the treatment of severe transcatheter aortic stenosis (TAVI).</div><div>In this article we describe the important points that must be considered for the correct planning and execution of this technique, with the use of angio CT.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 65-71"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277465","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}
引用次数: 0
Tips and tricks in the prevention and management of vascular complications in TAVI TAVI血管并发症的预防和处理技巧
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.09.001
Antonella Tommasino , Pasqualino Sirignano , Federico Dell’Aquila , Vincenzo Fiorentini , Matteo Casenghi , Francesca Giovannelli , Stefano Rigattieri , Andrea Berni , Maurizio Taurino , Emanuele Barbato
{"title":"Tips and tricks in the prevention and management of vascular complications in TAVI","authors":"Antonella Tommasino ,&nbsp;Pasqualino Sirignano ,&nbsp;Federico Dell’Aquila ,&nbsp;Vincenzo Fiorentini ,&nbsp;Matteo Casenghi ,&nbsp;Francesca Giovannelli ,&nbsp;Stefano Rigattieri ,&nbsp;Andrea Berni ,&nbsp;Maurizio Taurino ,&nbsp;Emanuele Barbato","doi":"10.1016/j.circv.2024.09.001","DOIUrl":"10.1016/j.circv.2024.09.001","url":null,"abstract":"<div><div>Transcatheter aortic valve implantation (TAVI) has become a standard treatment for severe aortic stenosis, especially in elderly patients or those considered high-risk for surgery. Despite its increasing success, TAVI still presents challenges, particularly in the management of access site. Advances in procedure planning, device miniaturization and operator experience have mitigated these issues, but vascular complications are still common.</div><div>The transfemoral approach is the most common for TAVI, although it varies widely depending on operator experience and center protocols, ranging from surgical to fully percutaneous methods. Minimally invasive techniques are increasingly favored to improve the results of the procedure. Effective management of access site complications is critical and requires careful pre-procedure planning and skilled intervention.</div><div>Recent developments in ultrasound-guided access and the refinement of vascular closure devices have shown promise in reducing complications. It has also been shown that radial access as an axillary approach has a lower complication rate compared to contralateral femoral access. The integration of new devices and techniques, such as the less invasive approach, will further improve patient outcomes.</div><div>This review emphasizes the importance of a comprehensive, multidisciplinary approach to TAVI and highlights the need for continued innovation and collaboration to further reduce vascular complications and improve the safety and efficacy of the procedure. As TAVI indications expand to younger populations, refinement of access management strategies and incorporation of advanced imaging and predictive tools will be critical to optimizing patient care and outcomes.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 93-101"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577625","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}
引用次数: 0
Credits 学分
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-01-01 DOI: 10.1016/S1134-0096(24)00208-0
{"title":"Credits","authors":"","doi":"10.1016/S1134-0096(24)00208-0","DOIUrl":"10.1016/S1134-0096(24)00208-0","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 1","pages":"Page i"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143572","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}
引用次数: 0
Análisis de los datos del Registro Español de Cirugía Cardiaca (RECC) 2021-2023 西班牙心脏手术登记处（RECC）数据分析（2021-2023年）
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-01-01 DOI: 10.1016/j.circv.2024.07.003
Lourdes Montero-Cruces , Manuel Carnero-Alcázar , Rafael Rodríguez-Lecoq , José C. Sureda-Barbosa , Jorge Rodríguez-Roda-Stuart , Fabrizio Sbraga , Juan J. Legarra-Calderón , Juan M. Gracia-Baena , Alejandro Adsuar-Gómez , Félix Gómez-Blasco , José F. Valderrama-Marcos , Nuria Arce-Ramos , Carlos E. Martín-López , Stefano Urso , José A. Hernández-Campos , Nora García-Borges , Álvaro Pedraz-Prieto , Marta Matamala-Adell , Jorge Rivas Oyarzabal , Diego Macías-Rubio , José López-Menéndez
{"title":"Análisis de los datos del Registro Español de Cirugía Cardiaca (RECC) 2021-2023","authors":"Lourdes Montero-Cruces ,&nbsp;Manuel Carnero-Alcázar ,&nbsp;Rafael Rodríguez-Lecoq ,&nbsp;José C. Sureda-Barbosa ,&nbsp;Jorge Rodríguez-Roda-Stuart ,&nbsp;Fabrizio Sbraga ,&nbsp;Juan J. Legarra-Calderón ,&nbsp;Juan M. Gracia-Baena ,&nbsp;Alejandro Adsuar-Gómez ,&nbsp;Félix Gómez-Blasco ,&nbsp;José F. Valderrama-Marcos ,&nbsp;Nuria Arce-Ramos ,&nbsp;Carlos E. Martín-López ,&nbsp;Stefano Urso ,&nbsp;José A. Hernández-Campos ,&nbsp;Nora García-Borges ,&nbsp;Álvaro Pedraz-Prieto ,&nbsp;Marta Matamala-Adell ,&nbsp;Jorge Rivas Oyarzabal ,&nbsp;Diego Macías-Rubio ,&nbsp;José López-Menéndez","doi":"10.1016/j.circv.2024.07.003","DOIUrl":"10.1016/j.circv.2024.07.003","url":null,"abstract":"<div><div>More than three years ago, the Spanish Society of Cardiovascular and Endovascular Surgery started the Spanish Registry of Cardiac Surgery (RECC) in order to offer all cardiac surgery services nationwide a patient-level registry. The objective of this study is to offer a global vision of the data entered into the RECC in the period between february 8, 2021 and february 8, 2024 of the participating centers that have contributed data from at least 40 interventions. The information has been analyzed anonymously at the patient, hospital and province level. To estimate risk-adjusted mortality, the EuroSCORE II preoperative risk estimation scale was used. A total of 10,852 interventions have been included in the RECC, of which 9,236 were major cardiac surgeries. 53.4% (n<!--> <!-->=<!--> <!-->4,935) of major procedures were valve surgeries, 25.2% (n<!--> <!-->=<!--> <!-->2,324) myocardial revascularization surgeries and 15.0% (n<!--> <!-->=<!--> <!-->1,387) aorta procedures. The mean EuroSCORE II of major cardiac surgeries was 5.5% (SD 8.6), the overall mortality was 5.1% and the RAMR of major procedures was 0.92. In 2023, the mean EuroSCORE II was 5.4%, the observed mortality was 6.4% and the RAMR was 1.18. In 2023, the EuroSCORE II underestimated low-risk patients.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 1","pages":"Pages 34-50"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143578","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}
引用次数: 0
Reparación de ectopia cordis asociada con pentalogía de Cantrell, presentación de un caso 修复伴有坎特雷尔氏五联症的脐带异位，病例展示
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-01-01 DOI: 10.1016/j.circv.2024.04.002
Miguel A. Medina-Andrade , Ítalo D. Masini-Aguilera , Jaime Lopez-Taylor , David Ramírez-Cedillo , Carlos A. Jimenez-Fernandez , Nancy Erika Medina Martinez , Rocio A. Peña-Juárez
{"title":"Reparación de ectopia cordis asociada con pentalogía de Cantrell, presentación de un caso","authors":"Miguel A. Medina-Andrade ,&nbsp;Ítalo D. Masini-Aguilera ,&nbsp;Jaime Lopez-Taylor ,&nbsp;David Ramírez-Cedillo ,&nbsp;Carlos A. Jimenez-Fernandez ,&nbsp;Nancy Erika Medina Martinez ,&nbsp;Rocio A. Peña-Juárez","doi":"10.1016/j.circv.2024.04.002","DOIUrl":"10.1016/j.circv.2024.04.002","url":null,"abstract":"<div><div>Cantrelĺs pentalogy is an extremely rare syndrome associating with ectopia cordis and various degrees of midline defects. We present the case of patient with pentalogy of Cantrell with ectopia complete cordis without serious intracardiac anomalies, performing cardiac reduction towards the mediastinum with adequate evolution.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 1","pages":"Pages 23-25"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710663","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}
引用次数: 0
El poder de la palabra en la curación del paciente 治愈病人的语言力量
IF 0.3
Cirugia Cardiovascular Pub Date : 2025-01-01 DOI: 10.1016/j.circv.2024.11.002
Alberto Juffé Stein , Federico Menéndez Osorio
{"title":"El poder de la palabra en la curación del paciente","authors":"Alberto Juffé Stein ,&nbsp;Federico Menéndez Osorio","doi":"10.1016/j.circv.2024.11.002","DOIUrl":"10.1016/j.circv.2024.11.002","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 1","pages":"Pages 1-2"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143573","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}
引用次数: 0
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