Publications by authors named "Anna Kapitman"
Objectives: To describe the use of orbital atherectomy to prepare iliofemoral vessels for large-bore access prior to transcatheter aortic valve replacement (TAVR).
Background: Transfemoral (TF)-TAVR has been shown to be at least equivalent to surgery. Nevertheless, many patients do not qualify for the TF approach due to severe iliofemoral occlusive disease.
Article Synopsis
- * In a study of 575 patients not on hemodialysis, it was found that lower GFR was associated with higher peri-procedural stroke rates, particularly in patients with GFR levels below 60 ml/min, while device success rates remained consistent across GFR groups.
- * Despite procedural improvements like low-contrast techniques, patients with renal insufficiency still face poor long-term outcomes, highlighting the need for ongoing research and optimized strategies for managing this population.