Publications by authors named "Jean Marc Haurand"
Background: The PASCAL P10 system for mitral valve transcatheter edge-to-edge repair has undergone iterations, including introduction of the narrower Ace implant and the Precision delivery system.
Objectives: The study sought to evaluate outcomes and the impact of PASCAL mitral valve transcatheter edge-to-edge repair device iterations.
Methods: The REPAIR (REgistry of PAscal for mltral Regurgitation) study is an investigator-initiated, multicenter registry including consecutive patients with mitral regurgitation (MR) treated from 2019 to 2024.
Previous trials reported comparable results with PASCAL and earlier MitraClip generations. Limited comparative data exist for more contemporary MitraClip generations, particularly the large MitraClip XT(R/W). We aimed to evaluate acute and 30-day outcomes in patients undergoing mitral valve transcatheter edge-to-edge repair (M-TEER) with one of the large devices, either PASCAL P10 or MitraClip XT(R/W) (3rd/4th generation).
View Article and Find Full Text PDFPercutaneous left ventricular assist devices (pVADs) may be used in patients with cardiogenic shock (CS) to stabilize hemodynamics and maintain sufficient end-organ perfusion. Vascular complications are commonly observed in patients with pVAD support. We aimed to assess the relationship between pVAD implantation time and access-site complication rates.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate the costs associated with mitral valve transcatheter edge-to-edge repair (M-TEER) treatments using the MitraClip and PASCAL systems through a clinical process cost analysis.
- A total of 107 M-TEER patients were prospectively analyzed for in-hospital costs, while a retrospective analysis of 716 procedures looked at complications and costs associated with materials used during the procedures.
- Results showed that the main cost driver was material expenditure, particularly device costs, with no significant differences in overall costs between the two systems, and complications led to additional costs primarily from extended hospital stays.
In-hospital cardiac arrest (IHCA) is associated with high mortality and poor neurological outcomes. Our objective was to assess whether the lactate-to-albumin ratio (LAR) can predict the outcomes in patients after IHCA. We retrospectively screened 75,987 hospitalised patients at a university hospital between 2015 and 2019.
View Article and Find Full Text PDFDeep sedation vs. general anesthesia for transcatheter tricuspid valve repair.
Front Cardiovasc Med
August 2022
Article Synopsis
- The study explored the effectiveness and safety of performing transcatheter tricuspid valve repair (TTVr) using deep sedation (DS) instead of general anesthesia (GA).
- It involved a retrospective analysis of 104 patients, showing that both techniques had similar technical success rates and safety outcomes, with no need for conversion from DS to GA during procedures.
- Notably, patients who underwent TTVr under DS had a shorter hospital stay compared to those who received GA, suggesting that DS could be a viable alternative for this procedure.
Acute Kidney Injury Following Tricuspid Transcatheter Edge-to-Edge Repair.
JACC Cardiovasc Interv
October 2022
Background: Little is known about the incidence and clinical relevance of postprocedural acute kidney injury (AKI) in patients undergoing transcatheter edge-to-edge repair (TEER) for tricuspid regurgitation (TR).
Objectives: The aim of this study was to investigate the prognostic impact of postprocedural AKI following TEER for TR.
Methods: Two hundred sixty-eight patients who underwent TEER for TR at 2 centers were retrospectively analyzed.
Aim: Isolation of patients in single-patient rooms for infection control precautions leads to less contact with medical staff. Our objective was to assess whether isolated patients who suffer an in-hospital cardiac arrest (IHCA) have lower survival as non-isolated IHCA patients.
Methods: We screened for IHCA occurrence and the isolation state in 75.
In-hospital cardiac arrest (IHCA) is associated with poor outcomes. There are currently no standards for cardiac arrest teams in terms of member composition and task allocation. Here we aimed to compare two different cardiac arrest team concepts to cover IHCA management in terms of survival and neurological outcomes.
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