Publications by authors named "Krystof Andress"
Article Synopsis
- Monitored anesthesia care (MAC) is increasingly favored over general anesthesia (GA) for transcatheter aortic valve replacement (TAVR), reducing complications and improving efficiency.
- In a study involving 998 patients, those receiving MAC exhibited significantly shorter procedural and fluoroscopy times, lower contrast volume, and reduced radiation exposure, alongside quicker recovery times and higher discharge rates to home.
- While MAC showed lower 30-day mortality compared to GA, there were no significant differences in long-term mortality or major adverse cardiac events, indicating MAC’s safety and effectiveness with newer valve technologies.
Article Synopsis
- The study compares the accuracy of the current STS online risk calculator for predicting mortality in patients undergoing TAVR against the older 2008 STS risk model.
- After analyzing data from over 1200 TAVR patients, it was found that the newer calculator predicted a significantly lower risk of mortality (6.3%) compared to the older model (7.3%).
- Notably, certain patients with conditions like chronic heart failure were more likely to be reclassified into a lower risk category with the new calculator, which may affect how previous TAVR studies are interpreted.
Aims: The goal of the study was to examine the prognostic impact, haemodynamic and clinical features associated with lung congestion in patients with chronic heart failure (HF).
Methods And Results: HF patients (n = 186) and HF-free controls (n = 21) underwent right heart catheterization, echocardiography, pulmonary function testing and chest radiography that was blindly scored for the presence and severity of lung oedema. Lung congestion correlated directly with pulmonary vascular resistance (PVR, P = 0.