Alternative access for transcatheter aortic valve replacement in older adults: A collaborative study from France and United States.

Background: We examined the outcomes of older adults undergoing nontrans-femoral (non-TF) transcatheter aortic valve replacement (TAVR) procedures including trans-apical (TA), trans-aortic (TAo), trans-subclavian (TSub), and trans-carotid (TCa) techniques.

Methods And Results: This is an observational study of all consecutive older patients who underwent non-TF TAVR for symptomatic severe AS with Edwards Sapien (ES), Medtronic CoreValve, ES3 or Lotus Valve at three centers in France and the United States from 04/2008 to 02/2017. Baseline characteristics and clinical outcomes were defined according to VARC-2 criteria.

[The surgical treatment of electrocardiostimulator implantation septic complications with the system preservation].

Results of surgical treatment of local septic complications after the electrocardiostimulator (ECS) implantation in 86 patients were analyzed. Comparison of two patient groups allowed to prove the importance of the preoperative echocardiography and bacteriological blood test as well as the thorough surgical treatment.