Publications by authors named "Martin B Cohen"
Readmission following urgent transcatheter aortic valve implantation versus urgent balloon aortic valvuloplasty in patients with decompensated heart failure or cardiogenic shock.
Catheter Cardiovasc Interv
September 2021
Background: Urgent transcatheter aortic valve implantation (TAVI) is a feasible option for aortic stenosis (AS) patients with decompensated heart failure (HF) and cardiogenic shock (CS) as compared to the more traditional urgent balloon aortic valvuloplasty (BAV).
Objectives: We conducted a retrospective analysis to compare risk and cause of readmission in these two high-risk groups.
Methods: Nationwide Readmission Database (NRD) 2011-2014 was retrospectively analyzed to identify patients with AS having either urgent TAVI or urgent BAV using appropriate ICD-9 codes.
Article Synopsis
- The study examines the impact of frailty in elderly patients undergoing transcatheter aortic valve implantations (TAVI), revealing that frailty levels lead to increased hospital readmission rates within 6 months post-procedure.
- Out of 20,504 patients evaluated, those with high frailty exhibited a much higher readmission rate (51.1%) and mortality during readmissions compared to low frailty patients (27.9%).
- Overall, the results suggest that frailty significantly worsens outcomes after TAVI, highlighting the need for careful assessment and management of frail elderly patients undergoing cardiac procedures.
Pseudoaneurysms in the ascending aorta most commonly occur as a complication of surgical procedures at this site. They have also been reported in association with trauma, infection, aortitis, and other disorders. Pseudoaneurysm formation in the descending aorta or arch may occur as a result of penetrating ulcers in the presence of severe atherosclerotic plaque.
View Article and Find Full Text PDF