Publications by authors named "Max Rooijakkers"
Background: Left ventricular ejection fraction (LVEF) demonstrates limited prognostic value for post-transcatheter aortic valve replacement (TAVR) outcomes. Evidence regarding the potential role of left ventricular global longitudinal strain (LV-GLS) in this setting is inconsistent.
Objectives: The aim of this systematic review and meta-analysis of aggregated data was to evaluate the prognostic value of preprocedural LV-GLS for post-TAVR-related morbidity and mortality.
Article Synopsis
- Grading paravalvular leak (PVL) during TAVI deployment is difficult, and using invasive hemodynamic measurements can help improve grading and predict outcomes.
- The study examined 651 patients with severe aortic valve stenosis treated with self-expanding TAVI devices from 2008 to 2017, collecting various hemodynamic and echocardiographic data.
- The ARI ratio was identified as the strongest predictor of 1-year mortality, highlighting the importance of hemodynamic measures in assessing the risks associated with PVL during TAVI procedures.
Patients who undergo transcatheter aortic valve replacement often are frail and elderly. Delirium is a frequently observed complication, associated with impaired recovery, prolonged hospital stay, and mortality. In different hospital settings, interventions that reduced the incidence of delirium resulted in improved clinical outcome and reduced costs.
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