Publications by authors named "Paul Vock"

Aims: Less pronounced calcification of the aortic valve (AVC) was observed in women with aortic stenosis (AS) as compared to men. Since women have smaller aortic valves (AV), this could explain a lower calcium load. We aimed to analyze the association of AV size with AVC independent from sex.

View Article and Find Full Text PDF

: There are limited data about left atrial appendage closure (LAAC) in patients with cancer. We therefore sought to compare the outcome after LAAC in patients with vs. without cancer in a multicentre registry.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effects of chronic total occlusion (CTO)-percutaneous coronary intervention (PCI) on patients' symptoms, quality of life, and mortality based on a retrospective analysis in Austria.
  • Out of 300 patients, 84% had successful CTO-PCI, showing improved angina scores and quality of life metrics for those who had successful procedures, while there was no significant difference in mortality or major complications between successful and failed cases.
  • The results suggest that while CTO-PCI does not impact overall mortality, successful interventions can significantly reduce angina symptoms and decrease the need for medication.
View Article and Find Full Text PDF

Background: Coronary artery disease (CAD) is a common finding in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR). However, the impact on prognosis of chronic total occlusions (CTOs), a drastic expression of CAD, remains unclear.

Methods And Results: We retrospectively reviewed 1,487 consecutive TAVR cases performed at a single tertiary care medical center.

View Article and Find Full Text PDF

Background: Rotational atherectomy (RA) during percutaneous coronary intervention may cause transient bradycardia or a higher-degree heart block. Traditionally, some operators use prophylactic transvenous pacing wire (TPW) to avoid haemodynamic complications associated with bradycardia.

Objective: We sought to establish the frequency of bail-out need for emergency TPW insertion in patients undergoing RA that have received no upfront TPW insertion.

View Article and Find Full Text PDF

Coronary artery disease (CAD) is frequently encountered in patients evaluated for transcatheter aortic valve replacement (TAVR) due to severe aortic stenosis. The prognostic relevance of chronic total occlusions (CTOs) in this setting is poorly understood. We conducted a search of MEDLINE and EMBASE to identify studies evaluating patients who underwent TAVR and evaluated outcomes depending on the presence of coronary CTOs.

View Article and Find Full Text PDF

Background: As a preventive procedure, minimizing periprocedural risk is crucially important during left atrial appendage closure (LAAC). Methods: We included consecutive patients receiving LAAC at nine centres and assessed the relationship between baseline characteristics and the acute procedural outcome. Major procedural complications were defined as all complications requiring immediate invasive intervention or causing irreversible damage.

View Article and Find Full Text PDF

Background: Mitral regurgitation (MR) and cardiac amyloidosis (CA) both primarily affect older patients. Data on coexistence and prognostic implications of MR and CA are currently lacking.

Objectives: This study sought to identify the prevalence, clinical characteristics, and outcomes of MR CA compared with lone MR.

View Article and Find Full Text PDF

Background: Lead-associated complications and technical issues in patients with cardiac implantable electronic devices are common but underreported in the literature.

Methods: All patients undergoing implantation of the Osypka QT-5 ventricular lead at the University Clinic St. Pölten between 1 January 2006 and 31 December 2012 were retrospectively analyzed ( = 211).

View Article and Find Full Text PDF

Background: Complete real-world data on the indications and outcomes of left atrial appendage closure (LAAC) outside of clinical trials are rare. In this study, we stratified patients undergoing LAAC by indication groups.

Methods: This analysis of the national multicentre Austrian LAAC Registry comprised all patients that underwent LAAC up until 2018 at the currently active centres in Austria.

View Article and Find Full Text PDF

Objectives: This study sought to investigate the outcome of high-risk and inoperable patients with severe symptomatic aortic stenosis undergoing transfemoral transcatheter aortic valve replacement (TAVR) in hospitals with (iOSCS) versus without institutional on-site cardiac surgery (no-iOSCS).

Background: Current guidelines recommend the use of TAVR only in institutions with a department for cardiac surgery on site.

Methods: In this analysis of the prospective multicenter Austrian TAVI registry, 1,822 consecutive high-risk patients with severe symptomatic aortic stenosis undergoing transfemoral TAVR were evaluated.

View Article and Find Full Text PDF

Background: Age is a strong predictor of survival in patients with coronary artery disease. In elder patients with increasing co-morbidities percutaneous coronary intervention (PCI) is associated with more complications and worse outcome. The calculation of relative survival rates adjusts for the "background" mortality in the general population by correcting for age and gender.

View Article and Find Full Text PDF

Background: The purpose of this study was to evaluate the feasibility of the magnetic resonance (MR) conditional pacemaker (PM) system (Evia SR-T and DR-T with Safio S leads) under MR conditions.

Methods: Patients with standard PM indications and Evia PM were eligible for enrollment in this single center prospective non-randomized pilot study. Patients underwent MR of the brain and lower lumbar spine at 1.

View Article and Find Full Text PDF