Publications by authors named "R Targonski"

What is the efficacy and safety of transcatheter tricuspid valve-in-valve implantation for patients with inoperable tricuspid surgical prosthesis dysfunction? Thirty-day mortality after greatly effective transcatheter treatment is 2 times less than the estimated surgical risk.

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Introduction: Data regarding patients with a previous medical record of immunosuppression treatment who have undergone transcatheter aortic valve implantation (TAVI) are limited and extremely inconclusive. Available studies are mostly short term observations; thus there is a lack of evidence on efficacy and safety of TAVI in this specific group of patients.

Aim: To compare the in-hospital and long-term outcomes between patients with or without a medical history of immunosuppressive treatment undergoing TAVI for aortic valve stenosis (AS).

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Article Synopsis
  • Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) is shown to be safe and effective, reducing the need for repeat surgical valve replacements in high-risk patients.
  • In Poland, the proportion of ViV-TAVI procedures was about 2% of all TAVIs in 2020, with expectations for an increase in this number.
  • The article discusses the challenges of ViV-TAVI, emphasizing the importance of pre-procedural planning to optimize outcomes and reduce risks, while also reviewing guidelines for repeat TAVI in cases of failed aortic bioprosthesis.
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