Transaortic Transcatheter Aortic Valve Implantation and Concomitant Off Pump Revascularization.

An increasing number of patients with severe aortic stenosis and concomitant critical coronary artery disease were referred to our hospital. Some of those patients were classified as high-risk patients qualifying for a transcatheter therapy with the additional need for coronary revascularization. As a consequence of their comorbidities, the established transapical as well as transfemoral approach were either not possible or not favored owing to the indispensable need for coronary revascularization.

Risk factors predicting the successful function and use of autogenous arteriovenous fistulae for hemodialysis.

Background: For patients with end-stage renal failure hemodialysis with an autogenous arteriovenous fistula (AVF) has proven to be the ideal vascular access.

Objective: The aim of this study is to discover potential predictors of a well-functioning hemodialysis fistula.

Methods: From December 2009 to March 2011, 80 patients undergoing first time AVF creation were enrolled in our retrospective study.

Concomitant transapical transcatheter aortic valve implantation and minimally invasive direct coronary artery bypass.

We represent a successful minimally invasive combined off-pump procedure consisting of a transapical aortic valve implantation and a direct coronary artery bypass grafting in a woman with a severe aortic stenosis and a critical coronary artery disease. Due to her comorbidities, she was classified as a high-risk patient qualifying for a transcatheter procedure. We performed this combined procedure in a hybrid operation room, starting with the coronary bypass to maintain a coronary blood flow during the transapical valve implantation.