Publications by authors named "Vicens Serra"

Article Synopsis
  • Percutaneous mitral paravalvular leak (PVL) closure is a safe and effective alternative to surgery, but its long-term outcomes are not well-studied. The study focused on how successful closure impacts long-term patient outcomes.* -
  • Researchers analyzed data from 90 patients undergoing their first mitral PVL closure attempt between 2010 and 2021, finding that while 91.1% had a reduction in leak severity, only 52.2% achieved successful closure.* -
  • After a median follow-up of 3.2 years, those with procedural failure faced significantly higher mortality rates, particularly from cardiovascular causes, indicating that successful PVL closure greatly benefits long-term health.*
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Article Synopsis
  • Patients with ST-segment elevation myocardial infarction (STEMI) after transcatheter aortic valve replacement (TAVR) face higher risks compared to non-TAVR patients, particularly in terms of mortality.
  • The study analyzed 118 TAVR patients with STEMI and found longer door-to-balloon times, increased procedural durations, and higher rates of PCI failure compared to a control group of non-TAVR STEMI patients.
  • Key risk factors for increased mortality included reduced kidney function, higher Killip class (indicating worsening heart failure), and failure of the PCI procedure itself.
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Unlabelled: Percutaneous intervention of a coronary graft is the treatment of choice when the graft fails. The objective is to report the long-term results of drug-eluting stents (DES) in mammary artery grafts (MAG). Patients who had been treated with DES for MAG in 27 centers were selected.

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Aims: To evaluate the feasibility and safety of the Nile Croco® coronary bifurcation stent system (Minvasys, Gennevilliers, France).

Methods And Results: The primary endpoint was to assess the acute device success and angiographic success with the use of the Nile Croco® stent system. Secondary endpoints included in-hospital and six month major cardiac events (MACE).

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Background: Hospital prognosis of moderate to severe pericardial effusion (MPE; ≥10 mm) in ST-elevation myocardial infarction is largely unknown.

Methods And Results: Data from 446 ST-elevation myocardial infarction patients, 228 with MPE-88 with cardiac tamponade (CT) and electromechanical dissociation (EMD), 44 with CT without EMD (w/oEMD), and 96 without initial CT-and 218 with small PE (5 to 9 mm), were compared. Patients with MPE without initial CT were also compared with 96 patients without PE.

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Background: Possible changes in the incidence and outcome of cardiac rupture in patients with ST-elevation myocardial infarction over a long period of time have not been investigated.

Methods And Results: The incidence of cardiac rupture in ST-elevation myocardial infarction patients and its mortality rate were investigated during a 30-year period divided into 5 intervals (1977 to 1982, 1983 to 1988, 1989 to 1994, 1995 to 2000, and 2001 to 2006). Of a total of 6678 consecutive patients, 425 experienced a free wall rupture (280 with cardiac tamponade: 227 with electromechanical dissociation and 53 with hypotension) or a septal rupture (145).

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