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Impact of moderate sedation on electrophysiology lab time for left atrial appendage occlusion using 4D-intracardiac echocardiography.
J Cardiovasc Electrophysiol
November 2024
Division of Cardiology, Endeavor Health-North Shore University Health System, Evanston, Illinois, USA.
Article Synopsis
- Left atrial appendage occlusion (LAAO) procedures can be performed using either moderate sedation (MS) or general anesthesia (GA), and this study aimed to compare their effectiveness regarding lab time and complications.
- The study included 135 patients and found that procedures under MS had significantly shorter total lab times (68.3 minutes) compared to GA (117.1 minutes), mainly due to reduced non-procedure time.
- Despite the significant difference in lab time, there were no notable variations in complication rates or overall patient outcomes between the two anesthesia approaches.
Fusion of Bovine Tissue Aortic Valve Leaflets in a Patient With Left Ventricular Assist Device.
JACC Case Rep
May 2022
Center for Advanced Heart & Lung Disease, Baylor University Medical Center, Dallas, Texas, USA.
Patients with both a prosthetic aortic valve and prolonged left ventricular assist device support can develop rapid deterioration of their valve prosthesis. In patients with myocardial recovery who are undergoing explantation of their ventricular assist device, preoperative and intraoperative evaluation of the valve prosthesis should be performed to ensure adequate function. ().
View Article and Find Full Text PDFSurgical Repair for Primary Tricuspid Valve Disease: Individualized Surgical Planning With 3-Dimensional Printing.
JACC Case Rep
November 2020
Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Primary tricuspid valve (TV) disease is rare and associated with high operative mortality. Optimal surgical planning requires a precise understanding of the pathological features; however, detailed imaging of the TV can be challenging. We present 4 cases of primary TV disease where 3-dimensional printing was pivotal to operative planning and success.
View Article and Find Full Text PDFTranscatheter Left Atrial Appendage Closure Using Preprocedural Computed Tomography and Intraprocedural 4-Dimensional Intracardiac Echocardiography.
Circ Cardiovasc Interv
July 2021
Columbia Structural Heart and Valve Center and Center for Interventional Vascular Therapy, New York-Presbyterian Hospital, Columbia University Irving Medical Center (L.S.R., O.K.K., E.D., V.A., N.H., R.T.H., V.N., Z.A.A., M.B.L., R.S., T.P.V.).
Transcatheter aortic valve thrombosis: Data from a French multicenter cohort analysis.
Catheter Cardiovasc Interv
August 2021
Department of Cardiology, CHU Clermont-Ferrand, CNRS UMR 6602, Université Clermont Auvergne, Clermont-Ferrand, France.
Objectives: To evaluate the effectiveness of anticoagulant therapies in patients with clinical transcatheter heart valve (THV) thrombosis, to describe complications, and to assess their risk profile was the objectives.
Background: Little research has been conducted on clinical THV thrombosis.
Methods: Patients with clinical THV thrombosis were identified based on greater than 50% increased transvalvular gradient on transthoracic echocardiogram confirmed by 4-dimensional computed tomography, transesophageal echocardiogram, or regression with anticoagulant therapy.
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