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Transcatheter intervention of modified Blalock-Taussig shunts in patients with hypoplastic left heart syndrome undergoing stage 1 palliation.
Front Cardiovasc Med
November 2024
Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Background: While several studies have explored the outcomes of transcatheter interventions for modified Blalock-Taussig shunts (MBTSs) in a broad range of congenital heart diseases, none have specifically examined the interventions in patients with hypoplastic left heart syndrome (HLHS) who underwent Norwood palliation (NP).
Methods: This retrospective study was conducted between 2020 and 2024, when 24 urgent interventions were performed on 17 patients at our center. We recorded several key outcomes, including early and late intervention-related complications, the need for reintervention, the interval between the NP and the first intervention, shunt patency following the intervention, associated morbidities, and thrombosis-related sudden events.
Characteristics and outcomes of patients with postpartum hemorrhage undergoing transcatheter arterial embolization: A nationwide observational study.
Int J Gynaecol Obstet
November 2024
Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Article Synopsis
- This study aimed to investigate the demographics, clinical characteristics, and outcomes of patients with postpartum hemorrhage (PPH) who underwent transcatheter arterial embolization (TAE) in Japan from 2012 to 2020.
- Out of 64,893 PPH patients, only 2,705 (4.2%) had TAE, with uterine atony being the leading cause; a significant portion required hysterectomies, and some surgeries occurred more than a week after TAE.
- The findings emphasize that while TAE can control bleeding, clinicians should be aware that hysterectomies may still be necessary later, highlighting the importance of fertility-preserving treatment options for PPH patients.
Using novel machine learning tools to predict optimal discharge following transcatheter aortic valve replacement.
Arch Cardiovasc Dis
October 2024
Department of Cardiology, Northwell Health, 2000 Marcus Avenue, Suite 300, New Hyde Park, NY, 11042-1069, USA.
Background: Although transcatheter aortic valve replacement has emerged as an alternative to surgical aortic valve replacement, it requires extensive healthcare resources, and optimal length of hospital stay has become increasingly important. This study was conducted to assess the potential of novel machine learning models (artificial neural network and eXtreme Gradient Boost) in predicting optimal hospital discharge following transcatheter aortic valve replacement.
Aim: To determine whether artificial neural network and eXtreme Gradient Boost models can be used to accurately predict optimal discharge following transcatheter aortic valve replacement.
Coagulation after transcatheter aortic valve replacement: Still a black box?
Catheter Cardiovasc Interv
November 2024
Department of Cardiovascular Diseases, Deutsches Herzzentrum München, Klinikum der Technischen Universität München, Munich, Germany.
Safety and efficacy of protamine after transcatheter aortic valve replacement.
Indian Heart J
November 2024
Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), No.1, Ramachandra Nagar, Porur, Chennai, Tamil Nadu, 600116, India. Electronic address:
Article Synopsis
- * The use of protamine to reverse heparin after TAVR did not show a significant reduction in major bleeding compared to the control group, with similar rates of life-threatening bleeding and other complications.
- * While protamine seems safe post-TAVR and doesn't increase stroke risk, more research is needed to confirm its effectiveness in reducing bleeding through a larger, multicentric study.
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