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Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients at lower surgical risk: meta-analysis of randomized trials.
Can J Cardiol
March 2025
Department of Cardiology, Rabin Medical Center, Petah Tikva, Israel; The Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Background: The use of transcatheter aortic valve implantation (TAVI) for severe aortic stenosis is expanding to patients across the entire spectrum of surgical risk. We aimed to perform a meta-analysis comparing TAVI and surgical aortic valve replacement (SAVR) in trials enrolling lower risk patients.
Methods: We conducted a meta-analysis of randomized controlled trials (RCTs) comparing safety and efficacy outcomes between TAVI and SAVR among lower risk patients (mean/median STS score <4).
Comparison of 30-day complications between a tine-based and a screw-in helix fixation single-chamber ventricular leadless pacemaker. Results of a propensity-matched analysis from a multicentre, nationwide registry.
Heart Rhythm
March 2025
Ospedale Giovanni Paolo II, ASP di Ragusa, Ragusa, Italy.
Background: Medtronic Micra VR and Abbott Aveir VR are two single-chamber ventricular leadless pacemakers (L-PMs) currently available in clinical practice. They differ in their design, fixation mechanism (tine-based fixation for Micra VR, screw-in helix fixation for Aveir VR), and implantation technique. Little comparative safety data are available for these LPMs.
View Article and Find Full Text PDFAcquired ventricular septal defect secondary to aortic valve endocarditis.
J Cardiothorac Surg
March 2025
University of North Dakota School of Medicine and Health Sciences, 1301 N Columbia Rd Stop 9037, Grand Forks, ND, 58202-9037, USA.
Infective endocarditis remains a deadly disease with a significant mortality rate. While ventricular septal defects (VSDs) have been linked to an increased risk of infective endocarditis, cases of acquired VSDs resulting from infective endocarditis are not well-documented in the literature. Our report highlights a rare case of acquired VSD that resulted directly from aortic valve endocarditis, treated with successful repair and placement of permanent pacemaker.
View Article and Find Full Text PDFStereotactic body radiotherapy for treating lung cancer with a leadless pacemaker: A case report.
Medicine (Baltimore)
March 2025
Department of Radiology Division, Nara Prefecture General Medical Center, Nara, Japan.
Rationale: Stereotactic body radiotherapy (SBRT) is a precise treatment modality for lung cancer, delivering high-dose radiation to tumors while sparing surrounding organs. However, because of their intracardiac placement and proximity to the chest radiation field, leadless pacemakers (LLPMs) pose unique challenges that are not fully addressed by the existing protocols for conventional pacemakers.
Patient Concerns: In this case study, we aimed to emphasize the importance of identifying LLPMs before initiating SBRT for lung cancer and to discuss the necessary adjustments in treatment planning needed to accommodate these devices.
Late outcomes of congenital and childhood non-immune, isolated atrioventricular block: a French nationwide retrospective cohort study.
Europace
March 2025
Nantes Université, CHU Nantes, Department of Pediatric Cardiology and Pediatric Cardiac Surgery, FHU PreciCare, F-44000 Nantes, France.
Background And Aims: The natural history of congenital or childhood non-immune, isolated atrioventricular block (AVB) is poorly defined. We aimed at clarifying its long-term outcomes.
Methods: We retrospectively studied 385 children with isolated, non-immune AVB diagnosed from in utero or up to 18 years of age, at 29 French medical centers, between 1980 and 2022.
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