MEDFOXES

PCI Post TAVI with Core Valve

Unplanned PCI post TAVI is uncommon, and the incidence decreases over time. In the first two years following TAVI, acute coronary syndrome is the primary rationale for PCI; thereafter, chronic coronary syndromes are more common. Balloon-expandable and self-expandable bioprostheses appear to have no differences in the frequency or success of unplanned PCIs after TAVR. Hardware’s […]

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Coronary Angiogram Protocols Post TAVI With Core Valve

Following TAVI, coronary interventions can be technically challenging. The selective cannulation of the coronary ostia, which is dependent on patient anatomy, valve type and design, and implantation parameters including implantation depth and the orientation of the commissural tabs with respect to the ostia, is the most difficult part of the surgery. The following, we summarise

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How can coronary access be improved after TAVI?

The prevalence of coronary artery disease in patients with severe aortic stenosis undergoing TAVI ranges from 40% to 75%. According to single-center studies, between 3.5% and 5.7% of TAVI patients required PCI after TAVI. “As the indication for TAVR expands to lower risk patients with a better long-term prognosis, the need for repeat coronary angiography and

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3-Dimensional Rotational Angiography an Imaging Tool in Atrial Fibrillation Ablation

Since the first reports of percutaneous catheter therapy for atrial fibrillation (AF) were published exactly twenty years ago, the field has grown exponentially. The current standard of care, which has evolved through many techniques and treatment plans, entails pulmonary vein isolation (PVI) using Radio-frequency (RF) or other energy sources. While it has been demonstrated that

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QFR and OFR In the Assessment of Intermediate CAD

QFR and OFR in the Assessment of intermediate CAD that may benefit from percutaneous coronary intervention, a physiological lesion assessment is indicated. The optical flow ratio (OFR) is a more modern approach for the quick and automated assessment of coronary physiology from intracoronary optical coherence tomography (OCT). The quantitative flow ratio (QFR) was created to

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Ventricular Septal Defect Closure

The use of a transcatheter device to congenital Ventricular Septal Defect Closure Is an appealing and practical alternative to surgery. Isolated congenital VSDs are the most prevalent type of congenital heart disease in children and babies, accounting for 25–35 percent of all cardiac abnormalities. The majority of VSDs are found in the ventricular septum’s membranous

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Cathlab Protocols: Balloon Mitral Valvuloplasty (BMV)

Balloon Mitral Valvuloplasty is an Interventional treatment used to increase the opening of a narrowed (stenotic) valve The most common cause of native mitral stenosis is rheumatic heart disease. The obstruction to inflow resulting from fusion of the valve commissures is the pathophysiologic problem in these patients. Left atrial hypertension, atrial arrhythmias, pulmonary hypertension, and

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