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Tay L, Tay EL, Mah SM, Latib A, Koh C, Ng YS. Association of Intrinsic Capacity with Frailty, Physical Fitness and Adverse Health Outcomes in Community-Dwelling Older Adults. J Frailty Aging 2023; 12:7-15. [PMID: 36629078 PMCID: PMC8966852 DOI: 10.14283/jfa.2022.28] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
BACKGROUND Intrinsic capacity (IC) and frailty are complementary in advancing disability prevention through maintaining functionality. OBJECTIVES We examined the relationship between IC and frailty status at baseline and 1-year, and evaluated if IC decline predicts frailty onset among robust older adults. The secondary objectives investigated associations between IC, physical fitness and health-related outcomes. DESIGN Prospective cohort study. SETTING Community-based assessments. PARTICIPANTS Older adults aged>55 years, who were independent in ambulation (walking aids permitted). MEASUREMENTS 5 domains of IC were assessed at baseline: locomotion (Short Physical Performance Battery, 6-minute walk test), vitality (nutritional status, muscle mass), sensory (self-reported hearing and vision), cognition (self-reported memory, age- and education adjusted cognitive performance), psychological (Geriatric Depression Scale-15, self-reported anxiety/ depression). Composite IC (0-10) was calculated, with higher scores representing greater IC. Frailty status was based on modified Fried criteria, with frailty progression defined as incremental Fried score at 1-year. RESULTS 809 participants (67.6+6.8 years) had complete data for all 5 IC domains. 489 (60.4%) participants were robust but only 213 (26.3%) had no decline in any IC domain. Pre-frail and frail participants were more likely to exhibit decline in all 5 IC domains (p<0.05), with decremental composite IC [9 (8-9), 8 (6-9), 5.5 (4-7.5), p<0.001] across robust, prefrail and frail. IC was significantly associated with fitness performance, independent of age and gender. Higher composite IC reduced risk for frailty progression (OR=0.62, 95% CI 0.48-0.80), and reduced frailty onset among robust older adults (OR=0.53, 95% CI 0.37-0.77), independent of age, comorbidities and social vulnerability. Participants with higher IC were less likely to experience health deterioration (OR=0.70, 95% CI 0.58-0.83), falls (OR=0.76, 95% CI 0.65-0.90) and functional decline (OR=0.64, 95% CI 0.50-0.83) at 1-year. CONCLUSION Declining IC may present before frailty becomes clinically manifest, increasing risk for poor outcomes. Monitoring of IC domains potentially facilitates personalized interventions to avoid progressive frailty.
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Affiliation(s)
- Laura Tay
- Geriatric Medicine, Department of General Medicine, Sengkang General Hospital, 110 Sengkang East Way, Singapore, 544886 Singapore ,Geriatric Education and Research Institute, Singapore, Singapore
| | - E.-L. Tay
- Department of Physiotherapy, Sengkang General Hospital, Singapore, Singapore
| | - S. M. Mah
- Department of Physiotherapy, Sengkang General Hospital, Singapore, Singapore
| | - A. Latib
- Centre for Population Health Research and Implementation, SingHealth, Singapore, Singapore
| | - C. Koh
- Centre for Population Health Research and Implementation, SingHealth, Singapore, Singapore
| | - Y.-S. Ng
- Geriatric Education and Research Institute, Singapore, Singapore ,Department of Rehabilitation Medicine, Singapore General Hospital, Singapore, Singapore
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Van Nieuwkerk AC, Alfonso F, Tchetche D, De Brito Jr FS, Barbanti M, Latib A, Kornowski R, D'Onofrio A, Ribichini F, Mehran R, Delewi R. Predictors and outcomes of acute, sub-acute and early stroke following transcatheter aortic valve implantation. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Stroke is one of the most devastating complications after transcatheter aortic valve implantation (TAVI). The recent third Valve Academic Research Consortium (VARC-3) proposes new stroke terminology according to time between TAVI and stroke onset.
Purpose
We aimed to identify predictors and assessed mortality in patients undergoing transfemoral TAVI complicated by acute, sub-acute and early stroke.
Methods
Patients undergoing transfemoral TAVI were included in a global patient level database. Acute stroke was defined as stroke occurring ≤24 hours after the index procedure. Sub-acute stroke was defined as stroke occurring between >1 day and ≤30 days and early stroke as >30 and ≤365 days following TAVI, according to VARC-3. We identified predictors for these complications using multivariate logistic regression analysis and assessed mortality outcomes in these patients.
Results
A total of 11230 patients underwent transfemoral TAVI. Mean age was 81.5±7.0 years, 58% was female and median STS-PROM score was 6.5% (4.0%-13.2%). A total of 405 (3.6%) experienced stroke during the first year after TAVI. Of these 93 (23%) had acute stroke, 195 (46%) sub-acute stroke and 117 (27%) early stroke. One year mortality was highest after acute stroke (56.9%), followed by sub-acute stroke (41.7%), and early stroke (29.0%), but one-year mortality in all stroke patients was higher than in non-stroke patients (40.5% vs 15.8%, p<0.001). Glomerular filtration rate was an independent predictor for acute stroke (odds ratio [OR] 0.9, 95% confidence interval [CI] 0.9–1.0, p=0.03). Previous cerebrovascular events independently predicted sub-acute stroke (OR 2.1, 95% CI 1.4–3.1, p=0.001). Independent predictors for early stroke were age (OR 1.0 per year, 95% CI 1.0–1.0, p=0.04) and peripheral vascular disease (OR 2.0, 95% CI 1.4–3.0, p<0.001).
Conclusions
Patients undergoing transfemoral TAVI complicated by stroke showed higher one-year mortality than non-stroke patients. Earlier timing of post-TAVI stroke was associated with increased mortality. Acute stroke was predicted by renal impairment; sub-acute stroke by previous cerebrovascular events and early stroke by age and peripheral vascular disease, suggesting different pathways leading to stroke in these patients.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): Hartstichting
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Affiliation(s)
- A C Van Nieuwkerk
- Amsterdam UMC - Location Academic Medical Center , Amsterdam , The Netherlands
| | - F Alfonso
- La Princesa University Hospital , Madrid , Spain
| | | | | | - M Barbanti
- AOU Policlinico - Vittorio Emanuele , Catania , Italy
| | - A Latib
- Montefiore Medical Center, , New York , United States of America
| | | | | | | | - R Mehran
- The Zena and Michael A. Wiener Cardiovascular Institute , New York , United States of America
| | - R Delewi
- Amsterdam UMC - Location Academic Medical Center , Amsterdam , The Netherlands
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Ueyama H, Kuno T, Takagi H, Kobayashi A, Misumida N, Baeza C, Kini A, Lerakis S, Latib A, Sondergaard LARS, Attizzani G. Comparison of valve durability among different transcatheter and surgical aortic valve prostheses: a network meta-analysis. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Durability of different transcatheter heart valve (THV) is critical as the indication of transcatheter aortic valve replacement (TAVR) expands to patients with longer life-expectancy.
Purpose
We aimed to compare the durability of THV systems (balloon-expandable [BE] and self-expandable [SE]) and surgical aortic valve replacement (SAVR) prosthesis.
Methods
PUBMED and EMBASE were searched through February 2021 for randomized trials investigating parameters of valve durability after TAVR and/or SAVR in severe aortic stenosis. A network meta-analysis using random-effect model was performed. Synthesis was performed with 5-year follow-up data for echocardiographic outcomes and longest available follow-up data for clinical outcomes.
Results
Ten trials with a total of 9,388 patients (BE-THV: 2,562; SE-THV 2,863; SAVR:3,963) were included. Follow-up ranged from 1–6 years. SE-THV demonstrated significantly larger effective orifice area, lower mean aortic valve gradient (AVG), and less increase in mean AVG at 5-years compared to BE-THV and SAVR (Figure 1). Structural valve deterioration (SVD) was less frequent in SE-THV compared to BE-THV and SAVR (HR 0.14, 95% CI 0.07–0.27; HR 0.34, 95% CI 0.24–0.47, respectively) (Figure 1). Total moderate-severe aortic regurgitation and re-intervention was more frequent in BE-THV (HR 4.21, 95% CI 2.40–7.39; HR 2.22, 95% CI 1.16–4.26, respectively) and SE-THV (HR 7.51, 95% CI 3.89–14.5; HR 2.86, 95% CI 1.59–5.13, respectively) compared to SAVR.
Conclusion
TAVR with SE-THV demonstrated favorable forward-flow hemodynamics and lowest risk of SVD compared to BE-THV and SAVR at mid-term. However, both THV systems suffer an increased risk of aortic regurgitation and re-intervention, and long-term data from newer generation valve is warranted.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- H Ueyama
- Mount Sinai Beth Israel, New York, United States of America
| | - T Kuno
- Mount Sinai Beth Israel, New York, United States of America
| | - H Takagi
- Shizuoka Medical Center, Shizuoka, Japan
| | - A Kobayashi
- University Hospitals Case Medical Center, Cleveland, United States of America
| | - N Misumida
- University of Kentucky, Lexington, United States of America
| | - C Baeza
- University Hospitals Case Medical Center, Cleveland, United States of America
| | - A Kini
- Mount Sinai Hospital, New York, United States of America
| | - S Lerakis
- Mount Sinai Hospital, New York, United States of America
| | - A Latib
- Montefiore Medical Center,, New York, United States of America
| | | | - G Attizzani
- University Hospitals Case Medical Center, Cleveland, United States of America
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Fujisaki T, Kuno T, Briasoulis A, Misumida N, Takagi H, Latib A. P2Y12 inhibitors in patients with non-ST-segment elevation acute coronary syndrome: systematic review and network meta-analysis of randomized trials. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Based on a recent randomized control trial (RCT), prasugrel is recommended in preference to ticagrelor for patients with non-ST-segment elevation ACS (NSTE-ACS), however, limited data exists.
Objectives
We aimed to investigate the effect of P2Y12 inhibitors on ischemic and bleeding events in NSTE-ACS patients.
Methods
Clinical trials enrolling NSTE-ACS patients were identified and relevant data was extracted. We performed a network meta-analysis on efficacy and safety outcomes.
Results
Our study including a total of 37, 268 patients with NSTE-ACS from 11 RCTs. Prasugrel decreased major adverse cardiovascular events (MACE) when compared to clopidogrel (Hazard ratio (HR): 0.84; 95% confidence interval (CI) [0.71–0.99]). For MACE, prasugrel showed the highest likelihood of event reduction (P-score=0.97) in comparison to ticagrelor (P-score=0.29) and clopidogrel (P-score=0.24). Prasugrel decreased myocardial infarction (HR: 0.82; 95% CI [0.68–0.99]) but increased major bleeding without statistical significance (HR: 1.30; 95% CI [0.97–1.74]) when compared to clopidogrel. Ticagrelor reduced cardiovascular death (HR: 0.79; 95% CI [0.66–0.94]) but increased major bleeding (HR: 1.33; 95% CI [1.00–1.77], p=0.049) in comparison to clopidogrel. There was no significant difference between prasugrel and ticagrelor for each endpoint, but prasugrel had higher likelihood of event reduction than ticagrelor for all endpoints except cardiovascular death.
Conclusions
Prasugrel and ticagrelor had comparable risk for each endpoint, but prasugrel had the highest probability being the best treatment in reducing the primary endpoint. This study highlights the need for further large-scale RCTs to investigate the optimal P2Y12 inhibitor selection in NSTE-ACS patients.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- T Fujisaki
- St Luke's Roosevelt Hospital, New York, United States of America
| | - T Kuno
- Beth Israel Medical Center, Department of Medicine, New York, United States of America
| | - A Briasoulis
- University of Iowa Hospitals and Clinics, Division of Cardiovascular Diseases, Section of Heart Failure and Transplant, Iowa, United States of America
| | - N Misumida
- University of Kentucky, Division of Cardiovascular Medicine, Gill Heart and Vascular Institute, Lexington, United States of America
| | - H Takagi
- Shizuoka Medical Center, Department of Cardiovascular Surgery, Shizuoka, Japan
| | - A Latib
- Montefiore Medical Center (Bronx), Department of Cardiology, New York, United States of America
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5
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Low WL, Sultana R, Huda Mukhlis AB, Ho JCY, Latib A, Tay EL, Mah SM, Chan HN, Ng YS, Tay L. A Non-Controlled Study of a Multi-Factorial Exercise and Nutritional Intervention to Improve Functional Performance and Prevent Frailty Progression in Community-Dwelling Pre-Frail Older Adults. JAR Life 2021; 10:1-7. [PMID: 36923514 PMCID: PMC10002973 DOI: 10.14283/jarlife.2021.1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Accepted: 12/08/2019] [Indexed: 11/11/2022]
Abstract
Background Preventing frailty is important to avoid adverse health outcomes. Intervention studies have largely focused on frail elderly, although the intermediate pre-frail state may be more amenable to improvement. Objectives This study aims to assess how physical performance may change among pre-frail elderly enrolled in a pragmatic non-controlled exercise and nutritional intervention programme. Methods This is a non-controlled study involving a 4-month exercise and nutritional intervention for community dwelling pre-frail older adults. Pre-frailty was defined as the presence of 1 or 2 positive responses on the FRAIL questionnaire, or evidence of weak grip strength (<26kg for males; <18kg for females) or slow gait speed (<0.8m/s) amongst participants who were asymptomatic on FRAIL. Physical performance in flexibility, grip and lower limb strength, endurance, balance, and Short Physical Performance Battery were measured at 3 time-points: baseline, 3-month from recruitment (without intervention), and immediate post-intervention. Repeated measures mixed model analysis was performed to compare physical performance measures across the 3 time-points. Results 94 pre-frail participants were eligible for intervention, of whom 59 (mean age = 70.9±7.2 years) were ready for the post-intervention review. 21 (35.6%) transitioned to robust phenotype while 32 (54.2%) remained as pre-frail. Significant improvement post-intervention was observed in lower limb strength and power, evident on reduction in time taken for 5 sit-to-stand repetitions (0.46±0.20s, p=0.03). There was no significant change to the other physical performance measures examined. Conclusion We observed reversibility of pre-frailty, and the benefit of multi-component intervention in improving physical performance of pre-frail older adults. The findings in this non-controlled study will need to be corroborated with future controlled trials.
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Affiliation(s)
- W L Low
- Duke-NUS Medical School, Singapore
| | | | | | - J C Y Ho
- Research Office, Sengkang General Hospital, Singapore
| | - A Latib
- Health Services Research and Evaluation, SingHealth, Singapore
| | - E L Tay
- Physiotherapy Department, Sengkang General Hospital, Singapore
| | - S M Mah
- Physiotherapy Department, Sengkang General Hospital, Singapore
| | - H N Chan
- Department of Dietetics, Sengkang General Hospital, Singapore
| | - Y S Ng
- Department of General Medicine, Sengkang General Hospital, Singapore
| | - L Tay
- Department of General Medicine, Sengkang General Hospital, Singapore
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6
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Bhadra OD, Latib A, Kim WK, Schofer J, Reichenspurner H, Colombo A, Pagnesi M, Conradi L. The Impact of Predilation Prior to Transcatheter Aortic Valve Implantation with the Self-Expanding ACURATE Neo Device: From the Multicenter Neopro Registry. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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7
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Spargias K, Szerlip M, Kar S, Makkar R, Kipperman R, O'Neill W, Ng M, Fam N, Rinaldi M, Smith R, Walters D, Schafer U, Latib A, Marcoff L, Webb J. Six-month and one-year outcomes with the PASCAL transcatheter valve repair system for patients with mitral regurgitation from the multicentre, prospective CLASP study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Transcatheter mitral valve repair has emerged as a viable option for treating mitral regurgitation (MR). We report results from the multicentre, prospective, single arm CLASP study with the PASCAL transcatheter valve repair system.
Methods
109 patients with clinically significant MR deemed candidates for transcatheter repair by the local heart team were treated in the CLASP study. The study evaluated safety, performance, clinical and echocardiographic outcomes and included an independent clinical events committee and echocardiographic core lab. The primary safety endpoint was a composite MAE rate at 30 days of cardiovascular mortality, stroke, MI, new need for renal replacement therapy, severe bleeding, and re-intervention for study device-related complications.
Results
Mean age was 76 years, 54% male, 57% NYHA Class III/IV, 100% MR grade ≥3+ with 62% functional, 31% degenerative, 7% mixed etiology. Successful implantation was achieved in 95% of patients. At 30 days, the MAE rate was 8.3% including one cardiovascular mortality due to cardiogenic shock as a result of severe bleeding at the contralateral arterial access site for hemodynamic monitoring further complicated by disseminated intravascular coagulation, one stroke, and one conversion to mitral valve replacement surgery. In paired analysis, 88% of patients were in NYHA Class I/II (p<0.001), MR grade was ≤1+ in 79% of patients and ≤2+ in 96% of patients. Significant improvements in 6MWD (+27 m, p<0.001) and KCCQ (+16 points, p<0.001) were observed. The six-month data will be available for presentation. In addition, we report one-year follow up of the first 62 patients (ITT): 93% one-year survival rate (Kaplan-Meier estimate), no stroke, no late reintervention, one late MI. In paired analysis, MR grade was ≤1+ in 82% of patients and ≤2+ in 100% of patients. 88% of patients were in NYHA Class I/II (p<0.001), 6MWD improved by 21 m (p=0.124) and KCCQ improved by 13 points (p<0.001).
Conclusions
This study demonstrates the PASCAL transcatheter valve repair system is safe and resulted in robust MR reduction with 100% of patients achieving MR ≤2+, and ∼ 80% MR ≤1+, sustained at one year. Results show high survival and low complication rates, and sustained improvements in functional status, exercise capacity, and quality of life at one year in patients with clinically significant, symptomatic MR. The CLASP IID/IIF pivotal trial is underway.
Funding Acknowledgement
Type of funding source: Private company. Main funding source(s): Edwards Lifesciences (Irvine, CA)
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Affiliation(s)
| | - M Szerlip
- The Heart Hospital Baylor, Plano, United States of America
| | - S Kar
- Los Robles Hospital and Medical Center, Thousand Oaks, United States of America
| | - R Makkar
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - R Kipperman
- Morristown Medical Center, Morristown, United States of America
| | - W O'Neill
- Henry Ford Hospital, Detroit, United States of America
| | - M Ng
- Royal Prince Alfred Hospital, Camperdown, Australia
| | - N Fam
- St. Michael's Hospital, Toronto, Canada
| | - M Rinaldi
- Sanger Heart and Vascular Institute, Charlotte, United States of America
| | - R Smith
- The Heart Hospital Baylor, Plano, United States of America
| | - D Walters
- Prince Charles Hospital, Chermside, Australia
| | | | - A Latib
- Montefiore Medical Center, New York, United States of America
| | - L Marcoff
- Morristown Medical Center, Morristown, United States of America
| | - J Webb
- St Paul's Hospital, Vancouver, Canada
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Kedhi E, Windecker S, Latib A, Kandzari D, Kirtane A, Mehran R, Price M, Parke M, Lung T, Abizaid A, Simon D, Worthley S, Zaman A, Stone G. Onyx ONE: outcomes in patients with acute coronary syndrome. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background/Introduction
The Onyx ONE Global Study (Onyx ONE), a randomized, single-blind, international trial, demonstrated non-inferiority of a zotarolimus-eluting stent (ZES) to a polymer-free drug-coated stent (DCS) in high-bleeding risk patients treated with 1-month dual antiplatelet therapy (DAPT) followed by single antiplatelet therapy (SAPT). More than half of the Onyx ONE patients presented with an acute coronary syndrome (ACS). The safety and effectiveness of ZES and DCS in ACS patients treated with SAPT after 30 days remains unknown.
Purpose
To evaluate the safety and effectiveness outcomes for ZES and DCS in Onyx ONE patients presenting with ACS.
Methods
The primary outcome of the trial was a composite of cardiac death, myocardial infarction, or stent thrombosis at 1 year. To align with the time that DAPT is interrupted, we also evaluated the primary endpoint between the 2 stent groups in a landmark analysis between 30 days and 1 year. All analyses were performed in ACS patients (includes unstable angina, non ST-elevation myocardial infarction and ST-elevation myocardial infarction).
Results
Among the 1996 patients randomized in Onyx ONE, 982/1902 (51.6%) presented with ACS, of which 511/982 (52.0%) and 471/982 (48.0%) were treated with ZES and DCS respectively. In a pre-defined subgroup analysis in ACS patients, the event rates between the two stent groups regarding the primary outcome at one year were similar (18.5% ZES; 20.8% DCS; HR: 0.91; 95% CI [0.68, 1.22]; p=0.523). In the landmark analysis beyond day 30, the primary outcome rate tended to be lower among those treated with the ZES (8.4%) compared with the DCS (12.1%) [HR: 0.66 (95% CI: 0.43, 1.01), p=0.055] (Figure). This was primarily driven by lower rates of myocardial infarction with ZES (6.5% ZES; 10.2% DCS; [HR: 0.58 (95% CI: 0.36, 0.93); p=0.025], while other components were similar: cardiac death, 2.6% ZES vs. 2.8% DCS [HR: 1.00 (95% CI: 0.44, 2.27); p>0.99) and stent thrombosis, 1.4% ZES vs. 1.4% DCS [HR: 0.93 (95% CI: 0.27, 3.21); p=0.91].
Conclusions
In Onyx ONE, high-bleeding risk patients presenting with ACS had similar safety and efficacy at 1 year in both the ZES and DCS stent groups. However, a trend was present for greater safety with the ZES with SAPT treatment beyond 30 days driven by lower myocardial infarction rates in that time period thus warranting additional confirmatory studies.
Funding Acknowledgement
Type of funding source: Private company. Main funding source(s): Medtronic sponsored the Onyx ONE Global Study
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Affiliation(s)
- E.K Kedhi
- Isala Hospital, Zwolle, Netherlands (The)
| | - S.W Windecker
- Bern University Hospital, Inselspital, Bern, Switzerland
| | - A Latib
- Montefiore Medical Center (Bronx), New York, United States of America
| | - D Kandzari
- Piedmont Heart Institute, Atlanta, United States of America
| | - A Kirtane
- Columbia University Medical Center, New York, United States of America
| | - R Mehran
- Mount Sinai Medical Center, New York, United States of America
| | - M.J Price
- Scripps Clinic, La Jolla, United States of America
| | - M Parke
- Medtronic, Mounds View, United States of America
| | - T Lung
- Medtronic, Santa Rosa, United States of America
| | - A Abizaid
- Institute Dante Pazzanese of Cardiology, Sao Paulo, Brazil
| | - D.I Simon
- University Hospitals Cleveland Medical Center, Cleveland, United States of America
| | - S Worthley
- GenesisCare Cardiology, Alexandria, NSW, Australia
| | - A Zaman
- Freeman Hospital, Newcastle-Upon-Tyne, United Kingdom
| | - G.W Stone
- Icahn School of Medicine at Mount Sinai, New York, United States of America
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Van Nieuwkerk A, Santos R, Blanco Mata R, Tchethce D, De Brito F, Kornowski R, Latib A, Oteo-Dominguez J, Dumonteil N, D'Errigo P, Tarantini G, Lunardi M, Dangas G, Baan J, Delewi R. Diabetes mellitus in transfemoral transcatheter aortic valve implantation in 11,440 patients from the CENTER collaboration. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Diabetes mellitus (DM) is a well-known cardiovascular risk factor present in up to a third of patients undergoing transcatheter aortic valve implantation (TAVI). How DM might influence outcomes after TAVI procedures remains controversial. The aim of this study was to determine differences in outcomes after TAVI according to diabetes status.
Methods
The CENTER (Cerebrovascular EveNts in patients undergoing TranscathetER aortic valve implantation with balloon-expandable valves versus self-expandable valves)-collaboration was a global patient level dataset of patients undergoing transfemoral TAVI from 2007 to 2018. In this analysis, the study examined differences in baseline patient characteristics, 30-day stroke and mortality, and in-hospital outcomes between DM and non-DM patients.
Results
Of the 11,440 patients included, 31% (n=3,550) were diabetic and 69% (n=7,890) were non-diabetic. Diabetics were younger, had a higher body mass index (BMI) and overall a worse cardiovascular risk profile than non-diabetics. There were no differences between DM and non-DM patients regarding in-hospital mortality (4.8% vs 5.3%, RR: 0.9, 95% CI: 0.7–1.1, p=0.46), myocardial infarction (0.9% vs 0.7%, RR: 1.4, 95% CI: 0.9–2.2, p=0.17), stroke (1.7% vs 2.0%, RR: 0.9, 95% CI: 0.6–1.2, p=0.36), major or life threatening bleeding (5.9% vs 6.3%, RR: 0.9, 95% CI: 0.8–1.1, p=0.44) and permanent pacemaker implantation (13.6% vs 13.4%, RR: 1.0, 95% CI: 0.9–1.1, p=0.69). Similarly, 30-day rates of all-cause mortality (5.4% vs 6.1%, RR: 0.9, 95% CI: 0.8–1.1, p=0.30) and stroke (2.0% vs 2.4%, RR: 0.8, 95% CI: 0.6–1.1, p=0.23) did not differ between diabetic and non-diabetic patients. Accordingly, in multivariate analysis, DM was not an independent predictor of mortality.
Conclusions
In this global collaboration, diabetic patients undergoing transcatheter aortic valve replacement had more cardiovascular comorbidities, were younger and had a higher body mass index than non-diabetics. They had similar periprocedural complications, in-hospital and 30-day mortality rates. In multivariate analysis, diabetes was not associated with increased mortality.
Predicted vs observed mortality in DM
Funding Acknowledgement
Type of funding source: Foundation. Main funding source(s): Dutch Heart Foundation; the Netherlands Organisation for Health Research and Development
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Affiliation(s)
- A.C Van Nieuwkerk
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - R.B Santos
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - R Blanco Mata
- Cruces University Hospital, Cardiologia Intervencionista, Baracaldo, Spain
| | | | - F.S De Brito
- Sao Paulo University Medical School, Heart Institute, Sao Paulo, Brazil
| | - R Kornowski
- Rabin Medical Center, Cardiology department, Petah Tikva, Israel
| | - A Latib
- San Raffaele Scientific Institute, Interventional Cardiology Unit, Milan, Italy
| | | | | | - P D'Errigo
- Superior Institute of Health, National Centre for Global Health, Rome, Italy
| | - G Tarantini
- University of Padua, Division of Cardiac Surgery, Padova, Italy
| | - M Lunardi
- University of Verona, Division of Cardiology, Department of Medicine, Verona, Italy
| | - G Dangas
- Icahn School of Medicine at Mount Sinai, The Zena and Michael A. Wiener Cardiovascular Institute, New York, United States of America
| | - J Baan
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - R Delewi
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
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10
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Chiarito M, Regazzoli D, Cannata F, Pagnesi M, Pagnotta P, Stefanini G, Barbanti M, De Marco F, Adamo M, Van Mieghem N, Kim W, Maisano F, Colombo A, Reimers B, Latib A. Predictors of haemodynamic performance in patients with aortic stenosis and small annulus undergoing TAVI with self-expandable valves. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Small aortic annular size is one of the most important predictor of poor hemodynamic and clinical outcomes in patients treated for aortic stenosis. Post-hoc analyses of pivotal trials showed that transcatheter aortic valve intervention (TAVI) offer better outcomes then surgery in patients with small aortic annulus, especially with self-expandable valves (SEV). However, data about SEVs comparison in this population are limited.
Purpose
Our aim is to assess how valve design and oversizing, with anatomical and echographic features, impact on the hemodynamic performance of SEVs in TAVI patients with small aortic annulus.
Methods
The TAVI SMALL registry enrolled 859 patients with small aortic annulus (CT-scan annular perimeter≤72 mm or area ≤400 mm2) treated for aortic stenosis with currently available SEVs (Evolut R=397; Evolut PRO =84; Acurate Neo=140; Acurate TA= 61; Portico=177) at 9 European centers between 2011 and 2018. We performed multivariable backward logistic regression analyses to identify predictors of high postprocedural mean gradient, moderate-to-severe PPM, and moderate-to-severe para-valvular leak (PVL).
Results
After adjustment for LVEF, we identified annular perimeter and percentage of oversizing as independent predictors of lower post-procedural mean gradient.
Implantation of intra-annular rather than supra-annular bioprosthesis was the only independent predictor of moderate-to-severe PPM.
Predictors of moderate-to-severe PVL are reported in the Table.
Conclusions
Among patients with aortic stenosis and small aortic annulus treated with transcatheter SEVs, use of supra-annular bioproshtesis and oversizing were associated with improved valve performance.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- M Chiarito
- Istituto Clinico Humanitas, Milan, Italy
| | | | - F Cannata
- Istituto Clinico Humanitas, Milan, Italy
| | - M Pagnesi
- San Raffaele Scientific Institute, Milan, Italy
| | | | | | - M Barbanti
- AOU Policlinico - Vittorio Emanuele, Catania, Italy
| | - F De Marco
- IRCCS Policlinico San Donato, San Donato Milanese, Italy
| | - M Adamo
- Civil Hospital of Brescia, Brescia, Italy
| | - N.M Van Mieghem
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - W.K Kim
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| | - F Maisano
- University of Zurich, Zurich, Switzerland
| | - A Colombo
- EMO-GVM Heart Center Columbus, Milan, Italy
| | - B Reimers
- Istituto Clinico Humanitas, Milan, Italy
| | - A Latib
- Montefiore Medical Center (Bronx), New York, United States of America
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11
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Bhadra OD, Pagnesi M, Kim WK, Barbanti M, Stefanini G, Schofer J, Schäfer U, Colombo A, Latib A, Conradi L. Insights from a Multicenter, Retrospective, Propensity-Matched Register of Next-Generation Self-expanding Devices for Transcatheter Aortic Valve Replacement. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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12
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Kar S, Lim S, Spargias K, Kipperman R, O Neill W, Ng M, Fam N, Raffel C, Webb J, Smith R, Rinaldi M, Latib A, Cohen G, Schaefer U, Feldman T. 4291Six-month outcomes from the multicenter, prospective study with the novel PASCAL transcatheter valve repair system for patients with mitral regurgitation in the CLASP study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Severe mitral regurgitation may lead to an impaired prognosis if left untreated. Transcatheter treatment options have emerged as an alternative to surgery and an adjunct to medical therapy. We report the six-month results of the PASCAL transcatheter valve repair system in treating patients with mitral regurgitation enrolled in the multicenter, prospective, single arm CLASP study.
Methods
The PASCAL Transcatheter Valve Repair System is a leaflet repair therapy that uses clasps and paddles to place a woven Nitinol spacer between the native valve leaflets to fill the regurgitant orifice via a transseptal approach. Eligible patients had clinically significant MR despite optimal medical therapy and were deemed candidates for transcatheter mitral repair by the local Heart Team. Safety, performance, and clinical outcomes were prospectively assessed at baseline, discharge, 30 days, and 6 months post-procedure. All major adverse events (MAE) were adjudicated by an independent clinical events committee and echocardiographic images were assessed by a core lab. The MAE rate was the primary safety endpoint, defined as the composite of cardiovascular mortality, stroke, MI, new need for renal replacement therapy, severe bleeding, and re-intervention for study device-related complications.
Results
Between June 2017 and September 2018, 62 patients were enrolled at 14 sites worldwide for transcatheter mitral valve reconstruction using the PASCAL system. The mean age was 76.5 years (62.9% male). All patients had MR grade ≥3+, with 59% functional, 34% degenerative, and 7% mixed etiology, and 51.6% of patients were in NYHA Class III/IV. Successful implantation of the PASCAL device was achieved in 95% of patients. At discharge, 95% of patients had MR grade ≤2+ with 81% grade ≤1+. There was one cardiovascular mortality and the MAE rate was 4.8%. At 30-day follow-up, paired analyses shows that 98% of patients had MR grade ≤2+ with 81% grade ≤1+ and 88% were in NYHA Class I/II (p<0.0001). The 6MWD improved by 38.9 m (p=0.0015) and was accompanied by average improvements in KCCQ and EQ5D scores by 14.1 points (p<0.0001) and 8.3 points (p=0.0028), respectively. The six-month data will be available for presentation.
Conclusions
In this early device experience, the PASCAL transcatheter valve repair system showed an acceptable safety profile and performed as intended in treating patients with mitral regurgitation. The PASCAL device resulted in significant MR grade reduction, which was associated with clinically and statistically significant improvements in functional status, exercise capacity, and quality of life. Continued follow-up is warranted to validate these initial promising results.
Acknowledgement/Funding
Edwards Lifesciences
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Affiliation(s)
- S Kar
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - S Lim
- Virgina Health System Hospital, Charlottesville, United States of America
| | | | - R Kipperman
- Atlantic Health System Morristown Medical Center, Morristown, United States of America
| | - W O Neill
- Henry Ford Hospital, Detroit, United States of America
| | - M Ng
- Royal Prince Alfred Hospital, Camperdown, Australia
| | - N Fam
- St. Michael's Hospital, Toronto, Canada
| | - C Raffel
- The Prince Charles Hospital, Chermside, Australia
| | - J Webb
- St Paul's Hospital, Vancouver, Canada
| | - R Smith
- The Heart Hospital Baylor Plano, Plano, United States of America
| | - M Rinaldi
- Sanger Heart and Vascular Institute, Charlotte, United States of America
| | - A Latib
- San Raffaele Scientific Institute, Milan, Italy
| | - G Cohen
- Sunnybrook Health Sciences Centre, Toronto, Canada
| | | | - T Feldman
- NorthShore University Health System Evanston Hospital, Evanston, United States of America
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13
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Toscano E, Altizio S, Cianfanelli L, Denti P, Stella S, Capogrosso C, De Bonis M, Buzzatti N, Godino C, Latib A, Montorfano M, Camici PG, Castiglioni A, Alfieri O, Agricola E. P43673D analysis of mitral annular reshape with third generation MitraClip XTr in functional and degenerative mitral regurgitation. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
The 3rd generation Mitraclip XTr was recently introduced to improve device performance, through longer clip arms that should allow better grasping of the mitral leaflets, thus improving coaptation and results eventually. Several studies have demonstrated additional effects such as the reshape of the mitral annulus immediately after clip implantation.
The aim of our study was to evaluate the mitral valve (MV) annular remodelling with MitraClip XTr.
Between March 2018 and November 2018, 75 consecutive patients were enrolled. The population was divided in two groups: functional mitral regurgitation (FMR) and degenerative mitral regurgitation (DMR).
The 3D MV datasets at baseline and immediately after the procedure were acquired and then analysed with semiautomatic MVQ software (QLAB Cardiac 3DQ v.10.0; Philips Medical Systems).
The software provides the following parameters: annular diameters (antero-posterior, AP, and inter-commissural, IC), circumference, area, height and ellipsicity (IC/AP ratio as percentage); saddle-index, defined as annular height to IC diameter ratio was derived.
The 3D post-processing was feasible in 54 patients (108 3D datasets): 28 had FMR (52%) and 26 had DMR (48%).
An average of 1.8 clips per patient were implanted: 2 clips in 38 (70%), 1 clip in 14 (26%) and 3 clips in 2 (4%) patients. The position was central in 93% of the procedures.
Results are reported in table 1. In the FMR group, a reduction in the AP diameter (p=0.001), an increase in both IC diameter (p=0.001) and annular ellipsicity (p<0.001) were observed.
In the DMR group, an increase in annular ellipsicity (p=0,008) and in saddle-index (p<0.05) were observed.
Table 1 Functional mitral regurgitation (N=28) Degenerative mitral regurgitation (N=26) Pre-clip Post-clip P-value Pre-clip Post-clip P-value IC diameter (mm) 39.3±4.2 41.9±4.1 0.001 40.9±6.5 41.8±5.8 0.257 AP diameter (mm) 32.8±4.6 30.4±3.2 0.001 32.6±4.8 31.7±4.5 0.199 Annular Height (mm) 5.1±1.8 5.4±1.8 0.336 4.8±1.9 5.7±2.2 0.026 3D circumference (mm) 122.7±15.1 123.5±11 0.718 123.5±19.0 124.0±17.1 0.812 3D area (mmq) 1128.0±280 1113.7±206 0.752 1160±346.7 1156.8±318.0 0.926 Annular ellipsicity (%) 121.5±12.2 138.5±11.8 0.0005 125.9±9.6 132.4±10.7 0.008 Saddle index 13.0±4 13.0±4 0.957 11.8±4.2 13.6±4.2 0.048
Our study demonstrates that the XTr implantation produces a MV annular remodelling both in FMR and DMR probably with different mechanisms. In FMR the MV annulus resulted more elliptical, wheras in DMR the geometrical modifications involve both the ellipsicity and the saddle-shape morphology.
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Affiliation(s)
- E Toscano
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
| | - S Altizio
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
| | - L Cianfanelli
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
| | - P Denti
- San Raffaele Hospital of Milan (IRCCS), Cardiac Surgery Department, Milan, Italy
| | - S Stella
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
| | - C Capogrosso
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
| | - M De Bonis
- San Raffaele Hospital of Milan (IRCCS), Cardiac Surgery Department, Milan, Italy
| | - N Buzzatti
- San Raffaele Hospital of Milan (IRCCS), Cardiac Surgery Department, Milan, Italy
| | - C Godino
- San Raffaele Hospital of Milan (IRCCS), Interventional Cardiology Department, Milan, Italy
| | - A Latib
- San Raffaele Hospital of Milan (IRCCS), Interventional Cardiology Department, Milan, Italy
| | - M Montorfano
- San Raffaele Hospital of Milan (IRCCS), Interventional Cardiology Department, Milan, Italy
| | - P G Camici
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
| | - A Castiglioni
- San Raffaele Hospital of Milan (IRCCS), Cardiac Surgery Department, Milan, Italy
| | - O Alfieri
- San Raffaele Hospital of Milan (IRCCS), Cardiac Surgery Department, Milan, Italy
| | - E Agricola
- San Raffaele Hospital of Milan (IRCCS), Echocardiography Laboratory, Milan, Italy
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14
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Nickenig G, Von Bardeleben RS, Schaefer U, Kuck KH, Vahanian A, Juliard JM, Latib A, Baldus S, Maisano F, Hausleiter J. P4716One-year outcomes of the tri-repair study assessing cardioband tricuspid valve reconstruction system for patients with severe tricuspid regurgitation. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.1096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Severe tricuspid regurgitation (TR) is associated with high morbidity and mortality rates with limited treatment options.
Objectives
We report the one-year outcomes of the Cardioband™ Tricuspid Valve Reconstruction System in the treatment of severe functional TR in 30 patients enrolled in the TRI-REPAIR study.
Methods
Between October 2016 and July 2017, 30 patients were enrolled in this single-arm, multicenter, prospective study. Patients were diagnosed with severe, symptomatic TR in the absence of untreated left-heart disease and deemed inoperable because of unacceptable risk for open-heart surgery by the local heart team. Clinical, functional, and echocardiographic data were prospectively collected before and up to one year post-procedure. An independent core lab assessed all echocardiographic data and an independent clinical event committee adjudicated the safety events.
Results
Mean patient age was 75 years, 73% were females, 23% had ischemic heart disease, and 93% had atrial fibrillation. At baseline, 83% were in NYHA Class III-IV, 63% had edema, and LVEF was 58%. Technical success was 100%. Through one year, one patient had a reintervention and exited the study. Five patients died of which one was device-related. Between baseline and one year (paired analyses), echocardiography showed average reductions of annular septolateral diameter of 16% (44mm vs. 37mm; p<0.0001), PISA EROA of 49% (0.73cm2 vs. 0.37cm2, p=0.0037), and mean vena contracta of 30% (1.2cm vs. 0.9cm, p=0.0046). Clinical assessment showed that at one year 78% of patients were in NYHA Class I-II (p=0.0003). Six minute walk distance improved by 42m (p=0.0525). Kansas City Cardiomyopathy Questionnaire score improved by 19 points (p=0.0009). Edema was absent in 70% of the patients.
Conclusions
These results show that the Cardioband tricuspid system performs as intended and appears to be safe in patients with symptomatic and severe functional TR. At one year significant reduction of TR through a sustained decrease of annular dimensions, improvements in heart failure symptoms, quality of life, and exercise capacity were observed. Further studies are warranted to validate these initial promising results.
Acknowledgement/Funding
Edwards Lifescieinces
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Affiliation(s)
| | | | - U Schaefer
- University Heart Center Hamburg, Hamburg, Germany
| | - K H Kuck
- St. George Hospital, Hamburg, Germany
| | | | | | - A Latib
- San Raffaele Scientific Institute, Milan, Italy
| | - S Baldus
- University Hospital Cologne, Cologne, Germany
| | - F Maisano
- University Hospital Zurich, Zurich, Switzerland
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15
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Alushi B, Beckhoff F, Leistner DM, Staehli BE, Jamaluddin M, Bigalke B, Latib A, Falk V, Grubitzch H, Landmesser U, Hahn R, Lauten A. 5938Mortality risk stratification in patients with severe tricuspid regurgitation - Insights from the Tricuspid Regurgitation REgistry (TRuE). Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background/Introduction
Severe tricuspid regurgitation (TR) is associated with progressive right atrial (RA) and ventricular (RV) dilation, dysfunction and increased mortality. Risk factors impacting the long-term prognosis in patients with severe TR are largely undetermined.
Purpose
Herein, we aimed to identify risk factors associated with long-term mortality in patients with severe TR and implement a novel risk stratification strategy based on an individual five-year mortality prediction score.
Methods
From January 2013 to December 2017, 1238 patients with severe functional TR were enrolled in the TRuE-registry, of which 914 with a complete dataset were included in the present study. Echocardiographic quantification of RV-function and size included measurements of tricuspid annular plane systolic excursion (TAPSE), the end-diastolic basal (RVDbasal) and longitudinal diameters (RVDlong) and the RA-volume index (RAVI). The cohort was randomly divided into a development (n=610) and validation (n=304) sample. A risk stratification model was developed using a multivariable Cox regression.
Results
The variables statistically significant to predict five-year-mortality, included in the final model and used as score parameters were: age, COPD, dialysis, pulmonary artery systolic pressure, RAVI, TAPSE RVDbasal, RVDlong and systolic hepatic vein flow reversal (sHVFR). Progressive enlargement of RV and RA and concomitant sHVFR was associated with higher values of hazard ratios (HR, Figure A). Based on the HR values, a risk score with 3 categories was developed (Figure B): low (0–2), intermediate (3–5), high (6–16). Among the risk groups, Kaplan Meier estimates of all-cause mortality at 5 years were 18%, 52% and 84% respectively (p<0.001; https://thetruerisk.com). The score showed good discrimination, with a concordance index of 0.75. At internal validation, a good agreement between the derivation and validation datasets indicated a good calibration of the survival curves.
Implementation of a long term risk score
Conclusion
The present study demonstrates the prognostic impact of comorbidities and right heart remodeling on long-term mortality in patients with severe TR. The presented risk score provides an easy and accurate estimation of long-term mortality and may thus help to guide therapeutic decision-making in this difficult group of patients.
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Affiliation(s)
- B Alushi
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
| | - F Beckhoff
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
| | - D M Leistner
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
| | - B E Staehli
- University Hospital Zurich, Cardiology, Zurich, Switzerland
| | - M Jamaluddin
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
| | - B Bigalke
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
| | - A Latib
- Montefiore Medical Center (Bronx), New York, United States of America
| | - V Falk
- Deutsches Herzzentrum Berlin, Berlin, Germany
| | - H Grubitzch
- Deutsches Herzzentrum Berlin, Berlin, Germany
| | - U Landmesser
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
| | - R Hahn
- Columbia University Medical Center, New York, United States of America
| | - A Lauten
- Charite - Campus Benjamin Franklin, Cardiology, Berlin, Germany
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16
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Stella S, Melillo F, Capogrosso C, Fisicaro A, Ancona F, Latib A, Montorfano M, Colombo A, Alfieri O, Castiglioni A, Margonato A, Agricola E. Intra-procedural monitoring protocol using routine transthoracic echocardiography with backup trans-oesophageal probe in transcatheter aortic valve replacement: a single centre experience. Eur Heart J Cardiovasc Imaging 2019; 21:85-92. [DOI: 10.1093/ehjci/jez066] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2018] [Revised: 03/25/2019] [Accepted: 03/25/2019] [Indexed: 01/10/2023] Open
Abstract
Abstract
Aim
The aim of this study is to describe our 9-year experience in transcatheter aortic valve replacement (TAVR) using transthoracic echocardiography (TTE) as a routine intra-procedural imaging modality with trans-oesophageal echocardiography (TEE) as a backup.
Methods and results
From January 2008 to December 2017, 1218 patients underwent transfemoral TAVR at our Institution. Except the first 20 cases, all procedures have been performed under conscious sedation, with fluoroscopic guidance and TTE imaging monitoring. Once the TTE resulted suboptimal for final result assessment or a complication was either suspected or identified on TTE, TEE evaluation was promptly performed under general anaesthesia. Only 24 (1.9%) cases required a switch to TEE: 6 cases for suboptimal TTE prosthetic valve leak (PVL) quantification; 12 cases for haemodynamic instability; 2 cases for pericardial effusion without haemodynamic instability; 4 cases for urgent TAVR. The 30-days and 1-year all-cause mortality were 2.1% and 10.2%, respectively. Cardiac mortality at 30-days and 1-year follow-up were 0.6% and 4.1%, respectively. Intra-procedural and pre-discharge TT evaluation showed good agreement for PVL quantification (k agreement: 0.827, P = 0.005).
Conclusion
TTE monitoring seems a reasonable imaging tool for TAVR intra-procedural monitoring without delay in diagnosis of complications and a reliable paravalvular leak assessment. However, TEE is undoubtedly essential in identifying the exact mechanism in most of the complications.
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Affiliation(s)
- S Stella
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - F Melillo
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - C Capogrosso
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - A Fisicaro
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - F Ancona
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - A Latib
- Interventional Cariology Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - M Montorfano
- Interventional Cariology Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - A Colombo
- Interventional Cariology Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - O Alfieri
- Cardiac Surgery Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - A Castiglioni
- Cardiac Surgery Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - A Margonato
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
| | - E Agricola
- Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy
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17
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Testa L, Latib A, Bollati M, Bedogni F. Patient selection and percutaneous technique of unprotected left main revascularization. Catheter Cardiovasc Interv 2018. [PMID: 29521440 DOI: 10.1002/ccd.27528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Increasing evidence suggests that percutaneous coronary intervention with newer generation drug-eluting stents may be an acceptable alternative, or even preferred in selected cases to the surgical approach, in patients with left main disease. This review will discuss the anatomic factors, the clinical variables, and the procedural strategies to consider, including physiology assessment and imaging guidance, in order to optimize outcomes.
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Affiliation(s)
- L Testa
- Department of Cardiology, IRCCS Pol. S. Donato, S. Donato Milanese, Milan, Italy
| | - A Latib
- Interventional Cardiology Unit, San Raffaele Scientific Institute, EMO GVM Centro Cuore Columbus, Milan, Italy
| | - M Bollati
- Department of Cardiology, IRCCS Pol. S. Donato, S. Donato Milanese, Milan, Italy
| | - F Bedogni
- Department of Cardiology, IRCCS Pol. S. Donato, S. Donato Milanese, Milan, Italy
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18
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Latib A, Nickenig G, Kuck KH, Baldus S, Schueler R, Messika-Zeitoun D, La Canna G, Agricola E, Kreidel F, Zuber M, Huntgeburth M, Vahanian A, Maisano F. 3073Up to two-year outcomes from the multicenter CE trial of transcatheter mitral valve repair in patients with functional mitral regurgitation. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.3073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Latib
- San Raffaele Hospital (IRCCS), Milan, Italy
| | - G Nickenig
- University Hospital Bonn, Department of Cardiology, Bonn, Germany
| | - K H Kuck
- Asklepios Clinic St. Georg, Hamburg, Germany
| | - S Baldus
- Cologne University Hospital - Heart Center, Cologne, Germany
| | - R Schueler
- University Hospital Bonn, Department of Cardiology, Bonn, Germany
| | | | - G La Canna
- San Raffaele Hospital (IRCCS), Milan, Italy
| | - E Agricola
- San Raffaele Hospital (IRCCS), Milan, Italy
| | - F Kreidel
- Asklepios Clinic St. Georg, Hamburg, Germany
| | - M Zuber
- University Hospital Zurich, Zurich, Switzerland
| | - M Huntgeburth
- Cologne University Hospital - Heart Center, Cologne, Germany
| | - A Vahanian
- Hospital Bichat-Claude Bernard, Paris, France
| | - F Maisano
- University Hospital Zurich, Zurich, Switzerland
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Cahill TJ, Chen M, Hayashida K, Latib A, Modine T, Piazza N, Redwood S, Søndergaard L, Prendergast BD. Transcatheter aortic valve implantation: current status and future perspectives. Eur Heart J 2018; 39:2625-2634. [PMID: 29718148 DOI: 10.1093/eurheartj/ehy244] [Citation(s) in RCA: 109] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Accepted: 04/08/2018] [Indexed: 02/05/2023] Open
Affiliation(s)
- T J Cahill
- Oxford Heart Centre, Oxford University Hospitals, John Radcliffe Hospital, Headley Way, Oxford, UK
| | - M Chen
- Department of Cardiology, West China Hospital, Sichuan University, 37 Guoxue St, Chengdu, China
| | - K Hayashida
- Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
| | - A Latib
- Interventional Cardiology Unit, San Raffaele Scientific Institute, Via Olgettina 60, Milan, Italy
| | - T Modine
- Service de Chirurgie Cardio-Vasculaire, Hôpital Cardiologique, CHRU de Lille, 2 Avenue Oscar Lambret, Lille, France
| | - N Piazza
- Department of Interventional Cardiology, McGill University Health Centre, 1001 Decarie Blvd, Montreal, Quebec, Canada
| | - S Redwood
- Department of Cardiology, St Thomas’ Hospital, Westminster Bridge Rd, London, UK
| | - L Søndergaard
- Heart Center, Rigshospitalet, Blegdamsvej 9, Copenhagen, Denmark
| | - B D Prendergast
- Department of Cardiology, St Thomas’ Hospital, Westminster Bridge Rd, London, UK
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Conrotto F, D'Ascenzo F, Cerrato E, Macaya F, Tamburino C, Van Lavieren M, Latib A, Barbanti M, Pavani M, Biagioni C, Macaya C, Presbitero P, Varbella F, Gaita F, Escaned J. P6106Safety and efficacy of drug eluting stents in patients with spontaneous coronary artery dissection. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Stefanini G, Bruschi G, Cao D, Petronio A, Giannini C, Fiorina C, Adamo M, Colombo P, Latib A, Agnifili M, Poli A, Tamburino C, Fabbiocchi F, Giudice P, Reimers B. 1282Impact of antithrombotic strategies on clinical outcomes after self-expandable TAVI. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.1282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Schueler R, Kowalski M, Hausleiter J, Schofer J, Rudolph V, Taramasso M, Maisano F, Fam N, Bianchi G, Bedogni F, Alfieri O, Latib A, Colombo A, Hammerstingl C, Nickenig G. 4109Transcatheter treatment of severe tricuspid regurgitation with the edge-to-edge MitraClip technique. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.4109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Pavon A, Pappalardo F, Regazzoli D, Capogrosso C, Candilio L, Camici P, Margonato A, Zangrillo A, Colombo A, Latib A. 5903Fulminant Myocarditis treated with combined implantation of left and right percutaneous ventricular assist devices. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx495.5903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Capogrosso C, Pazzanese V, Stella S, Marini C, Pavon A, Ancona F, Latib A, Montorfano M, Colombo A, Russo M, Margonato A, Camici P, Agricola E, D'Andrea A. P5225Biventricular morphological and functional remodeling after percutaneous aortic valve implantation: 2d strain analysis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Cerrato E, Macaya Ten F, Conrotto F, Tamburino C, Van Lavieren M, Dascenso F, Latib A, Barbanti M, Piek J, Marzullo R, Applegate R, Macaya C, Gaita F, Varbella F, Escaned J. P4657Clinical implications of concomitant atherosclerosis in patients with spontaneous coronary artery dissection. Insights from an international multicentric registry. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Spartera M, Ancona F, Barletta M, Rosa I, Stella S, Marini C, Pavon A, Montorfano M, Latib A, Alfieri O, Colombo A, Agricola E. P4225Echocardiographic signs of post-TAVI thrombosis and endocarditis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Nijenhuis VJ, Sanchis L, van der Heyden JAS, Klein P, Rensing BJWM, Latib A, Maisano F, Ten Berg JM, Agostoni P, Swaans MJ. The last frontier: transcatheter devices for percutaneous or minimally invasive treatment of chronic heart failure. Neth Heart J 2017; 25:536-544. [PMID: 28741245 PMCID: PMC5612866 DOI: 10.1007/s12471-017-1018-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Heart failure has a high prevalence in the general population. Morbidity and mortality of heart failure patients remain high, despite improvements in drug therapy, implantable cardioverter-defibrillators and cardiac resynchronisation therapy. New transcatheter implantable devices have been developed to improve the treatment of heart failure. There has been a rapid development of minimally invasive or transcatheter devices used in the treatment of heart failure associated with aortic and mitral valve disease and these devices are being incorporated into routine clinical practice at a fast rate. Several other new transcatheter structural heart interventions for chronic heart failure aimed at a variety of pathophysiologic approaches are currently being developed. In this review, we focus on devices used in the treatment of chronic heart failure by means of left ventricular remodelling, left atrial pressure reduction, tricuspid regurgitation reduction and neuromodulation. The clinical evaluations of these devices are early-stage evaluations of initial feasibility and safety studies and additional clinical evidence needs to be gathered in appropriately designed clinical trials.
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Affiliation(s)
- V J Nijenhuis
- Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
| | - L Sanchis
- Cardiovascular Institute, Hospital Clinic, Barcelona, Spain
| | | | - P Klein
- Department of Cardio-Thoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - B J W M Rensing
- Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - A Latib
- Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
- Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus, Milan, Italy
| | - F Maisano
- University Heart Centre, University Hospital Zurich, Zurich, Switzerland
| | - J M Ten Berg
- Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - P Agostoni
- Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - M J Swaans
- Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands
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De Chiara B, Ranjbar S, Szczesniak-Stanczyk D, Gabrielli L, Djikic D, Barbier P, Hristova K, Erne D, Zayat R, Crowe TM, Almeida J, Marketou M, Caspar T, Kouris N, Pontone G, Trifunovic D, Cusma Piccione M, Madeira M, Lovric D, Drakopoulou M, Fries B, Krivickiene A, Mateescu AD, Stella S, Casadei F, Peritore A, Spano F, Santambrogio G, Vicario M, Trolese I, Gallina C, Giannattasio C, Moreo A, Karvandi M, Badano LP, Brzozowski W, Blaszczyk R, Szyszko M, Zarczuk R, Janowski M, Wysokinski A, Stanczyk B, Sitges M, Castro P, Verdejo H, Ocaranza MP, Sepulveda P, Llevaneras S, Baraona F, Salinas M, Lavanderos S, Mujovic N, Dejanovic B, Peric V, Marinkovic M, Jankovic N, Orbovic B, Simic D, Guglielmo M, Salvini L, Savioli G, Dasheva A, Marinov R, Lasarov S, Mitev I, M P, Rhodes K, Bartlett M, Chong A, Wahi S, Derwall M, Ebeling A, Nix C, Marx G, Autschbach R, Hatam N, Sonecki P, Brewis MJ, Church AC, Johnson MK, Peacock AJ, Fontes-Carvalho R, Sampaio F, Ribeiro J, Bettencourt P, Leite-Moreira A, Azevedo A, Kontaraki J, Parthenakis P, Maragkoudakis S, Touloupaki M, Patrianakos A, Konstantinou J, Vernardos M, Logakis J, Vardas P, El Ghannudi S, Ohlmann P, Lawson A, Morel O, Ohana M, Roy C, Gangi A, Germain P, Kostakou P, Dagre A, Trifou E, Rodis I, Kostopoulos V, Olympios CD, Guaricci AI, Verdecchia M, Andreini D, Guglielmo M, Baggiano A, Beltrama V, Ferro G, Carita' P, Pepi M, Krljanac G, Savic L, Asanin M, Matovic D, Stepanovic J, Stankovic G, Mrdovic I, Terrizzi A, Trio O, Oteri A, D'amico G, Ioppolo A, Nucifora G, Zucco M, Sergi M, Nicotera A, Boretti I, Carerj S, Zito C, Teixeira R, Reis L, Dinis P, Fernandes A, Caetano F, Almeida I, Costa M, Goncalves L, Reskovic Luksic V, Baricevic Z, Dosen D, Pasalic M, Ostojic Z, Brestovac M, Bulum J, Separovic Hanzevacki J, Toutouzas K, Stathogiannis K, Michelongona A, Latsios G, Synetos A, Trantalis G, Kaitozis O, Brili S, Tousoulis D, Liu D, Hu K, Voelker W, Ertl G, Weidemann F, Herrmann S, Gumauskiene B, Drebickaite E, Ereminiene E, Vaskelyte JJ, Calin A, Rosca M, Beladan CC, Enache R, Calin C, Cosei I, Botezatu S, Simion M, Ginghina C, Popescu BA, Rosa I, Marini C, Ancona F, Latib A, Monitorano M, Colombo A, Margonato A, Agricola E. Poster Session 4The imaging examination and quality assessmentP957Economic impact analysis and quality performance of working with cardiovascular sonographers in high-volume echocardiography laboratoryP958Feasibility of temporal super resolution enhancement of echocardiographic images to diagnose cardiac DiseasesP959Remote medical diagnostician project - Achievements and limitation in tele-echocardiographyP960Right atrial remodeling and galectin-3 are associated with functional capacity in patients with pulmonary arterial hypertensionP961Interatrial electromechanical delay assessed by tissue doppler imaging can separate adults with prehypertension from healthy normotensive controlsP962Preliminary results of an extensive echocardiographic pacemaker optimization protocol for cardiac resynchronization therapyP963Left ventricular global and regional myocardial function in patients with double orifice mitral valve after radical correction on atrioventricular septal defectP964Improving quantitation of left ventricular ejection fraction in a tertiary echocardiography lab - marrying (or merging) guidelines and new technologyP965Echocardiographic evaluation of cardiac function and hemodynamics during LVAD-based resuscitation from cardiac arrest - a porcine studyP966Systolic excursion of the right ventricular outflow tract as a marker of right ventricular dysfunctionP967The impact of the new 2016 ASE/EACVI recommendations in the prevalence and grades of diastolic dysfunction: an analysis from the general populationP968Differential microRNA-21 and microRNA-133 gene expression levels in peripheral blood mononuclear cells from patients with heart failure with preserved ejection fractionP969CMR evaluation of cardiac thrombi and masses by T1 and T2 mapping : an observational studyP970Effect of coronary artery ectasia on left ventricular deformation mechanics. A 2D Speckle Tracking Echocardiography studyP971Diagnostic performance of stress Echo, SPECT, PET, stress CMR, CTCA, CTP and FFRCT for the assessment of CAD versus invasive FFR: a metaanalysisP972Utility of early assessment of myocardial mechanics in STEMI patients treated by primary percutaneous coronary intervention to predict major adverse cardiac events during the first 12 months of folloP973Role of left atrial reservoir in the prediction of increased left ventricular filling pressures in patients with ST-segment elevation myocardial infarctionP974Does the left ventricle ejection fraction improves the Grace risk score accuracy? P975Can we predict significant coronary stenosis using regional strain analysis in non-ST elevation acute coronary syndrome?P976Persistence of pulmonary hypertension after transcatheter aortic valve replacement: incidence and prognostic impactP977Global longitudinal strain is an independent predictor of all cause mortality in patients with severe aortic valve stenosis undergoing valve replacement or treated conservativallyP978Contribution of left ventricular diastolic dysfunction and myocardial fibrosis to pulmonary hypertension in severe aortic stenosisP979Left atrial dysfunction as a determinant of pulmonary hypertension in patients with isolated severe aortic stenosis and preserved left ventricular ejection fractionP980Intraprocedural monitoring protocol using routine transthoracic echocardiography with backup transesophageal probe in transcatheter aortic valve replacement: a single center experience. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Spampinato RA, Kammerlander A, Ondrus T, Cho SW, Gillis K, Italia L, Zito C, Ancona F, Jahnke C, Paetsch I, Hilbert S, Schloma V, Dmitrieva Y, Strotdrees E, Hindricks G, Mohr FW, Wiesinger M, Duca F, Aschauer S, Zotter-Tufaro C, Schwaiger ML, Marzluf BA, Bartko PE, Bonderman D, Mascherbauer J, Mirica DC, Kotrc M, Kockova R, Van Camp G, Mo Y, Praveckova A, Penicka M, Park SJ, Kim SM, Hwang JW, Chang SA, Jeong DS, Lee SC, Park SW, Choe YH, Park PW, Bala G, Roosens B, Hernot S, Remory I, Droogmans S, Cosyns B, Geremia G, Stella S, Marini C, Rosa I, Ancona F, Latib A, Montorfano M, Colombo A, Margonato A, Agricola E, Bracco A, Baldi E, Di Bella G, Cusma Piccione M, Di Nunzio D, Donato R, Manganaro R, Terrizzi A, Pizzino F, Carerj ML, Rivetti L, Bitto R, Sergi M, Carerj S, Agricola E, Stella S, Rosa I, Marini C, Spartera M, Denti P, Margonato A, Hahn R, Alfieri O, Latib A, Colombo A. Rapid Fire Abstract: Multimodality imaging valvular heart disease742Quantification of aortic regurgitation by pulsed Doppler examination of the left subclavian artery velocity contour: a validation study with cardiac magnetic resonance imaging743Diastolic retrograde flow in the descending aorta by cardiovascular magnetic resonance imaging for the quantification of aortic regurgitation744Native T1 relaxation time can accurately identify limited left ventricular contractile reserve in patients with aortic stenosis745The validation and assessment of myocardial fibrosis by using cardiac magnetic resonance and speckle-tracking echocardiography in severe aortic stenosis746Clinical validation of a semi-automatic quantification score of aortic valve calcification with ultrasound747A comparison among conventional 3D-transesophageal echocardiography manual analysis, 3D automatic software analysis and computed tomography for the aortic annulus sizing in TAVI patients748New insights from a multimodality imaging evaluation of LV remodeling in patients with chronic ischemic mitral regurgitation: a combined magnetic resonance and speckle tracking analysis749Multimodality imaging monitoring during percutaneous tricuspid valve repair procedures. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bidviene J, Zhukovskiy N, Peritore A, Rodrigues I, Tundidor Sanz ME, Guerreiro RA, Marini C, Cereda A, Dorobantu DM, Cavalli G, Cavaliere A, Genovese D, Romeo G, Aruta P, Cucchini U, Iliceto S, Badano LP, Muraru D, Okhotin A, Privorotskaya V, De Chiara B, Musca F, Spano' F, Santambrogio G, Casadei F, Forti E, Mutignani M, Giannattasio C, Moreo A, Galrinho A, Branco L, Bravio I, Machado D, Monteiro A, Daniel P, Ferreira L, Carvalho R, Ferreira R, Tierra Rodriguez AM, Dios Diez P, Mayorga Bajo A, Fernandez Gomez MJ, Dominguez Calvo JI, Rogriguez Palomo D, Hernandez Rodriguez J, Congo K, Carvalho J, Pais J, Bras D, Picarra B, Caeiro A, Fragata J, Aguiar J, Stella S, Rosa I, Pavon AG, Ancona F, Margonato A, Colombo A, Latib A, Montorfano M, Agricola E, Casadei F, Moreo A, Ghiorghiu IA, Popescu BA, Coman IM, Ginghina CD, Enache R. Clinical Cases: See that case at least once1174An unrecognized mechanism of functional tricuspid regurgitation revealed by transthoracic three-dimensional echocardiography1175Left ventricular pseudoaneurysm after radiofrequency ablation of premature ventricular contractions1176Succesfull management of buckling of echocardiographic transesophageal probe1177An extremely rare tumor of cardiovascular system1178Pneumopericardium: a rare complication of esophageal cancer1179Left atrial dissection after myocardial infarction1180Late appearance of a ventricular septal defect after transcatheter aortic valve replacement: a rare complication1181Doppler flow velocities pattern in a trombophiliac patient with an lvad thrombosis1182An unusual cause of aortic diastolic reflux in a failed single ventricle palliation. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Stella S, Li H, Stathogiannis K, Stojkovic S, Ondrus T, Plaza Lopez D, Jinno S, Verseckaite R, Oliveira Da Silva C, Altin C, Krestjyaninov MV, Izci S, Santos M, Urbano-Moral JA, Spartera M, Gonzalvez-Garcia A, Miskowiec D, Hagrass MUHAMMAD, Rady M, Reskovic Luksic V, Castaldi B, Silva T, Silva T, Silva T, Kolossvary M, Basuoni A, Miskowiec D, Peovska Mitevska I, Aguiar Rosa S, Rosa I, Marini C, Ancona F, Spagnolo P, Latib A, Romano V, Colombo A, Margonato A, Agricola E, Yuan L, Xie MX, Jin XY, Toutouzas K, Drakopoulou M, Latsios G, Synetos A, Sanidas E, Kaitozis O, Trantalis G, Gerckens U, Tousoulis D, Tesic M, Stojkovic S, Stepanovic J, Trifunovic D, Beleslin B, Giga V, Nedeljkovic I, Djordjevic Dikic A, Bartunek J, Vanderheyden M, Stockman B, Mirica C, Kotrc M, Van Praet F, Van Camp G, Penicka M, Igual Munoz B, Sanchez Lacuesta ME, Lopez Vilella R, Domenech Tort MD, Sepulveda Sanchis P, Ten Morro F, Calvillo Batlles P, Montero Argudo JA, Martinez Dolz LV, Yamada A, Sugimoto K, Ito S, Kato M, Inuzuka H, Sugiyama H, Takada K, Ozaki Y, Ishii J, Mizariene V, Gaileviciute K, Bieseviciene M, Jonkaitiene R, Jurkevicius R, Gunyeli E, Winter R, Back M, Settergren M, Manouras A, Shahgaldi K, Ozsoy HM, Gezmis E, Yilmaz M, Tunc E, Sade LE, Muderrisoglu H, Gimaev RH, Melnikova MA, Olezov NV, Ruzov VI, Dogan C, Acar R, Cetin G, Bakal RB, Unkun T, Cap M, Erdogan E, Kaymaz C, Ozdemir N, Leite L, Martins R, Baptista R, Barbosa A, Ribeiro N, Oliveira A, Castro G, Pego M, Gutierrez-Garcia-Moreno L, Rodriguez-Palomares JF, Galuppo V, Maldonado-Herrera G, Teixido-Tura G, Gruosso D, Gonzalez-Alujas T, Evangelista-Massip A, Stella S, Rosa I, Ancona F, Marini C, Latib A, Giannini F, Colombo A, Margonato A, Agricola E, Urbano-Moral JA, Matabuena-Gomez-Limon J, Grande-Trillo A, Rojas-Bermudez C, Rodriguez-Puras MJ, Martinez-Martinez A, Lopez-Pardo F, Lopez-Haldon JE, Kupczynska K, Kasprzak JD, Lipiec P, Abdelrahman Sharaf El Dein AHMED, Shawky El Serafy AHMED, Rajan RAJESH, Sveric K, Kvakan H, Strasser RH, Cekovic S, Veceric S, Separovic Hanzevacki J, Romanato S, Callegari A, Bernardinello V, Reffo E, Milanesi O, Agapito A, Sousa L, Oliveira JA, Branco LM, Timoteo AT, Galrinho A, Thomas B, Tavares NJ, Cruz Ferreira R, Agapito A, Sousa L, Oliveira JA, Branco LM, Timoteo AT, Galrinho A, Thomas B, Tavares NJ, Cruz Ferreira R, Agapito A, Sousa L, Oliveira JA, Soares R, Aguiar Rosa SA, Morais L, Thomas B, Tavares NJ, Cruz Ferreira R, Szilveszter B, Elzomor H, Karolyi M, Raaijmakers R, Benke K, Celeng C, Bagyura Z, Merkely B, Maurovich-Horvat P, Shaheen S, Abdelkader M, Rasheed T, Kasprzak JD, Lipiec P, Srbinovska E, Pop Gorceva D, Zdravkovska M, Galrinho A, Moura Branco L, Timoteo AT, Agapito A, Sousa L, Oliveira JA, Rodrigues I, Viveiros Monteiro A, Cruz Ferreira R. HIT Poster session 3Transcatheter procedures (TAVI/MitralClip)P937Comparison between 3d transesophageal echocardiography and multislice computed tomography for the aortic annulus sizing in tavi patients: implication for prosthesis sizingP938Left ventricular remodelling in chronic mitral regurgitation: from geometry to mechanics by speckle tracing imageP939Direct TAVI of a self-expanding bioprosthesis: long-term clinical outcomes.P940Prognostic value of coronary flow reserve in the culprit artery following previous myocardial infarctionP941Both MitraClip and heartport surgery prevent progressive left ventricular remodeling in very severe systolic heart failureP942Predictors for the development of microvascular obstruction in patients with acute myocardial infarction treated with primary percutaneous coronary intervention.P943Usefulness of exercise stress echocardiography in asymptomatic or mildly symptomatic patients with chronic degenerative mitral regurgitationP944Left ventricular myocardial deformation changes after aortic valve repair and replacement for aortic regurgitationP945Transcatheter aortic valve implantation: a view of the right side.P946Assessment of epicardial fat thickness and carotid intima media thickness in preeclemsiaP947Gender differences in the remodelling of left and right chambers of the heart in patients with uncontrolled hypertensionP948The five-year course of the left ventricular conventional and advanced echocardiographic parameters in patients with anterior and inferior myocardial infarction revascularized by percutaneouslyP949Aortic regurgitation and 2D derived-speckle tracking left ventricle global longitudinal strain: a connection with symptoms beyond ejection fractionP950Hypertrophic cardiomyopathy: structural abnormalities beyond hypertrophy from a prospective echocardiographic evaluationP952Echocardiographic findings of thrombosis vs endocarditis in tavi patients: a single centre experienceP953Prospective examination of the prevalence and significance of causal mechanisms of low gradient aortic valve stenosisP954Echocardiographic assessment of regional left atrial longitudinal strain by tissue Doppler and speckle tracking method - a comparison studyP955Pattern of atherosclerosis in extracranial and intracranial vessles in non diabetic, non stroke patient with atherosclerotic CADP9563D volume time curves of the left ventricle and exercise capacity testing in patients with dilated cardiomyopathy- old parameters revisedP957Left ventricular longitudinal function in hypertensive patients with septal bulgeP958Integrated imaging to evaluate cardiac performance in Fontan patientsP959The value of right ventricular global longitudinal strain in the evaluation of adult patients with repaired tetralogy of FallotP960Accurate transthoracic echocardiography parameters for the evaluation of adult patients with repaired tetralogy of Fallot: validation with cardiac magnetic resonance imagingP961Cardiac magnetic resonance imaging and cardiopulmonary exercise testing in the functional evaluation of adult patients with repaired tetralogy of FallotP962Model based iterative reconstruction techniques cause modest change in calcium scoresP963Assesment of diastolic heart function by using multi detector computed tomography ( MDCT) in comparison with tissue dopplerP964Bicuspid aortic valve morphology and its impact on aortic diameter - a meta-analysisP965Prognostic value of moderate and severe myocardial ischemia in patients with suspected coronary artery disease and normal coronary angiogramsP966Predictors of aortic dilation in patients with bicuspid aortic valve. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Colunga Blanco S, Gonzalez Matos C, Angelis A, Dinis PG, Chinali M, Toth A, Andreassi MG, Rodriguez Munoz D, Reid AB, Park JH, Shetye A, Novo G, De Marchi SF, Cikes M, Smarz K, Illatopa V, Peluso D, Wellnhofer E, De La Rosa Riestra A, Sattarzadeh Badkoubeh R, Mandour Ali M, Azoz A, Pontone G, Krljanac G, Acar R, Nucifora G, Sirtautas A, Roos ST, Qasem MS, Marini C, Fabiani I, Gillis K, Bandera F, Borowiec A, Lim YJ, Chalbia TE, Santos M, Gao SA, Zilberszac R, Farrag AAM, Palmiero G, Aruta P, De Diego Soler O, Fasano D, Tamborini G, Ancona F, Raafat DM, Marchel M, De Gregorio C, Gommans DHF, Godinho AR, Mielczarek M, Bandera F, Kubik M, Cho JY, Tarando F, Lourenco Marmelo BF, Reis L, Domingues K, Krestjyaninov MV, Mesquita J, Ikonomidis I, Ferferieva V, Peluso D, Peluso D, King GJ, D'ascenzi F, Ferrera Duran C, Sormani P, Gonzalez Fernandez O, Tereshina O, Cambronero Cortinas E, Kupczynska K, Carvalho JF, Shivalkar B, Aghamohammadzadeh R, Cifra B, Cifra B, Bandera F, Kuznetsov VA, Van 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Granero C, Carbonell San Roman A, Moya Mur JL, Fernandez-Golfin C, Moreno Planas J, Fernandez Santos S, Casas Rojo E, Hernandez-Madrid A, Zamorano Gomez JL, Pearce K, Gamlin W, Miller C, Schmitt M, Seong IW, Kim KH, Kim MJ, Jung HO, Sohn IS, Park SM, Cho GY, Choi JO, Park SW, Nazir SA, Khan JN, Singh A, Kanagala P, Squire I, Mccann GP, Di Lisi D, Meschisi MC, Brunco V, Badalamenti G, Bronte E, Russo A, Novo S, Von Tscharner M, Urheim S, Aakhus S, Seiler C, Schmalholz S, Biering-Sorensen T, Cheng S, Oparil S, Izzo J, Pitt B, Solomon SD, Zaborska B, Jaxa-Chamiec T, Tysarowski M, Budaj A, Cordova F, Aguirre O, Sanabria S, Ortega J, Romeo G, Perazzolo Marra M, Tona F, Famoso G, Pigatto E, Cozzi F, Iliceto S, Badano LP, Kriatselis C, Gerds-Li JH, Kropf M, Pieske B, Graefe M, Martinez Santos P, Batlle Lopez E, Vilacosta I, Sanchez Sauce B, Espana Barrio E, Jimenez Valtierra J, Campuzano Ruiz R, Alonso Bello J, Martin Rios MD, Farrashi M, Abtahi H, Sadeghi H, Sadeghipour P, Tavoosi A, Abdel Rahman TA, Mohamed LA, Maghraby HM, Kora IM, Abdel Hameed FR, Ali MN, Al Shehri A, Youssef A, Gad A, Alsharqi M, Alsaikhan L, Andreini D, Rota C, Guglielmo M, Mushtaq S, Baggiano A, Beltrama V, Solbiati A, Guaricci AI, Pepi M, Trifunovic D, Sobic Saranovic D, Savic L, Grozdic Milojevic I, Asanin M, Srdic M, Petrovic M, Zlaic N, Mrdovic I, Dogan C, Izci S, Gecmen C, Unkun T, Cap M, Erdogan E, Onal C, Yilmaz F, Ozdemir N, Muser D, Tioni C, Zanuttini D, Morocutti G, Spedicato L, Bernardi G, Proclemer A, Pranevicius R, Zapustas N, Briedis K, Valuckiene Z, Jurkevicius R, Juffermans LJM, Enait V, Van Royen N, Van Rossum AC, Kamp O, Khalaf HASSEN, Hitham SAKER, Osama AS, Abazid RAMI, Guall RAHIM, Durdan SHAFAT, Mohammed ZYAD, Stella S, Rosa I, Ancona F, Spartera M, Italia L, Latib A, Colombo A, Margonato A, Agricola E, Scatena C, Mazzanti C, Conte L, Pugliese N, Barletta V, Bortolotti U, Naccarato AG, Di Bello V, Bala G, Roosens B, Hernot S, Remory I, Droogmans S, Cosyns B, Generati G, Labate V, Donghi V, Pellegrino M, Carbone F, Alfonzetti E, Guazzi M, Dabrowski R, Kowalik I, Firek B, Chwyczko T, Szwed H, Kawamura A, Kawano S, Zaroui A, Ben Said R, Ben Halima M, Kheder N, Farhati A, Mourali S, Mechmech R, Leite L, Martins R, Baptista R, Barbosa A, Ribeiro N, Oliveira A, Castro G, Pego M, Polte CL, Lagerstrand K, Johnsson ÅA, Janulewicz M, Bech-Hanssen O, Gabriel H, Wisser W, Maurer G, Rosenhek R, El Aroussy W, Abdel Ghany M, Al Adeeb K, Ascione L, Carlomagno G, Sordelli C, Ferro A, Ascione R, Severino S, Caso P, Muraru D, Janei C, Haertel Miglioranza M, Cavalli G, Romeo G, Peluso D, Cucchini U, Iliceto S, Badano L, Armario Bel X, Garcia-Garcia C, Ferrer Sistach E, Rueda Sobella F, Oliveras Vila T, Labata Salvador C, Serra Flores J, Lopez-Ayerbe J, Bayes-Genis A, Conte E, Gonella A, Morena L, Civelli D, Losardo L, Margaria F, Riva L, Tanga M, Carminati C, Muratori M, Gripari P, Ghulam Ali S, Fusini L, Vignati C, Bartorelli AL, Alamanni F, Pepi M, Rosa I, Stella S, Marini C, Spartera M, Latib A, Montorfano M, Colombo A, Margonato A, Agricola E, Ismaiel A, Ali N, Amry S, Serafin A, Kochanowski J, Filipiak KJ, Opolski G, Speranza G, Ando' G, Magaudda L, Cramer GE, Bakker J, Michels M, Dieker HJ, Fouraux MA, Marcelis CLM, Timmermans J, Brouwer MA, Kofflard MJM, Vasconcelos M, Araujo V, Almeida P, Sousa C, Macedo F, Cardoso JS, Maciel MJ, Voilliot D, Huttin O, Venner C, Olivier A, Villemin T, Deballon R, Manenti V, Juilliere Y, Selton-Suty C, Generati G, Pellegrino M, Labate V, Carbone F, Alfonzetti E, Guazzi M, Dabrowska-Kugacka A, Dorniak K, Lewicka E, Szalewska D, Kutniewska-Kubik M, Raczak G, Kim KH, Yoon HJ, Park HJ, Ahn Y, Jeong MH, Cho JG, Park JC, Kim JH, Galli E, Habib G, Schnell F, Lederlin M, Daubert JC, Mabo P, Donal E, Faria R, Magalhaes P, Marques N, Domingues K, Lourenco C, Almeida AR, Teles L, Picarra B, Azevedo O, Lourenco C, Oliveira M, Magalhaes P, Domingues K, Marmelo B, Almeida A, Picarra B, Faria R, Marques N, Bento D, Lourenco C, Magalhaes P, Cruz I, Marmelo B, Reis L, Picarra B, Faria R, Azevedo O, Gimaev RH, Melnikova MA, Olezov NV, Ruzov VI, Goncalves P, Almeida MS, Branco P, Carvalho MS, Dores H, Gaspar MA, Sousa H, Andrade MJ, Mendes M, Makavos G, Varoudi M, Papadavid E, Andreadou I, Gravanis K, Liarakos N, Pavlidis G, Rigopoulos D, Lekakis J, Deluyker D, Bito V, Pigatto E, Romeo G, Muraru D, Cozzi F, Punzi L, Iliceto S, Badano LP, Pigatto E, Romeo G, Muraru D, Cozzi F, Iliceto S, Badano LP, Neilan T, Coen K, Gannon S, Bennet K, Clarke JG, Solari M, Cameli M, Focardi M, Corrado D, Bonifazi M, Henein M, Mondillo S, Gomez-Escalonilla C, De Agustin A, Egido J, Islas F, Simal P, Gomez De Diego JJ, Luaces M, Macaya C, Perez De Isla L, Zancanella M, Rusconi C, Musca F, Santambrogio G, De Chiara B, Vallerio P, Cairoli R, Giannattasio G, Moreo A, Alvarez Ortega C, Mori Junco R, Caro Codon J, Meras Colunga P, Ponz De Antonio I, Lopez Fernandez T, Valbuena Lopez S, Moreno Yanguela M, Lopez-Sendon JL, Surkova E, Bonanad-Lozano C, Lopez-Lereu MP, Monmeneu-Menadas JV, Gavara J, De Dios E, Paya-Chaume A, Escribano-Alarcon D, Chorro-Gasco FJ, Bodi-Peris V, Michalski BW, Miskowiec D, Kasprzak JD, Lipiec P, Morgado G, Caldeira D, Cruz I, Joao I, Almeida AR, Lopes L, Fazendas P, Cotrim C, Pereira H, De Block C, Buys D, Salgado R, Vrints C, Van Gaal L, Mctear C, Irwin RB, Dragulescu A, Friedberg M, Mertens L, Dragulescu A, Friedberg M, Mertens L, Carbone F, Generati G, Pellegrino M, Labate V, Alfonzetti E, Guazzi M, Krinochkin DV, Yaroslavskaya EI, Zaharova EH, Pushkarev GS, Sugihara C, Patel NR, Sulke AN, Lloyd GW, Piatkowski R, Scislo P, Grabowski M, Marchel M, Opolski G, Roland H, Hamadanchi A, Otto S, Jung C, Lauten A, Figulla HC, Poerner TC, Sampaio F, Fonseca P, Fontes-Carvalho R, Pinho M, Campos AS, Castro P, Fonseca C, Ribeiro J, Gama V, Heck R, Hamdanchi A, Otto S, Jung C, Lauten A, Figulla HR, Poerner TC, Ranjbar S, Ghaffaripour Jahromi M, Ranjbar S, Hinojar R, Fernandez Golfin C, Esteban A, Pascual-Izco M, Garcia-Martin A, Casas Rojo E, Jimenez-Nacher JJ, Zamorano JL, Gecmen C, Cap M, Izci S, Erdogan E, Onal C, Acar R, Bakal RB, Kaymaz C, Ozdemir N, Karvandi M, Ghaffaripour Jahromi M, Galand V, Schnell F, Matelot D, Martins R, Leclercq C, Carre F, Suran BC, Margulescu AD, Rimbas RC, Siliste C, Vinereanu D, Nocerino P, Urso AC, Borrino A, Carbone C, Follero P, Ciardiello C, Prato L, Salzano G, Marino F, Ruspetti A, Sparla S, Di Tommaso C, Loiacono F, Focardi M, D'ascenzi F, Henein M, Mondillo S, Porter J, Walker M, Lo Iudice F, Esposito R, Santoro C, Cocozza S, Izzo R, De Luca N, De Simone G, Trimarco B, Galderisi M, Gervasi F, Patti G, Mega S, Bono M, Di Sciascio G, Buture A, Badea R, Platon P, Ghiorghiu I, Jurcut R, Coman IM, Popescu BA, Ginghina C, Lunetta M, Spoto MS, Lo Vi AM, Pensabene G, Meschisi MC, Carita P, Coppola G, Novo S, Assennato P, Shim A, Wejner-Mik P, Kasprzak JD, Lipiec P, Havasi K, Domsik P, Kalapos A, Forster T, Piros GA, Domsik P, Kalapos A, Lengyel C, Orosz A, Forster T, Bulbul Z, Issa Z, Al Sehly A, Pergola V, Oufi S, Conde Y, Cimino E, Rinaldi E, Ashurov R, Ricci S, Pergolini M, Vitarelli A, Lujan Valencia JE, Chaparro M, Garcia-Guerrero A, Cristo Ropero MJ, Izquierdo Bajo A, Madrona L, Recio-Mayoral A, Monmeneu JV, Igual B, Lopez Lereu P, Garcia MP, Selmi W, Jalal Z, Thambo JB, Kosuta D, Fras Z. Poster session 5The imaging examinationP1097Correlation between visual and quantitative assessment of left ventricle: intra- and inter-observer agreementP1099Incremental prognostic value of late gadolinium-enhanced by cardiac magnetic resonance in patients with heart failureAnatomy and physiology of the heart and great vesselsP1100Left ventricular geometry and diastolic performance in erectile dysfunction patients; a topic of differential arterial stiffness influenceAssessment of diameters, volumes and massP1101Impact of the percutaneous closure of atrial septal defect on the right heart "remodeling"P1102Left Ventricular Mass Indexation in Infants, Children and Adolescents: a Simplified Approach for the Identification of Left Ventricular Hypertrophy in Clinical PracticeP1103Impact of trabecules while quantifying cardiac magnetic resonance exams in patients with systemic right ventricleP1104Detection of subclinical atherosclerosis by carotid intima-media thickness: correlation with leukocytes telomere shorteningAssessments of haemodynamicsP1105Flow redirection towards the left ventricular outflow tract: vortex formation is not affected by variations in atrio-ventricular delayAssessment of systolic functionP1106Reproducibility and feasibility of cardiac MRI feature tracking in Fabry diseaseP1107Normal left ventricular strain values by two-dimensional strain echocardiography; result of normal (normal echocardiographic dimensions and functions in korean people) studyP1108Test-retest repeatability of global strain following st-elevation myocardial infarction - a comparison of tagging and feature trackingP1109Cardiotoxicity induced by tyrosine kinase inhibitors in patients with gastrointestinal stromal tumors (GIST)P1110Finite strain ellipses for the analysis of left ventricular principal strain directions using 3d speckle tracking echocardiographyP1111Antihypertensive therapy reduces time to peak longitudinal strainP1112Right ventricular systolic function as a marker of prognosis after inferior myocardial infarction - 5-year follow-upP1113Is artery pulmonary dilatation related with right but also early left ventricle dysfunction in pulmonary artery hypertension?P1114Right ventricular mechanics changes according to pressure overload increasing, a 2D-speckle tracking echocardiographic evaluationAssessment of diastolic functionP1115Paired comparison of left atrial strain from P-wave to P-wave and R-wave to R-waveP1116Diagnostic role of Tissue Doppler Imaging echocardiographic criteria in obese heart failure with preserved ejection fraction patientsP1117Evaluation of diastolic function of right ventricle in idiopathic pulmonary arterial hypertensionP1118Severity and predictors of diastolic dysfunction in a non-hypertensive non-ischemic cohort of Egyptian patients with documented systemic autoimmune disease; pilot reportP1119correlation between ST segment shift and cardiac diastolic function in patients with acute myocardial infarctionIschemic heart diseaseP1120Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)P1121Utility of transmural myocardial mechanic for early infarct size prediction after primary percutaneous coronary intervention in STEMI patientsP1122Progressive Improvements of the echocardiographic deformation parameters in ST Elevation Myocardial Infarction after five years follow-upP1123Long-term prognostic value of left ventricular dyssynchrony as assessed by cardiac magnetic resonance feature-tracking imaging after a first st-segment elevation myocardial infarctionP1124Differences in mitral annulus remodeling in acute anterior ST elevation and acute inferior ST elevation myocardial infarctionP1125Reduction of microvascular injury using a novel theragnostic ultrasound strategy: a first in men feasibility and safety studyP1126Impact of focused echocardiography in clinical decision of patient presented with st elevation myocardial infarction underwent primary angioplastyHeart valve DiseasesP1127Aortic valve area calculation in aortic stenosis: a comparison among conventional and 3D-transesophageal echocardiography and computed tomographyP1128Myocardial fibrosis and microRNA-21 expression in patients with severe aortic valve stenosis and preserved ejection fraction: a 2D speckle tracking echocardiography, tissutal and plasmatic studyP1129Quantification of calcium amount in a new experimental model: a comparison between calibrated integrated backscatter of ultrasound and computed tomographyP1130Altered diffusion capacity in aortic stenosis: role of the right heartP1131Osteoprotegerin predicts all-cause mortality in calcific aortic stenosis patients with preserved left ventricle ejection fraction in long term observationP1132Mitral regurgitation as a risk factor for pulmonary hypertension in patients with aortic stenosisP1133The relationship between the level of plasma B-type natriuretic peptide and mitral stenosisP1134Aortic regurgitation, left ventricle mechanics and vascular load: a single centre 2d derived-speckle tracking studyP1135Feasibility and reproducibility issues limit the usefulness of quantitative colour Doppler parameters in the assessment of chronic aortic and mitral regurgitation severityP1136Predictors of postoperative outcome in degenerative mitral regurgitationP1137Left ventricular mechanical dyssynchrony in patients with severe mitral regurgitation of rheumatic etiology; three dimensional echocardiography studyP1138Functional mitral regurgitation and left atrial dysfunction concur in determining pulmonary hypertension and functional status in subjects with left ventricular systolic dysfunctionP11393D echocardiography allows more effective quantitative assessment of the severity of functional tricuspid regurgitation than conventional 2D/Doppler echocardiographyP1140Prosthetic valve thrombosis: still a severe disease? 10-years experience in a university hospitalP1141Validity of echocardiography in the hospital course of patients with feverP1142Do baseline 3DTEE characteristics of mitral valve apparatus predict long term result in patients undergoing percutaneous valve repair for degenerative regurgitation?P1143Influence of baseline aortic regurgitation on mitral regurgitation change after transcatheter aortic valve replacement for aortic stenosisP1144Prevalence of echocardiography detected significant valvular regurge in subclinical rheumatic carditis in assiut childrenCardiomyopathiesP1145Can we early detect left ventricular systolic dysfunction in patients with Duchenne muscular dystrophy using global longitudinal strain assessment?P1146Prevalence of isolated papillary muscle hypertrophy in young competitive athletesP1147Troponin release after exercise in patients with hypertrophic cardiomyopathy: associations with clinical and mr imaging characteristicsP1148Atrial fibrillation in hypertrophic cardiomyopathy: can we score the risk?P1149Impact of hypertrophy on multiple layer longitudinal deformation in hypertrophy cardiomyopathy and cardiac amyloidosis compared to controlsP1150Functional evaluation in hypertrophic cardiomyopathy combining cardiopulmonary exercise testing combined with exercise-echocardiographyP1151Refinement of the old diagnostic criteria of left ventricular noncompaction cardiomyopathy (LVNC) based on cardiac magnetic resonance (CMR)P1152Differences of clinical characteristics and outcomes between acute myocarditis with preserved and reduced left ventricular systolic functionP1153Value of longitudinal strain for distinguishing left ventricular non-compaction from idiopathic dilated cardiomyopathyP1154Speed of recovery of left ventricular function is not related to the prognosis of Takotsubo cardiomyopathy. A Portuguese multicentre studyP1155Predictors of in-hospital left ventricular systolic function recovery after admission with takotsubo cardiomyopathy. Portuguese multicentre studyP1156Mid-ventricular takotsubo detected by initial echocardiogram associates with recurrence of takotsubo cardiomyopathy - a portuguese multicentre studySystemic diseases and other conditionsP1157Relations between left ventricle remodelling and expression of angiotensin 2 AT2R1 geneP1158Impact of renal denervation on long-term blood pressure variability and surrogate markers of target organ damage in individuals with drug-resistant arterial hypertensionP1159Greater improvement of coronary artery function, left ventricular deformation and twisting by IL12/23 compared to TNF-a inhibition in psoriasisP1160Advanced glycation end products play a role in adverse LV remodeling following MIP1161Incidence of subclinical myocardial dysfunction in patients with systemic sclerosis and normal left ventricular systolic and diastolic functionP1162Left atrial remodeling and dysfunction occur early in patients with systemic sclerosis and normal left ventricular functionP1163Intrinsic vortex formation : a unique performance indicatorP1164P-wave morphology is unaffected by training-induced biatrial dilatation: a prospective, longitudinal study in healthy athletesP1165Usefulness of transthoracic echocardiography in diagnosis of young patients with ischemic strokeP1166Primary cardiac lymphoma: role of echocardiography in the clinical managementP1167Abnormal echocardiographic findings in cancer patients before chemotherapyMasses, tumors and sources of embolismP1168Three-dimensional transesophageal echocardiography of the left atrial appendage reduces rate of postpone electrical cardioversionP1169Detection of ventricular thrombus by cmr after reperfused st-segment elevation myocardial infarction correlated with echocardiographyP1170Clinical and transthoracic echocardiographic predictors of left atrial appendage thrombus in patients with atrial fibrillationStress echocardiographyP1171Pharmacological stress echocardiography complications: a 4-year single center experienceP1172Myocardial functional and perfusion reserve in type I diabetesP1173Feasibility of incorporating 3D Dobutamine stress echocardiography into routine clinical practiceP1174Right ventricular isovolumic acceleration at rest and during exercise in children after heart transplantP1175Right ventricular systolic and diastolic response to exercise in children after heart transplant -a bicycle exercise studyP1176Determinants of functional capacity in heart failure patients with reduced ejection fractionP1177Handgrip stress echocardiography with emotional component compared to conventional isometric exercise in coronary artery disease diagnosisP1178The relationship between resting transthoracic echocardiography and exercise capacity in patients with paroxysmal atrial fibrillationP1179Correlation between NT-proBNP and selected echocardiography parameters at rest and after exercise in patients with functional ischemic mitral regurgitation qualified for cardiosurgical treatmentReal-time three-dimensional TEEP1180Vena contracta area for severity grading in functional and degenerative mitral regurgitation: A study based on transesophageal 3D colour Doppler in 419 patientsP1181Proximal flow convergence by 3D echocardiography in the evaluation of mitral valve area in rheumatic mitral stenosisP1182Quantification of valve dimensions by transesophageal 3D echocardiography in patients with functional and degenerative mitral regurgitationTissue Doppler and speckle trackingP1183Automatic calculation of left ventricular volume changes over a cardiac cycle from echocardiography images by nonlinear dimensionality reductionP1184Effect of the mitral valve repairs on the left ventricular blood flow formationP1185Quantification of left atrial strain using cardiovascular magnetic resonance. a comparison between hypertrophic cardiomyopathy and healthy controlsP1186The role of early systolic lengthening in patients with non-ST elevation acute coronary syndrome and its relation to syntax scoreP1187Different standard two dimensional strain methods to quantity left ventricular mechanicsP1188Atrial function and electrocardiography caracteristics in sportsmen with or without paroxysmal atrial fibrillationP1189Right ventricular outflow premature contractions induce regional left ventricular dysfunctionP1190Ultrasound guided venous access for pacemaker and defibrillators. Randomized TrialP1191Atrial function analysis correlates with symptoms and quality of life of heart failure patientsP1192The use of tissue doppler echocardiography in myocardial iron overload in patients with thalassaemia majorP1193Independent association between pulse pressure and left ventricular global longitudinal strainP1194Global and regional longitudinal strain identifies the presence of coronary artery disease in patients with suspected reduction of coronary flow reserve and absence of wall motion abnormalitiesP1195Prognostic value of invasive and noninvasive parameters of right ventricular function in patients with pulmonary arterial hypertension receiving specific vasodilator therapyP1196Myocardial deformation analysis to improve arrhythmic risk stratificationP1197Quantitative assessment of regional systolic and diastolic function parameters for detecting prior transient ischemia in normokinetic segmentsP1198Left atrial function in patients with corrected tetralogy of Fallot - a three-dimensional speckle-tracking echocardiographic studyP1199Left atrial ejection force correlates with left atrial strain and volume-based functional properties as assessed by three-dimensional speckle tracking echocardiographyP1200Acute angulation of the aortic arch late after the arterial switch operation for transposition of the great arteries: impact on cardiac mechanicsP1201Circumferential deformation of the ascending thoracic aorta in hypertensive patients by three-dimensional speckle tracking echocardiographyCardiac Magnetic ResonanceP1202The incremental value of cardiac magnetic resonance on diagnosis myocardial infarction and non-obstructed coronary arteriesP1204Reference ranges of global and regional myocardial T1 values derived from MOLLI and shMOLLI at 3TComputed Tomography & Nuclear CardiologyP1205Deformation of the left atrial appendage after percutaneous closure with the Amplatzer cardiac plugP1206Prognostic impact of non-obstructive coronary artery disease on coronary computed tomographic angiography: A single-center study. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Traxanas K, Vergi N, Feretou A, Kallikazaros I, Tsai WC, Sun YT, Lee WH, Yang LT, Liu YW, Lee CH, Li WT, Mizariene V, Bieseviciene M, Karaliute R, Verseckaite R, Vaskelyte J, Lesauskaite V, Chatzistamatiou E, Mpampatseva Vagena I, Manakos K, Moustakas G, Konstantinidis D, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Hristova K, Cornelissen G, Singh R, Shiue I, Coisne D, Madjalian AM, Tchepkou C, Raud Raynier P, Degand B, Christiaens L, Baldenhofer G, Spethmann S, Dreger H, Sanad W, Baumann G, Stangl K, Stangl V, Knebel F, Azzaz S, Kacem S, Ouali S, Risos L, Dedobbeleer C, Unger P, Sinem Cakal S, Elif Eroglu E, Baydar O, Beytullah Cakal B, Mehmet Vefik Yazicioglu M, Mustafa Bulut M, Cihan Dundar C, Kursat Tigen K, Birol Ozkan B, Ali Metin Esen A, Tournoux F, Chequer R, Sroussi M, Hyafil F, Rouzet F, Leguludec D, Baum P, Stoebe S, Pfeiffer D, Hagendorff A, Fang F, Lau M, Zhang Q, Luo X, Wang X, Chen L, Yu C, Zaborska B, Smarz K, Makowska E, Kulakowski P, Budaj A, Bengrid TM, Zhao Y, Henein MY, Caminiti G, D'antoni V, Cardaci V, Conti V, Volterrani M, Warita S, Kawasaki M, Yagasaki H, Minatoguchi S, Nagaya M, Ono K, Noda T, Watanabe S, Houle H, Minatoguchi S, Gillebert TC, Chirinos JA, Claessens TC, Raja MW, De Buyzere ML, Segers P, Rietzschel ER, Kim K, Cha J, Chung H, Kim J, Yoon Y, Lee B, Hong B, Rim S, Kwon H, Choi E, Pyankov V, Aljaroudi W, Matta S, Al-Shaar L, Habib R, Gharzuddin W, Arnaout S, Skouri H, Jaber W, Abchee A, Bouzas Mosquera A, Peteiro J, Broullon F, Constanso Conde I, Bescos Galego H, Martinez Ruiz D, Yanez Wonenburger J, Vazquez Rodriguez J, Alvarez Garcia N, Castro Beiras A, Gunyeli E, Oliveira Da Silva C, Shahgaldi K, Manouras A, Winter R, Meimoun P, Abouth S, Martis S, Boulanger J, Elmkies F, Zemir H, Detienne J, Luycx-Bore A, Clerc J, Rodriguez Palomares JF, Gutierrez L, Maldonado G, Garcia G, Galuppo V, Gruosso D, Teixido G, Gonzalez Alujas M, Evangelista A, Garcia Dorado D, Rechcinski T, Wierzbowska-Drabik K, Wejner-Mik P, Szymanska B, Jerczynska H, Lipiec P, Kasprzak J, El-Touny K, El-Fawal S, Loutfi M, El-Sharkawy E, Ashour S, Boniotti C, Carminati M, Fusini L, Andreini D, Pontone G, Pepi M, Caiani E, Oryshchyn N, Kramer B, Hermann S, Liu D, Hu K, Ertl G, Weidemann F, Ancona F, Miyazaki S, Slavich M, Figini F, Latib A, Chieffo A, Montorfano M, Alfieri O, Colombo A, Agricola E, Nogueira M, Branco L, Rosa S, Portugal G, Galrinho A, Abreu J, Cacela D, Patricio L, Fragata J, Cruz Ferreira R, Igual Munoz B, Erdociain Perales M, Maceira Gonzalez A, Estornell Erill Jordi J, Donate Bertolin L, Vazquez Sanchez Alejandro A, Miro Palau Vicente V, Cervera Zamora A, Piquer Gil M, Montero Argudo A, Girgis HYA, Illatopa V, Cordova F, Espinoza D, Ortega J, Khan U, Islam A, Majumder A, Girgis HYA, Bayat F, Naghshbandi E, Naghshbandi E, Samiei N, Samiei N, Malev E, Omelchenko M, Vasina L, Zemtsovsky E, Piatkowski R, Kochanowski J, Budnik M, Scislo P, Opolski G, Kochanowski J, Piatkowski R, Scislo P, Budnik M, Marchel M, Opolski G, Abid L, Ben Kahla S, Abid D, Charfeddine S, Maaloul I, Ben Jmaa M, Kammoun S, Hashimoto G, Suzuki M, Yoshikawa H, Otsuka T, Isekame Y, Yamashita H, Kawase I, Ozaki S, Nakamura M, Sugi K, Benvenuto E, Leggio S, Buccheri S, Bonura S, Deste W, Tamburino C, Monte IP, Gripari P, Fusini L, Muratori M, Tamborini G, Ghulam Ali S, Bottari V, Cefalu' C, Bartorelli A, Agrifoglio M, Pepi M, Zambon E, Iorio A, Di Nora C, Abate E, Lo Giudice F, Di Lenarda A, Agostoni P, Sinagra G, Timoteo AT, Galrinho A, Moura Branco L, Rio P, Aguiar Rosa S, Oliveira M, Silva Cunha P, Leal A, Cruz Ferreira R, Zemanek D, Tomasov P, Belehrad M, Kostalova J, Kara T, Veselka J, Hassanein M, El Tahan S, El Sharkawy E, Shehata H, Yoon Y, Choi H, Seo H, Lee S, Kim H, Youn T, Kim Y, Sohn D, Choi G, Mielczarek M, Huttin O, Voilliot D, Sellal J, Manenti V, Carillo S, Olivier A, Venner C, Juilliere Y, Selton-Suty C, Butz T, Faber L, Brand M, Piper C, Wiemer M, Noelke J, Sasko B, Langer C, Horstkotte D, Trappe H, Maysou L, Tessonnier L, Jacquier A, Serratrice J, Copel C, Stoppa A, Seguier J, Saby L, Verschueren A, Habib G, Petroni R, Bencivenga S, Di Mauro M, Acitelli A, Cicconetti M, Romano S, Petroni A, Penco M, Maceira Gonzalez AM, Cosin-Sales J, Igual B, Sancho-Tello R, Ruvira J, Mayans J, Choi J, Kim S, Almeida A, Azevedo O, Amado J, Picarra B, Lima R, Cruz I, Pereira V, Marques N, Chatzistamatiou E, Konstantinidis D, Manakos K, Mpampatseva Vagena I, Moustakas G, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Cho E, Kim J, Hwang B, Kim D, Jang S, Jeon H, Cho J, Chatzistamatiou E, Konstantinidis D, Memo G, Mpapatzeva Vagena I, Moustakas G, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Jedrzejewska I, Konopka M, Krol W, Swiatowiec A, Dluzniewski M, Braksator W, Sefri Noventi S, Sugiri S, Uddin I, Herminingsih S, Arif Nugroho M, Boedijitno S, Caro Codon J, Blazquez Bermejo Z, Valbuena Lopez SC, Lopez Fernandez T, Rodriguez Fraga O, Torrente Regidor M, Pena Conde L, Moreno Yanguela M, Buno Soto A, Lopez-Sendon JL, Stevanovic A, Dekleva M, Kim M, Kim S, Kim Y, Shim J, Park S, Park S, Kim Y, Shim W, Kozakova M, Muscelli E, Morizzo C, Casolaro A, Paterni M, Palombo C, Bayat F, Nazmdeh M, Naghshbandi E, Nateghi S, Tomaszewski A, Kutarski A, Brzozowski W, Tomaszewski M, Nakano E, Harada T, Takagi Y, Yamada M, Takano M, Furukawa T, Akashi Y, Lindqvist G, Henein M, Backman C, Gustafsson S, Morner S, Marinov R, Hristova K, Geirgiev S, Pechilkov D, Kaneva A, Katova T, Pilosoff V, Pena Pena M, Mesa Rubio D, Ruiz Ortin M, Delgado Ortega M, Romo Penas E, Pardo Gonzalez L, Rodriguez Diego S, Hidalgo Lesmes F, Pan Alvarez-Ossorio M, Suarez De Lezo Cruz-Conde J, Gospodinova M, Sarafov S, Guergelcheva V, Vladimirova L, Tournev I, Denchev S, Mozenska O, Segiet A, Rabczenko D, Kosior D, Gao S, Eliasson M, Polte C, Lagerstrand K, Bech-Hanssen O, Morosin M, Piazza R, Leonelli V, Leiballi E, Pecoraro R, Cinello M, Dell' Angela L, Cassin M, Sinagra G, Nicolosi G, Savu O, Carstea N, Stoica E, Macarie C, Moldovan H, Iliescu V, Chioncel O, Moral S, Gruosso D, Galuppo V, Teixido G, Rodriguez-Palomares J, Gutierrez L, Evangelista A, Jansen Klomp WW, Peelen L, Spanjersberg A, Brandon Bravo Bruinsma G, Van 'T Hof A, Laveau F, Hammoudi N, Helft G, Barthelemy O, Michel P, Petroni T, Djebbar M, Boubrit L, Le Feuvre C, Isnard R, Bandera F, Generati G, Pellegrino M, Alfonzetti E, Labate V, Villani S, Gaeta M, Guazzi M, Gabriels C, Lancellotti P, Van De Bruaene A, Voilliot D, De Meester P, Buys R, Delcroix M, Budts W, Cruz I, Stuart B, Caldeira D, Morgado G, Almeida A, Lopes L, Fazendas P, Joao I, Cotrim C, Pereira H, Weissler Snir A, Greenberg G, Shapira Y, Weisenberg D, Monakier D, Nevzorov R, Sagie A, Vaturi M, Bando M, Yamada H, Saijo Y, Takagawa Y, Sawada N, Hotchi J, Hayashi S, Hirata Y, Nishio S, Sata M, Jackson T, Sammut E, Siarkos M, Lee L, Carr-White G, Rajani R, Kapetanakis S, Ciobotaru V, Yagasaki H, Kawasaki M, Tanaka R, Minatoguchi S, Sato N, Amano K, Warita S, Ono K, Noda T, Minatoguchi S, Breithardt OA, Razavi H, Nabutovsky Y, Ryu K, Gaspar T, Kosiuk J, John S, Prinzen F, Hindricks G, Piorkowski C, Nemchyna O, Tovstukha V, Chikovani A, Golikova I, Lutai M, Nemes A, Kalapos A, Domsik P, Lengyel C, Orosz A, Forster T, Nordenfur T, Babic A, Giesecke A, Bulatovic I, Ripsweden J, Samset E, Winter R, Larsson M, Blazquez Bermejo Z, Lopez Fernandez T, Caro Codon J, Valbuena S, Caro Codon J, Mori Junco R, Moreno Yanguela M, Lopez-Sendon J, Pinto-Teixeira P, Branco L, Galrinho A, Oliveira M, Cunha P, Silva T, Rio P, Feliciano J, Nogueira-Silva M, Ferreira R, Shkolnik E, Vasyuk Y, Nesvetov V, Shkolnik L, Varlan G, Bajraktari G, Ronn F, Ibrahimi P, Jashari F, Jensen S, Henein M, Kang MK, Mun HS, Choi S, Cho JR, Han S, Lee N, Cho IJ, Heo R, Chang H, Shin S, Shim C, Hong G, Chung N. Poster session 3: Thursday 4 December 2014, 14:00-18:00 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu253] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Taramasso M, Maisano F, Denti P, Latib A, De Bonis M, La Canna G, Colombo A, Alfieri O. 211 * CLINICAL AND ANATOMICAL PREDICTORS OF MITRACLIP THERAPY FAILURE FOR FUNCTIONAL MITRAL REGURGITATION. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Taramasso M, De Bonis M, Pozzoli A, Schiavi D, Latib A, Buzzatti N, Canna GL, Alfieri O. 221 * PROGNOSTIC IMPACT AND LATE EVOLUTION OF UNTREATED MODERATE FUNCTIONAL TRICUSPID REGURGITATION IN PATIENTS UNDERGOING AORTIC VALVE REPLACEMENT. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Taramasso M, Maisano F, Latib A, Denti P, Guidotti A, Sticchi A, Panoulas V, Giustino G, Pozzoli A, Buzzatti N, Cota L, De Bonis M, Montorfano M, Castiglioni A, Blasio A, La Canna G, Colombo A, Alfieri O. Conventional surgery and transcatheter closure via surgical transapical approach for paravalvular leak repair in high-risk patients: results from a single-centre experience. Eur Heart J Cardiovasc Imaging 2014; 15:1161-7. [DOI: 10.1093/ehjci/jeu105] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ielasi A, Latib A, Colombo A. The diabetic dilemma: which drug-eluting stent works best? Minerva Cardioangiol 2014; 62:39-57. [PMID: 24500216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The relationship between diabetes mellitus and coronary artery disease is well established. The percentage of patients participating in clinical trials of percutaneous coronary intervention (PCI) who have diabetes is quickly rising. Diabetic patients have a worse prognosis than non-diabetics, with generally greater rates of death, myocardial infarction and need for target lesion and vessel revascularization. Stenting has improved the outcome of diabetic patients receiving PCI. Compared with bare-metal stents, the use of drug-eluting stents has resulted in a significant reduction in late lumen loss, binary restenosis, and clinically driven target vessel revascularization even in diabetic patients. Although surgical revascularization remains the recommended revascularization strategy for diabetics, particularly in case of multivessel coronary artery disease, recent progress in interventional devices and techniques have resulted in a changing paradigm for coronary artery revascularization. New stent designs, polymers and drugs are resulting in better outcomes overall, but more research is required to define their relative efficacy relative to other treatment options in this complex subgroup of patients.
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Affiliation(s)
- A Ielasi
- Cardiology Department, Istituto Clinico Humanitas Mater Domini, Castellanza, Varese, Italy -
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Melisurgo G, Ajello S, Kawaguchi M, Latib A, Alfieri O, Pappalardo F, Maisano F. The acute haemodynamic effect of the MitraClip therapy: afterload mismatch evaluation in functional mitral regurgitation. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Magri CJ, Latib A, Chieffo A, Montorfano M, Colombo A. Red blood cell distribution width predicts one-year mortality following transcatheter aortic valve implantation. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Naganuma T, Chieffo A, Basavarajaiah S, Takagi K, Costopoulos C, Latib A, Bernelli C, Nakamura S, Colombo A. Single-stent crossover technique from distal unprotected left main coronary artery to the left circumflex artery. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p1244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Takagi K, Ielasi A, Chieffo A, Naganuma T, Godino C, Latib A, Carlino M, Montorfano M, Nakamura S, Colombo AC. Impact of bifurcation technique on long-term clinical outcomes in 976 patients with distal unprotected left main coronary artery stenosis treated with drug-eluting stents; Milan and new-Tokyo registry. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p3998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Costopoulos C, Latib A, Naganuma T, Sticchi A, Chiefo A, Carlino M, Montorfano M, Figini F, Giannini F, Colombo A. A comparison of first- and second-generation drug-eluting stents in saphenous vein grafts. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p1210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Taramasso M, Latib A, Denti P, Buzzatti N, Candreva A, Di Giannuario G, La Canna G, Alfieri O, Colombo A, Maisano F. Acute kidney injury following mitraclip implantation: incidence, predictive factors and prognostic value. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Costopoulos C, Latib A, Naganuma T, Sticchi A, Chieffo A, Carlino M, Montorfano M, Gondino C, Figini F, Colombo A. Everolimus-eluting and biolimus-eluting stents for the treatment of coronary bifurcations. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p3074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ajello S, Latib A, Candreva A, Buzzatti N, Cioni M, Guidotti A, Colombo A, La Canna G, Alfieri O, Maisano F. Outcome of patients referred for MitraClip: treated vs. untreated high-risk candidates in a single center experience. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Takagi K, Ielasi A, Chieffo A, Naganuma T, Godino C, Latib A, Carino M, Montorfano M, Nakamura S, Colombo A. Long-term survival in patients undergoing drug-eluting stent PCI of the unprotected left main coronary artery according to renal function; Milan and New-Tokyo (MITO) registry. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p4813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Naganuma T, Latib A, Costopoulos C, Oreglia J, Testa L, De Marco F, Bedogni F, Colombo A. Impact of drug-eluting balloon for the treatment of restenotic lesions involving coronary bifurcations. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p1222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lefevre T, Schofer J, De Marco F, Fajadet J, Latib A, Tchetche D, Klugmann S, Bijuklic K, Davidson C, Colombo A. The DISCOVER CE Trial: multicenter prospective trial of the direct flow medical transcatheter aortic valve. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.2588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bernelli C, Chieffo A, Montorfano M, Maisano F, Latib A, Carlino M, Figini F, De Meo E, Alfieri O, Colombo A. Impact of activated clotting time guided heparin administration on bleeding events after trans-femoral transcatheter aortic valve implantation. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Airoldi F, Baldino G, Mortola P, Losa S, Clerici G, Tavano D, Latib A, Gori A, Faglia E. Nitinol stents with polymer-free paclitaxel coating for stenosis of failing infrainguinal bypass grafts. J Cardiovasc Surg (Torino) 2013; 54:441-445. [PMID: 24013532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
AIM This study was designed to investigate the immediate and one-year outcomes of polymer-free paclitaxel coated drug-eluting stent (DES) implantation in a consecutive series of patients presenting with stenosis of infrainguinal bypass grafts. METHODS Between January 2011 and January 2012, 11 patients with failing infrainguinal bypass grafts were treated in two institutions. Clinical status and Duplex scan parameters were recorded at baseline and over a follow-up period of one year. RESULTS DES implantation was successfully performed in all patients. Ten patients received a single stent and one patient received two stents. At one year, one patient showed total bypass graft occlusion (9%). In all the remaining patients, Duplex scan examination documented patency of the treated grafts. CONCLUSION DES implantation in failing infrainguinal bypass grafts can be safely performed and provides satisfactory clinical outcomes. The patency rate of 91% favourably compares with those obtained with other endovascular treatments such as plain balloon or cutting balloon angioplasty.
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MESH Headings
- Aged
- Aged, 80 and over
- Alloys
- Angioplasty, Balloon/adverse effects
- Angioplasty, Balloon/instrumentation
- Blood Vessel Prosthesis
- Blood Vessel Prosthesis Implantation/adverse effects
- Blood Vessel Prosthesis Implantation/instrumentation
- Cardiovascular Agents/administration & dosage
- Constriction, Pathologic
- Drug-Eluting Stents
- Female
- Graft Occlusion, Vascular/diagnosis
- Graft Occlusion, Vascular/etiology
- Graft Occlusion, Vascular/physiopathology
- Graft Occlusion, Vascular/therapy
- Humans
- Italy
- Lower Extremity/blood supply
- Male
- Middle Aged
- Paclitaxel/administration & dosage
- Prosthesis Design
- Prosthesis Failure
- Time Factors
- Treatment Outcome
- Ultrasonography, Doppler, Duplex
- Vascular Patency
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Affiliation(s)
- F Airoldi
- Cardiovascular Department, Multimedica IRCCS, Sesto San Giovanni, Milan, Italy -
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