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Abstract
Transcatheter aortic valve implantation (TAVI) is a therapeutic option widely used for the treatment of severe aortic stenosis in the elderly. Careful pre-procedural screening, operator experience, and technological innovations, accounted for a safe, reliable, and standardized procedure. To further decrease post-operative complications, few steps are important: careful planning of the procedure by the Heart Team, clinical and diagnostic evaluation including electrocardiogram, echography, and computed tomography of the heart and great vessels. This approach will allow a selection of ideal candidates for the procedure, the best vascular approach, the selection of patients candidates for early discharge, and last but not least, simplification of the TAVI procedure. Although the procedure is reaching the ‘simplicity’ of coronary interventions, it should always be kept in mind the possibility, albeit remote, that life-threatening complication could ensue, requiring the prompt intervention of the cardiovascular surgeon.
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Affiliation(s)
| | - Marco Barbanti
- CAST-Ospedale Policlinico, Cardiologia, Università degli Studi di Catania, Italy
| | - Corrado Tamburino
- CAST-Ospedale Policlinico, Cardiologia, Università degli Studi di Catania, Italy
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Francaviglia B, Capranzano P, Capodanno D, Barbanti M, Tamburino CI, Buccheri S, Tamburino C. Late Self-Apposition With One-Year Persisting Uncoverage of Malapposed Bioresorbable Polymeric Struts. Can J Cardiol 2017; 33:951.e5-951.e6. [PMID: 28579161 DOI: 10.1016/j.cjca.2017.03.028] [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] [Received: 02/21/2017] [Revised: 03/19/2017] [Accepted: 03/31/2017] [Indexed: 11/29/2022] Open
Affiliation(s)
- Bruno Francaviglia
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Piera Capranzano
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy.
| | - Davide Capodanno
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Marco Barbanti
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Claudia Ina Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Sergio Buccheri
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Corrado Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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Tamburino CI, Pilato G, Tamburino C, Daly P. Biologic prosthetic aortic malfunction: is there a role for percutaneous treatment (transcatheter aortic valve implantation)? J Cardiovasc Med (Hagerstown) 2016; 18 Suppl 1:e170-e176. [PMID: 27997414 DOI: 10.2459/jcm.0000000000000460] [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: 11/05/2022]
Affiliation(s)
- Claudia Ina Tamburino
- aFerrarotto Hospital, University of Catania, Catania, Italy bWolters Kluwer, London, UK
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Tamburino C, Capranzano P, Francaviglia B, Ina Tamburino C, Longo G, Capodanno D. Update on clinical evidence (Part II): A summary of the main post market studies. Catheter Cardiovasc Interv 2016; 88:31-37. [PMID: 27797461 DOI: 10.1002/ccd.26809] [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] [Received: 08/09/2016] [Accepted: 09/14/2016] [Indexed: 11/09/2022]
Abstract
Bioresorbable vascular scaffolds (BVS, Absorb, Abbott Vascular, Santa Clara, CA) received the CE mark in October 2011, and were approved by the Food and Drug Administration in July 2016. After their introduction in clinical practice a broad amount of post-marketing clinical experience with BVS has been generated so far in Europe and outside the United States. The available BVS registries differ in many aspects, including their being single-center or multicenter, single-arm or controlled, sponsored or investigator-initiated, published or presented at a large-scale international meeting. This article provides an overview of clinical results of the main post-marketing studies of BVS available. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Corrado Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Piera Capranzano
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy.
| | - Bruno Francaviglia
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Claudia Ina Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Giovanni Longo
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Davide Capodanno
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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Capranzano P, Longo G, Tamburino CI, Gargiulo G, Ohno Y, Francaviglia B, La Manna A, Di Salvo ME, Grasso C, Sgroi C, Capodanno D, Tamburino C. One-year outcomes after Absorb bioresorbable vascular scaffold implantation in routine clinical practice. EUROINTERVENTION 2016; 12:e152-9. [DOI: 10.4244/eijv12i2a28] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Capranzano P, Francaviglia B, Capodanno D, Buccheri S, Tamburino CI, Gargiulo G, Tamburino C. Is the Metallic Stent a Safe Treatment for Bioresorbable Scaffold Failure? JACC Cardiovasc Interv 2016; 9:976-7. [DOI: 10.1016/j.jcin.2016.02.031] [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] [Received: 02/05/2016] [Accepted: 02/11/2016] [Indexed: 10/21/2022]
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Capranzano P, Francaviglia B, Capodanno D, Di Salvo ME, Tamburino CI, Santagati FM, Tamburino C. Embolization of Fractured Bioresorbable Scaffold Struts: Insights From 2- and 3-Dimensional Optical Coherence Tomography. JACC Cardiovasc Interv 2016; 9:e37-e38. [PMID: 26777323 DOI: 10.1016/j.jcin.2015.11.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Revised: 10/26/2015] [Accepted: 11/05/2015] [Indexed: 11/25/2022]
Affiliation(s)
- Piera Capranzano
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy.
| | - Bruno Francaviglia
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Davide Capodanno
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Maria Elena Di Salvo
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Claudia Ina Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Fabio Maria Santagati
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Corrado Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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Capranzano P, Francaviglia B, Tamburino CI, Gargiulo G, Longo G, Capodanno D, Tamburino C. One-Year Coverage by Optical Coherence Tomography of a Bioresorbable Scaffold Neocarina: Is It Safe to Discontinue Dual-Antiplatelet Therapy? Can J Cardiol 2015; 31:1205.e5-6. [PMID: 26118449 DOI: 10.1016/j.cjca.2015.03.029] [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] [Received: 03/22/2015] [Accepted: 03/26/2015] [Indexed: 11/15/2022] Open
Affiliation(s)
- Piera Capranzano
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy.
| | - Bruno Francaviglia
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Claudia Ina Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Giuseppe Gargiulo
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Giovanni Longo
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Davide Capodanno
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Corrado Tamburino
- Cardiovascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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Francaviglia B, Capranzano P, Gargiulo G, Longo G, Tamburino CI, Ohno Y, Capodanno D, Tamburino C. Usefulness of 3D OCT to Diagnose a Noncircumferential Open-Cell Stent Fracture. JACC Cardiovasc Imaging 2015; 9:210-1. [PMID: 25797127 DOI: 10.1016/j.jcmg.2015.01.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Accepted: 01/06/2015] [Indexed: 11/18/2022]
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Longo G, Granata F, Capodanno D, Ohno Y, Tamburino CI, Capranzano P, La Manna A, Francaviglia B, Gargiulo G, Tamburino C. Anatomical features and management of bioresorbable vascular scaffolds failure: A case series from the GHOST registry. Catheter Cardiovasc Interv 2015; 85:1150-61. [PMID: 25573598 DOI: 10.1002/ccd.25819] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [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] [Received: 10/31/2014] [Revised: 12/06/2014] [Accepted: 01/03/2015] [Indexed: 11/09/2022]
Abstract
The Absorb bioresorbable vascular scaffold (Absorb BVS, Abbott Vascular, Santa Clara, California) promises to address some of the residual shortcomings of existing metallic stents, such as late events induced by permanent caging of the coronary vessel. Scaffold restenosis (ScR) of BVS has been poorly described so far and treatment strategies for this event remain to be codified. We report on a case series of 14 lesions in 12 patients presenting with ScR and discuss their anatomical features and management strategies. © 2015 Wiley Periodicals, Inc.
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Affiliation(s)
- Giovanni Longo
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Francesco Granata
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Davide Capodanno
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Yohei Ohno
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Claudia Ina Tamburino
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Piera Capranzano
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Alessio La Manna
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Bruno Francaviglia
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Giuseppe Gargiulo
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
| | - Corrado Tamburino
- Cardio-Thorax-Vascular Department, Ferrarotto Hospital, University of Catania, Catania, Italy
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