Transcatheter aortic valve-in-ring implantation: feasibility in an acute, preclinical, pilot trial.

Abstract:

OBJECTIVES:The HAART ring device has been introduced as a novel strategy to facilitate aortic valve repair. This rigid, elliptical device aims to restore normal leaflet configuration and to provide annular stabilization in the setting of aortic regurgitation. The goal of this preclinical study is to evaluate the in vivo feasibility of 'aortic valve-in-ring' transcatheter aortic valve replacement (TAVR). METHODS:Six animals {landrace pigs, 87.6 [standard deviation (SD) 4.5] kg} underwent HAART ring implantation (5 cases #19 mm and 1 case #21 mm) via full sternotomy with cardiopulmonary bypass. Seven transfemoral TAVR implantations were performed with the Medtronic EvolutR prosthesis to assess the sizing and outcome (5 cases #23 mm, 1 case #26 mm and 1 case #29 mm). RESULTS:TAVR implantation was successful in 6 of 7 attempts. Post-dilatation was performed in 1 case without damage of the ring or the valve. One embolization occurred due to oversizing (EvolutR valve 29 mm in HAART ring 19 mm). No clinically relevant postimplantation gradient [7.6 (SD 4.0) mmHg] or regurgitation was detected by invasive and echocardiographic measurements. Postoperative computed tomography scans revealed good device configuration. CONCLUSIONS:Transcatheter aortic valve-in-ring implantation of a self-expandable TAVR into a rigid aortic annuloplasty ring after aortic valve repair appears feasible. Proper sizing and correct depth of implantation are crucial.

authors

Andreas M,Russo M,Kuwata S,Cesarovic N,Wang C,Guidotti A,Lipiski M,Rankin JS,Regar E,Taramasso M,Maisano F,Weber A

doi

10.1093/icvts/ivy341

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

908-915

issue

6

eissn

1569-9293

issn

1569-9285

pii

5289780

journal_volume

28

pub_type

杂志文章
  • Late outcomes for the surgical management of absent pulmonary valve syndrome in infants.

    abstract:OBJECTIVES:Absent pulmonary valve syndrome (APVS) is a rare cardiac malformation that is usually associated with aneurysmal dilatation of pulmonary arteries and respiratory distress. The surgical mortality of neonates and infants with APVS has decreased tremendously, from 60% in 1980s to 10-20% recently. This study ret...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt050

    authors: Hu R,Zhang H,Xu Z,Liu J,Su Z,Ding W

    更新日期:2013-06-01 00:00:00

  • Thoracoscopic lobectomy for non-small-cell lung cancer in patients with impaired pulmonary function: analysis from a national database.

    abstract:OBJECTIVES:The objective of this retrospective multi-institutional study was to evaluate the postoperative outcomes of video-assisted thoracoscopic surgery (VATS)-lobectomy (VATS-L) for non-small-cell lung cancer (NSCLC) in patients with impaired lung function. The second end point was to illustrate the effective role ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivaa044

    authors: Bongiolatti S,Gonfiotti A,Vokrri E,Borgianni S,Crisci R,Curcio C,Voltolini L,Italian VATS Group.

    更新日期:2020-06-01 00:00:00

  • Annular dilatation and loss of sino-tubular junction in aneurysmatic aorta: implications on leaflet quality at the time of surgery. A finite element study.

    abstract:OBJECTIVES:In the belief that stress is the main determinant of leaflet quality deterioration, we sought to evaluate the effect of annular and/or sino-tubular junction dilatation on leaflet stress. A finite element computer-assisted stress analysis was used to model four different anatomic conditions and analyse the co...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt116

    authors: Weltert L,de Tullio MD,Afferrante L,Salica A,Scaffa R,Maselli D,Verzicco R,De Paulis R

    更新日期:2013-07-01 00:00:00

  • Evaluation of differential pulmonary perfusion using 99mTc macroaggregated albumin after the Fontan procedure.

    abstract:OBJECTIVES:The Fontan procedure [total cavopulmonary connection (TCPC)] is the final palliation for patients with univentricular physiology. We studied differential perfusion ratio and percentage uptake of a radiotracer in different zones of each lung following TCPC. METHODS:Between July 2015 and June 2017, 45 patient...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx377

    authors: Talwar S,Sankhyan L,Patel C,Sreenivas V,Choudhary SK,Airan B

    更新日期:2018-04-01 00:00:00

  • Is microwave ablation an alternative to stereotactic ablative body radiotherapy in patients with inoperable early-stage primary lung cancer?

    abstract::A best evidence topic was written according to a structured protocol. The question addressed was: in patients with inoperable early-stage primary lung cancer does microwave ablation (MWA) or stereotactic ablative body radiotherapy (SBRT) achieve improved outcomes in terms of local control, recurrence, survival and com...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivz123

    authors: Watson RA,Tol I,Gunawardana S,Tsakok MT

    更新日期:2019-10-01 00:00:00

  • Early outcomes of lung transplantation for bronchiolitis obliterans syndrome after allogeneic haematopoietic stem cell transplantation: a single-centre experience.

    abstract:OBJECTIVES:Bronchiolitis obliterans syndrome (BOS) is a serious late complication following allogeneic haematopoietic stem cell transplantation (allo-HSCT) and is associated with chronic graft-versus-host disease. However, the outcome of medical treatment for BOS, mainly immunosuppressive therapy, is disappointing. Thi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw231

    authors: Jung HS,Lee JG,Yu WS,Lee CY,Haam SJ,Paik HC

    更新日期:2016-12-01 00:00:00

  • Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest (DHCA)? Altogether, more than 62 papers were found using the reported search, of which 7 represent...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt184

    authors: Al-Hashimi S,Zaman M,Waterworth P,Bilal H

    更新日期:2013-08-01 00:00:00

  • The importance of mass diameter in decision-making for preoperative coronary angiography in myxoma patients.

    abstract:OBJECTIVES:Although coronary angiography (CAG) is generally performed to rule out coexisting coronary artery disease in patients with cardiac myxoma, its necessity to evaluate vascular supply of the myxoma is debatable. The aim of this article is to evaluate clinical experience and CAG findings in our patient group. M...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy217

    authors: Balci AY,Sargin M,Akansel S,Ünal Dayi S,Kuplay H,Mete ME,Orhan G,Aykut Aka S

    更新日期:2019-01-01 00:00:00

  • Risk factors affecting the survival rate in patients with symptomatic pericardial effusion undergoing surgical intervention.

    abstract:OBJECTIVES:The optimal management and treatment of pericardial effusion are still controversial. There is limited data related to the risk factors affecting survival in these patients. The aim of this study was to determine the risk factors affecting the survival rate of patients with symptomatic pericardial effusion w...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs491

    authors: Mirhosseini SM,Fakhri M,Mozaffary A,Lotfaliany M,Behzadnia N,Ansari Aval Z,Ghiasi SM,Boloursaz MR,Masjedi MR

    更新日期:2013-04-01 00:00:00

  • Sternal-sparing approach for reoperative bilateral lung transplantation.

    abstract:OBJECTIVES:A sternal-sparing approach for bilateral lung transplantation was recently applied to reoperative lung transplant cases and is compared with the traditional clamshell approach. METHODS:A retrospective analysis of 15 consecutive reoperative bilateral lung transplants performed from January 2008 to April 2011...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt305

    authors: Bhama JK,Bansal A,Shigemura N,Bermudez CA,Toyoda Y

    更新日期:2013-11-01 00:00:00

  • Quality of life one year after myocardial revascularization. Is preoperative quality of life important?

    abstract::Of 428 patients, mean age of 64.1+/-9.2 (30-84 years), undergoing an isolated CABG, pre- and one-year- postoperatively angina level and quality of life (QOL) were registered. QOL was registered following the EuroQol-registration, five domains and a visual analogue scale (VAS). Based on the VAS, the group was divided i...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.120113

    authors: Noyez L,Markou AL,van Breugel FC

    更新日期:2006-04-01 00:00:00

  • Giant atrial septal aneurysm originating from the right coronary artery.

    abstract::Giant coronary artery aneurysm is a rare clinical entity and its involvement in the interatrial space is extremely rare. We here report the rare surgical case of a 67-year old man with giant right coronary artery aneurysm located in the atrial septum with fistula formation to the right atrium, complicated with congest...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw099

    authors: Osada H,Kanemitsu N,Meshii K,Ohnaka M

    更新日期:2016-08-01 00:00:00

  • Complete video-assisted thoracoscopic surgery anatomic segmentectomy for clinical stage I lung carcinoma - technique and feasibility.

    abstract::This paper describes a prospective, observational, single-centre study of 20 consecutive patients with clinical stage I lung carcinoma undergoing anatomical sublobar resections using complete video-assisted thoracoscopic surgery (cVATS). Thirteen male and seven female patients with a median age of 68 (range 57-84) yea...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.260315

    authors: Witte B,Wolf M,Hillebrand H,Huertgen M

    更新日期:2011-08-01 00:00:00

  • Effectiveness of prophylactic levosimendan in patients with impaired left ventricular function undergoing coronary artery bypass grafting: a randomized pilot study.

    abstract:OBJECTIVES:Perioperative low cardiac output syndrome occurs in 3-14% of patients undergoing isolated coronary artery bypass grafting (CABG), leading to significant increase in major morbidity and mortality. Considering the unique pharmacological and pharmacokinetic properties of levosimendan, we conducted a prospective...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/icvts/ivw213

    authors: Anastasiadis K,Antonitsis P,Vranis K,Kleontas A,Asteriou C,Grosomanidis V,Tossios P,Argiriadou H

    更新日期:2016-11-01 00:00:00

  • Surgical simulation--a new tool to evaluate surgical incisions in congenital heart disease?

    abstract::We introduce a new concept for preoperative planning and surgical education in congenital heart disease: surgical simulation. Recent advances in three-dimensional image acquisition have provided a new means to virtually reconstruct accurate morphological models while computer visualisation hardware now allows simulati...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2006.132316

    authors: Sørensen TS,Greil GF,Hansen OK,Mosegaard J

    更新日期:2006-10-01 00:00:00

  • Does the use of bilateral mammary artery grafts compared with the use of a single mammary artery graft offer a long-term survival benefit in patients undergoing coronary artery bypass surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: 'Does the use of bilateral mammary artery grafts compared with the use of a single mammary artery graft offer a long-term survival benefit in patients undergoing coronary artery bypass surgery?' Altoget...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt423

    authors: Smith T,Kloppenburg GT,Morshuis WJ

    更新日期:2014-01-01 00:00:00

  • Three-dimensional printing in adult cardiovascular medicine for surgical and transcatheter procedural planning, teaching and technological innovation.

    abstract::Three-dimensional (3D)-printing technologies in cardiovascular surgery have provided a new way to tailor surgical and percutaneous treatments. Digital information from standard cardiac imaging is integrated into physical 3D models for an accurate spatial visualization of anatomical details. We reviewed the available l...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivz250

    authors: Ferrari E,Gallo M,Wang C,Zhang L,Taramasso M,Maisano F,Pirelli L,Berdajs D,von Segesser LK

    更新日期:2020-02-01 00:00:00

  • Intraoperative massive pulmonary embolism during coronary artery bypass grafting.

    abstract::A 66-year-old female underwent elective coronary artery bypass grafting (CABG). Massive pulmonary embolism developed intraoperatively shortly after weaning from cardiopulmonary bypass. A 25-cm large venous embolus was extracted from pulmonary artery by consequently performed open pulmonary embolectomy on the beating h...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.107433

    authors: Simek M,Nemec P,Cermák M,Prikrylová K

    更新日期:2005-08-01 00:00:00

  • A prospective randomized study to evaluate the renal impact of surgical revascularization strategy in diabetic patients.

    abstract::Acute kidney injury (AKI) is a major postoperative complication following cardiac surgery. Diabetes mellitus is a major cause of nephropathy and end-stage renal failure. We aimed to evaluate the occurrence of adverse renal outcomes, in diabetic patients, between on-pump (CPB) and off-pump (OPCAB) coronary artery bypas...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1510/icvts.2009.230839

    authors: Modine T,Zannis C,Salleron J,Provot F,Gourlay T,Duhamel A,Koussa M,Fayad G

    更新日期:2010-10-01 00:00:00

  • Vacuum assisted closure therapy for the treatment of sternal wound infections in neonates and small infants.

    abstract::Sternal wound infections occur with an incidence between 0.4 and 5% in the adult as well as the pediatric population. However, in contrast to the adults, established treatment options do not exist in the pediatric population. We evaluated our preliminary results with 3 neonates, respectively, small infants (mean age 2...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.122424

    authors: Fleck T,Simon P,Burda G,Wolner E,Wollenek G

    更新日期:2006-06-01 00:00:00

  • A remarkable outcome after video-assisted thoracoscopic resection of a giant bulla.

    abstract::A 56-year-old woman visited our hospital for mild exertional dyspnea. Radiological investigations revealed a giant bulla of the left lung that was treated with video-assisted thoracoscopic bullectomy. The result of treatment was a better stamina, and, more strikingly, a major change of voice. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00169-5

    authors: Schnater JM,Plaisier PW,van den Berg PM,Schütte PR

    更新日期:2003-12-01 00:00:00

  • Pseudoaneurysm of the mitral-aortic intervalvular fibrosa as a complication after minimally invasive mitral valve repair.

    abstract::Pseudoaneurysm of the mitral-aortic intervalvular body is a rare condition, which has been reported as a result of endocarditis, chest trauma or cardiac surgery. We describe here the first case after minimally invasive mitral valve repair. Such a complication may be overlooked in the early postoperative echocardiograp...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs502

    authors: Spampinato RA,Borger MA,Strotdrees E,Mohr FW

    更新日期:2013-03-01 00:00:00

  • Combination of continuous irrigation and vacuum-assisted closure is effective for mediastinitis after cardiac surgery in small children.

    abstract::There is still no consensus on the optimal management to treat pediatric mediastinitis. We assessed the efficacy of continuous irrigation and vacuum-assisted closure (VAC) for mediastinitis in children. This study retrospectively reviewed 20 patients aged <5 years with mediastinitis from December 2002 to December 2009...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.235903

    authors: Ugaki S,Kasahara S,Arai S,Takagaki M,Sano S

    更新日期:2010-09-01 00:00:00

  • A perilous course following myocardial infarction: ischaemic ventricular septal defect in a transplanted heart.

    abstract::Coronary artery disease in the donor heart is an established cause of early graft failure. However, identification of this before implantation is difficult. Cardiogenic shock associated with significant myocardial infarction during the early postoperative period is rare. Here, we report a case of a 42-year-old man who...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu121

    authors: Senanayake EL,Singh H,Ranasinghe AM,Mascaro J

    更新日期:2014-09-01 00:00:00

  • Functional and postoperative outcomes after preoperative exercise training in patients with lung cancer: a systematic review and meta-analysis.

    abstract::Lung cancer is the leading cause of cancer-related death worldwide. For early stages of the disease, lung resection surgery remains the best treatment with curative intent, but significant morbidity is associated, especially among patients with poor pulmonary function and cardiorespiratory fitness. In those cases, the...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/icvts/ivw152

    authors: Sebio Garcia R,Yáñez Brage MI,Giménez Moolhuyzen E,Granger CL,Denehy L

    更新日期:2016-09-01 00:00:00

  • The effect of antegrade pulmonary blood flow following a late bidirectional Glenn procedure.

    abstract:OBJECTIVES:The effect of antegrade pulmonary blood flow (APBF) has never been studied in the bidirectional Glenn (BDG) procedure performed late. METHODS:Records of 112 consecutive patients who had a BDG procedure during a 10-year period were reviewed retrospectively. The patients were divided into 2 groups based on wh...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx325

    authors: Yan T,Tong G,Zhang B,Yan F,Zhou X,Wang X,Lu H,Ma T,Wang X,Yu H,Sun Z,Zhang W

    更新日期:2018-03-01 00:00:00

  • Cardiac tumors in adults: surgical management and follow-up of 19 patients in an Australian tertiary hospital.

    abstract::The objective of this report is to share our experience with the different types of cardiac tumors, surgical management, postoperative complications and mid-term outcome of patients in an Australian tertiary hospital. Nineteen patients underwent cardiac surgery for tumors between 2001 and 2008. Their data was prospect...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.230029

    authors: Matebele MP,Peters P,Mundy J,Shah P

    更新日期:2010-06-01 00:00:00

  • Endovascular stent placement for acute type-B aortic dissection with malperfusion--an intentional surgical delay and a possible 'bridging therapy'.

    abstract::Acute aortic dissection frequently causes life-threatening organ ischemia. The optimal therapy for acute type-B aortic dissection is still controversial. Early surgery for acute dissections with organ malperfusion is known to carry a high morbidity and mortality. Endovascular treatment, such as stent placement for bra...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.191361

    authors: Fujita W,Daitoku K,Taniguchi S,Fukuda I

    更新日期:2009-02-01 00:00:00

  • Inexpensive anatomical trainer for bronchoscopy.

    abstract::Flexible fiberoptic bronchoscopy is an indispensable tool for optimal management of intensive care unit patients. However, the acquisition of sufficient training in bronchoscopy is not straightforward during residency, because of technical and ethical problems. Moreover, the use of commercial simulators is limited by ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.153601

    authors: Di Domenico S,Simonassi C,Chessa L

    更新日期:2007-08-01 00:00:00

  • Inflammatory myofibroblastic tumour of the lung in a five-year-old girl.

    abstract::The inflammatory myofibroblastic tumour of the lung is considered a rare diagnosis of lung masses. We report the case of a five-year-old girl who presented with recurrent pyrexia, dry cough, and shortness of breath. Chest X-ray and computed tomography showed a total atelectasis of the left lower lobe and a segmental a...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.219089

    authors: Ochs K,Hoksch B,Frey U,Schmid RA

    更新日期:2010-05-01 00:00:00