• Concomitant Transcatheter Aortic and Mitral Valve-in-Valve Replacements Using Transfemoral Devices Via the Transapical Approach: First Case in the U.S. (acc.org)
  • The transapical approach sees the catheter and valve inserted through the tip of the heart and into the left ventricle. (wikipedia.org)
  • By type of treatment, it is segmented into transaortic approach, transapical approach, and transfemoral approach. (medgadget.com)
  • Several factors were predictive of 12-month mortality, including transapical approach and NYHA functional class. (tctmd.com)
  • We used a computer-generated randomisation sequence to randomly assign high-risk patients with severe aortic stenosis to either SAVR or TAVR with a balloon-expandable bovine pericardial tissue valve by either a transfemoral or transapical approach. (nih.gov)
  • In the future, patients will be treated using either a percutaneous or transapical approach. (fitness.com)
  • Transapical TAVR is reserved for patients for whom other approaches are not feasible: an evidence-based BMJ Rapid Recommendation made a strong recommendation against transapical TAVR in people who are also candidates for either transfemoral TAVR or surgery. (wikipedia.org)
  • People who have the option of either transfemoral TAVR or surgical replacement are likely to choose surgery if they are younger than 75 and transfemoral TAVR if they are older than 75. (wikipedia.org)
  • What's more, for those who can be treated via a transfemoral approach, TAVR appears to be the winning strategy. (tctmd.com)
  • All the same, "in patients who are candidates for transfemoral access, TAVR may result in additional clinical advantages," Smith noted. (tctmd.com)
  • Questioned about this point during the late-breaking clinical trial session, Smith commented: "My own guess is that, as time goes on, there will be still be some patients who can't have transfemoral TAVR and shouldn't have surgery and still need some other access route to have TAVR. (tctmd.com)
  • 3 Understanding the mechanisms that underlie complications during transfemoral TAVR is essential, and familiarity with the techniques for their prevention and treatment is mandatory. (ahajournals.org)
  • In this review, we provide a state‐of‐the‐art overview on the avoidable procedural complications of contemporary transfemoral TAVR practice, with a specific focus on strategies for their prevention and management. (ahajournals.org)
  • The TA registry included 212 patients undergoing TAVR via transapical access using the Ascendra 2, and the NovaFlex cohort included 141 patients who received the device using transfemoral access. (tctmd.com)
  • Several studies have shown the overall prevalence of PAD in patients undergoing TAVR of about 25%, with outcomes associated with a traditional femoral approach known to be worse in this population [ 1 , 2 ]. (hindawi.com)
  • PARTNER 2A included patients at intermediate surgical risk who were randomized to transfemoral TAVR (n=775), transapical/transaortic TAVR (n=236), or SAVR (n=1,021). (medpagetoday.com)
  • Taken together with previous data, these findings demonstrate that for intermediate-risk patients suitable for a transfemoral approach, TAVR provides both early and late benefits compared with SAVR from the patient's perspective," Cohen concluded. (medpagetoday.com)
  • Discharging patients within 24 hours of a transfemoral TAVR procedure performed without complications appears to be a safe approach, data from a single Italian center suggest. (cci-cic.org)
  • Impact of Complications During Transfemoral Transcatheter Aortic Valve Replacement: How Can They Be Avoided and Managed? (ahajournals.org)
  • Transfemoral transcatheter aortic valve implantation in a patient with multiple endovascular aortic stents - a case report. (uni-koeln.de)
  • Background: In patients undergoing transfemoral transcatheter aortic valve implantation, previous endovascular interventions bear a risk for the valve frame to get stucked to the aortic stents. (uni-koeln.de)
  • Due to his frail preoperative status we decided to perform a transfemoral transcatheter aortic valve implantation in combination with a simultaneous surgical abdominal aneurysm repair. (uni-koeln.de)
  • In elderly (75 years or older) patients living in Latin America with severe symptomatic aortic stenosis candidates for transfemoral approach, the panel suggests the use of transcatheter aortic valve implant (TAVI) over surgical aortic valve replacement (SAVR). (bvsalud.org)
  • In this issue, the European Registry on Emergent Cardiac Surgery during TAVI (EuRECS-TAVI) presents the world's first large reported experience with emergent cardiac surgery following transfemoral transcatheter aortic valve implantation (TF-TAVI). (medscape.com)
  • Thus, the heart team elected to proceed with transapical, transcatheter, double valve-in-valve implantation employing 2 RetroFlex 3 transfemoral devices (Edwards Lifesciences, Irvine, California), which were the only FDA approved devices at the time of the procedure. (acc.org)
  • Transfemoral SAPIEN 3 implantation was related with a very low mortality of 2.1%, a stroke rate of 1%, and very few access-site complications. (medicaldevice-network.com)
  • But now a 15-patient study of transfemoral, transeptal TMVR - with a prosthesis designed for the mitral position and previously tested only transapically - has shown good 30-day results in that MR was essentially abolished with virtually no paravalvular leakage. (medscape.com)
  • PHOENIX -- Global experience with the novel Intrepid transapical transcatheter mitral valve replacement (TMVR) device through 2 years showed high risks of mortality and complications, raising concerns that might not be alleviated by the planned shift to a transfemoral approach. (medpagetoday.com)
  • While Leon said this reduction was "as you would expect with mitral valve replacement started at a lower baseline, with about the same level of reduction over time for both primary and secondary MR," he also acknowledged that the platform is moving to a transfemoral approach to reduce risks. (medpagetoday.com)
  • A randomized trial is also planned to compare mitral transcatheter edge-to-edge repair against transfemoral mitral valve replacement, Leon noted. (medpagetoday.com)
  • The Cardioband transfemoral annuloplasty system represents a more reproducible and predictable platform for mitral valve repair than existing solutions. (massdevice.com)
  • The femoral artery (via transfemoral approach) is the traditional access for percutaneous aortic valve replacement. (wikipedia.org)
  • The team recently completed the first percutaneous aortic valve replacement as part of this trial, placing a 26mm SAPIEN prosthesis via the transfemoral route, with vascular access and closure done entirely percutaneously. (fitness.com)
  • We report 4 cases of patients in whom we used the transradial approach to treat complex lesions in the left anterior descending coronary artery with bifurcation balloon angioplasty reconstruction (2 cases), in the ostium of the first diagonal branch, and in the right coronary artery. (nih.gov)
  • In elderly patients, transradial coronary angiography and intervention has a high technical success rate and lower complication rates than the transfemoral approach. (ptca.org)
  • Hybrid" approaches to combined coronary and valvular heart disease. (fitness.com)
  • PCI procedures are expected to be more than 300 percutaneous coronary interventions to include all types of techniques used to treat obstructive coronary artery disease with more than 50 percent of procedures performed via radial artery access and approximately 50 percent from a trans-femoral approach. (spectrumhealth.org)
  • Direct control using surface electromyography enables more intuitive control of a transfemoral prosthesis. (utwente.nl)
  • PURPOSE: To describe, by use of a phenomenological approach, how relatively young trans-femoral amputees experienced their amputation and their coping strategies in the acute phase and over time. (diva-portal.org)
  • Virtual constraint control of a powered prosthetic leg: from simulation to experiments with transfemoral amputees. (cdc.gov)
  • Iceross Transfemoral is the first suspension liner exclusively designed to provide maximum stability and control for transfemoral amputees. (pacmedicalop.com)
  • According to the company, access approaches included transfemoral and transapical/transaortic, as determined by the Heart Team, while all-cause mortality in all access approaches was reported as 5.3% in the as-treated population. (medicaldevice-network.com)
  • November 20, 2008 -- A recent study of 400 consecutive patients, published in Catheterization and Cardiovascular Interventions , looked at the transradial approach for catheterization, angioplasty and stenting in patients 75 years of age and older. (ptca.org)
  • This is the first year you are featuring the transradial approach. (ptca.org)
  • I think there s too much resistance, too much lack of awareness and comfort level among interventional cardiologists to try the transradial approach for the rushed door-to-balloon environment that exists in STEMI intervention. (ptca.org)
  • Q: You mentioned lack of bleeding complications in the transradial approach. (ptca.org)
  • Working through challenges of subclavian, innominate and aortic arch regions during transradial approach. (trico.guru)
  • Balloon-assisted tracking: A must-know technique to overcome difficult anatomy during transradial approach. (trico.guru)
  • The decision to treat via a transfemoral approach or a transthoracic approach (either transapical or transthoracic) was made prior to randomization. (tctmd.com)
  • The lack of benefit among patients ineligible for the transfemoral approach suggests that a transthoracic approach may not be preferable to SAVR in such patients -- at least in the short to intermediate term. (medpagetoday.com)
  • Improved patient comfort, since patients don't have to lie flat for a long period after the procedure, as is the case with transfemoral approach. (medicinenet.com)
  • Nor were there adverse clinical events such as death, stroke, reintervention, or new need for a pacemaker in any of the high-surgical-risk patients with MR in this feasibility study of the transfemoral Intrepid TMVR System (Medtronic). (medscape.com)
  • I think we've all learned that transapical [access] is just not a viable procedure for a lot of these patients, and so we've got to get to transfemoral," Susheel K. Kodali, MD, interventional cardiologist at NewYork-Presbyterian/Columbia University Irving Medical Center, New York City, said at the same forum. (medscape.com)
  • And when you do the subgroup analyses in the transfemoral cohort, which was 76% of the patients, it was significantly better than surgery for the primary endpoint of death and significant stroke. (tctmd.com)
  • Those patients do not tolerate surgical invasiveness, and I think your comment about [transfemoral] is right on. (medpagetoday.com)
  • Conclusions: The transfemoral approach in patients with previous endovascular stenting can be performed successfully by a partial inflation of the distal balloon. (uni-koeln.de)
  • The remaining 357 patients were randomized to the femoral (leg) or radial (wrist) approach. (ptca.org)
  • The authors note that 9% is similar to what other studies have shown to be the rate of unselected patients who are contra-indicated for the radial approach. (ptca.org)
  • Patients undergoing complex high-risk PCI with mechanical circulatory support (MCS) via Impella and transfemoral arterial approach are enrolled as study participants. (businesswire.com)
  • Other outcomes including stroke, MI, and acute kidney injury were also similar between the two approaches, although major vascular complications were higher in the transfemoral patients. (tctmd.com)
  • Most patients in the registry (73%) underwent the procedure using a transfemoral approach. (tctmd.com)
  • We believe it will be critical to offer patients and physicians a multifaceted approach in the treatment of MR and TR, with both repair and replacement options," Godshall said. (massdevice.com)
  • In terms of approach, four patients were treated transapical, one trans-subclavian and one transfemoral. (cxsymposium.com)
  • The delivery system for the stent used for repair dictated the approach in some patients. (upmcphysicianresources.com)
  • If the Intrepid transfemoral system has an Achilles' heel, at least in the current iteration, it might be its 35 F catheter delivery system that requires surgical access to the femoral vein. (medscape.com)
  • The APOLLO trial has a roll-in design with a planned 1,350-patient final enrollment, with evolution to the transfemoral Intrepid system. (medpagetoday.com)
  • In the August issue of JACC: Interventions, a study of 600,000 procedures showed a 58% reduction in bleeding complications with the radial approach. (ptca.org)
  • Le ministère de la Santé, l'Autorité chargée de la reconstruction et de la remise en état après le séisme [Earthquake Reconstruction and Rehabilitation Authority] et l'Organisation mondiale de la Santé ont organisé conjointement une riposte complète, comprenant des opérations de secours, de relèvement et d'hospitalisation, des interventions chirurgicales, la construction d'infrastructures, l'élaboration de directives techniques sur l'amélioration de la qualité des soins, et le déploiement et la formation de personnel. (who.int)
  • We report the results of three amputee subjects walking overground and at variable cadences on a treadmill, demonstrating the clinical viability of this novel control approach. (cdc.gov)
  • PURPOSE: To evaluate endovascular treatment of head and neck arteriovenous malformations (AVMs) based on the Yakes AVM classification and correlate treatment approach with clinical and angiographic outcomes. (bvsalud.org)
  • Successful endoluminal transfemoral repair via stent placement has also been described. (medscape.com)
  • Lesions were treated using an intra-arterial, nidal, or transvenous approach, using ethanol and liquid embolic agents. (bvsalud.org)
  • The anomalous vascular supply to the kidney should be kept at the forefront of the surgeon's mind when planning the surgical approach. (medscape.com)
  • The decision to transplant a horseshoe kidney en bloc depends on renal isthmus morphology and vascular anatomy, as well as the medical and functional status of the kidney. (medscape.com)
  • Therefore, trans-radial approach has gained popularity over the years due to its technical advances and is widely accepted as a safe approach among the cardiac community. (hpathy.com)
  • The replacement valve is delivered via one of several access methods: transfemoral (in the upper leg), transapical (through the wall of the heart), subclavian (beneath the collar bone), direct aortic (through a minimally invasive surgical incision into the aorta), and transcaval (from a temporary hole in the aorta near the navel through a vein in the upper leg), among others. (wikipedia.org)
  • There was one stroke, three cases of severe bleeding with the need for transfusion, and one local hematoma that required surgical intervention -- all of which occurred in the transfemoral group. (ptca.org)
  • A number studies have reported significantly lower complication rates when the radial approach is utilized. (ptca.org)
  • The radial approach has sort of been in the background for a long time, but I think radial is gaining. (ptca.org)
  • In real-world practice, the radial approach usually is performed only after an Allen's test or other criteria are examined, so the actual success rate of transradials is very high. (ptca.org)
  • The approach can be midline-abdominal or retroperitoneal through a low-left thoracoabdominal incision. (medscape.com)
  • However, EMG is a noisy signal which can vary over time, giving rise to the question what approach for knee torque estimation is most suitable for multi-day control. (utwente.nl)
  • The individualized approach helped to recanalize the circulation without any invasive intervention. (hpathy.com)
  • Several reports have described robotic-assisted treatment of complex high-risk lesions, mostly through the transfemoral approach. (nih.gov)
  • AVM architecture and treatment approaches were determined according to the Yakes classification. (bvsalud.org)
  • Another notable presentation came from Ahmed Koshty (Siegen, Germany) who showed promising short-term results of endovascular repair of type A acute dissection using a combined transapical and transfemoral approach. (cxsymposium.com)
  • The conventional approach of administering heparin failed to revascularize the artery. (hpathy.com)
  • After simulating the robustness of the partial feedback linearization to clinically meaningful conditions, we experimentally implement this control strategy on a powered transfemoral leg. (cdc.gov)
  • An integrated approach ensures collaboration and communication, creating faster and better outcomes for you. (pacmedicalop.com)
  • In this interview, Dr. Mehta discusses the upcoming LUMEN symposium which this year is featuring the transradial (wrist) approach to treating STEMI. (ptca.org)
  • Smith, for his part, characterized the difference in the transfemoral group as "borderline significant" and pointed out that while the analysis was prespecified, the trial was not powered to look at this endpoint. (tctmd.com)
  • Nine of these occurred in the transfemoral group. (ptca.org)
  • One can always argue which is better: going transfemoral gives you more options, but the patient comfort, the decrease in bleeding and early ambulation are clearly the reasons to go transradial. (ptca.org)
  • In chapter 5 we investigated whether concept drift is an issue in lower limb pattern recognition and we compared three adaptation approaches, entropy-based, based on backward prediction and a combination of the two to circumvent this concept drift using the MyPredict 3 data set. (utwente.nl)