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ACURATE neo2 Transc...
ACURATE neo2 Transcatheter aortic valve implantation without balloon aortic valvuloplasty : direct ACURATE neo2
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- Elkoumy, Ahmed (författare)
- Al-Azhar University,Galway University Hospital,National University of Ireland Galway
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- Rück, Andreas (författare)
- Karolinska Institutet
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- Abdel-Wahab, Mohamed (författare)
- Leipzig University
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- Thiele, Holger (författare)
- Leipzig University
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- Rudolph, Tanja K. (författare)
- Ruhr-University Bochum
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- Wolf, Alexander (författare)
- Elisabeth Hospital Essen
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- Wambach, Jan Martin (författare)
- Elisabeth Hospital Essen
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- De Backer, Ole (författare)
- Copenhagen University Hospital
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- Sondergaard, Lars (författare)
- Abbott Laboratories, US
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- Hengstenberg, Christian (författare)
- Medical University of Vienna
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- Abdelshafy, Mahmoud (författare)
- Al-Azhar University Hospital,Galway University Hospital,National University of Ireland Galway
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- Arsang-Jang, Shahram (författare)
- Galway University Hospital,CÚRAM, SFI Research Centre for Medical Device,National University of Ireland Galway
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- Elzomor, Hesham (författare)
- National University of Ireland Galway,Galway University Hospital
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- Laine, Mika (författare)
- Helsinki University Central Hospital
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- Bjursten, Henrik (författare)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Skonsammare hjärtkirurgi,Forskargrupper vid Lunds universitet,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Less invasive cardiac surgery,Lund University Research Groups,Skåne University Hospital
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- Götberg, Matthias (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Wykrzykowska, Joanna J. (författare)
- University of Groningen,University Medical Center Groningen
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- Mohamed, Sameh K. (författare)
- National University of Ireland Galway,Galway University Hospital
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- Pellegrini, Costanza (författare)
- Technical University of Munich
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- Rheude, Tobias (författare)
- Technical University of Munich
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- Toggweiler, Stefan (författare)
- Cantonal Hospital Lucerne
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- Saleh, Nawzad (författare)
- Karolinska University Hospital
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- Meduri, Christopher U. (författare)
- Karolinska University Hospital
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- Kim, Won Keun (författare)
- Max Planck Institute for Heart and Lung Research
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- Soliman, Osama (författare)
- CÚRAM, SFI Research Centre for Medical Device,Galway University Hospital,National University of Ireland Galway
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(creator_code:org_t)
- 2024
- 2024
- Engelska 10 s.
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Ingår i: International Journal of Cardiology. - 0167-5273 .- 1874-1754. ; 400
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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http://kipublication...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: ACURATE neo2 (Neo2) implantation is performed after systematic Balloon Aortic Valvuloplasty (BAV) in most patients. No reports exist about the feasibility and safety of direct Neo2 transcatheter aortic valve implantation (TAVI) in comparison to the standard practice. Aim: We aimed to identify the patients' baseline anatomical characteristics, procedural, and early post-procedural outcomes in patients treated using Neo2 with and without BAV. Methodology: This is a retrospective multicentre analysis of 499 patients with severe aortic stenosis who underwent TAVI using Neo2. The comparison was done according to the performance or omission of BAV. Echocardiography and computed tomography were analysed by an independent Core Lab. Propensity score matching (PSM) was performed based on the annular diameter and AV calcium volume, which identified 84 matched pairs. Results: Among the cohort included, 391 (78%) patients received BAV (BAV-yes) and 108 (22%) were not attempted (BAV-no or Direct TAVI). Patients in BAV-no cohort had smaller annular diameter (22.6 vs 23.4 mm; p < 0.001) and lower calcium volume (163 vs 581 mm3; p < 0.001) compared to BAV-yes cohort. In the matched cohort, VARC-3 device technical success was similar (95%) and all other outcome measures were statistically comparable between cohorts. Conclusion: Direct TAVI using ACURATEneo2 without pre-TAVI balloon aortic valvuloplasty in patients with mild or less valve calcifications might be feasible and associated with comparable early outcomes compared to patients with similar anatomical features undergoing systematic balloon valvuloplasty.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- ACURATE neo2
- Aortic valve calcification
- Balloon aortic valvuloplasty
- Self expandable valves
- TAVI
- Transcatheter aortic valve
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Elkoumy, Ahmed
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Rück, Andreas
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Abdel-Wahab, Moh ...
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Thiele, Holger
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Rudolph, Tanja K ...
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Wolf, Alexander
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visa fler...
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Wambach, Jan Mar ...
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De Backer, Ole
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Sondergaard, Lar ...
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Hengstenberg, Ch ...
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Abdelshafy, Mahm ...
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Arsang-Jang, Sha ...
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Elzomor, Hesham
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Laine, Mika
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Bjursten, Henrik
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Götberg, Matthia ...
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Wykrzykowska, Jo ...
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Mohamed, Sameh K ...
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Pellegrini, Cost ...
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Rheude, Tobias
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Toggweiler, Stef ...
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Saleh, Nawzad
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Meduri, Christop ...
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Kim, Won Keun
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Soliman, Osama
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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och Kardiologi
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Lunds universitet
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Karolinska Institutet