Two Occlutech paravalvular leak devices were successfully delivered in a 67-year-old patient with rheumatic heart valve disease using a simultaneous double-transapical access with double-wire technique.
The authors report the development of new ventricular septal defects after TAVR in 4 patients with left ventricular outflow tract calcification; they discuss imaging and post-TAVR management of these patients.
J INVASIVE CARDIOL 2016;28(7):E59-E6…
A review of the CardioMEMS heart failure system that summarizes implantation procedure, discusses the required imaging steps, reviews procedural supplies, and presents a series of case studies to illustrate clinically relevant issues.
With growing acceptance and ease of use, short adenosine infusion may not prove the deterrent it once seemed, and some form of pressure-flow measurement will likely advance to the point of gold standard.
The authors hypothesize that a certain resting non-hyperemic index of coronary and aortic pressures (Pd/Pa) can obviate the measurement of fractional flow reserve and avoid the use of adenosine administration.