Transcaval TAVR outperforms transaxillary TAVR when femoral access is not an option

The steps involved to gain transcaval access between the inferior vena cava and the aorta to avoid problematic anatomical areas that would have otherwise disqualified a patient for a femoral access TAVR procedure. Illustration of the NIH

The steps involved to gain transcaval access between the inferior vena cava and the aorta to avoid problematic anatomical areas that would have otherwise disqualified a patient for a femoral access TAVR procedure. Illustration from the NIH

Transcaval TAVR was linked to a much lower stroke rate and fewer bleeding complications. 

New cardiac MRI analysis offers updated insight into long-term impact of vaccine-related myocarditis

COVID-19 vaccine associated myocarditis on short-axis 1.5T MRI images of a 19-year-old man who presented with chest pain three days following the second dose of an mRNA COVID-19 vaccine.

COVID-19 vaccine associated myocarditis on short-axis 1.5T MRI images of a 19-year-old man who presented with chest pain three days following the second dose of an mRNA COVID-19 vaccine. Cardiac MRI performed two days after symptom onset demonstrates mid wall to subepicardial late gadolinium enhancement (LGE) at the basal to mid inferior lateral wall with adjacent pericardial enhancement (red arrows), corresponding hyperintensity on T2-weighted imaging (orange arrows. He was admitted and was discharged after two days following complete resolution of his symptoms. Image courtesy of RSNA

Months after their initial myocarditis diagnosis, late gadolinium enhancement (LGE) was observed in 62% of patients on follow-up cardiac MRI.