TAVR

Transcatheter aortic valve replacement (TAVR) is a key structural heart procedure that has rapidly expanded in the decade since it was first FDA cleared. TAVR has come a paradigm shift in how many aortic stenosis patients are treated, now making up more than 50% of U.S. aortic valve replacements. It is less invasive than open heart surgery and recovery times are greatly reduced. TAVR can also be used in patients who otherwise are too high risk to undergo surgery. TAVR is referred to as transcatheter aortic valve implantation (TAVI) in many placed outside of the U.S. TAVR inspired the growing areas of transcatheter mitral repair or replacement and transcatheter tricuspid valve repair and replacement.

Elderly patient doctor. Despite an expanded indication from the FDA and lower prices, patient access to these cholesterol-lowering medications remains a significant issue.

AFib before and after TAVR linked to significant risks

The new study included data on patients who presented for TAVR with preexisting AFib as well as those who developed new-onset AFib after the procedure. 

December 13, 2023
sonographer echo

Good to great: 5 ways to help sonographers deliver better echocardiograms and improve the diagnosis of severe AS

Sponsored by Medtronic

Hospitals should be making every effort to help sonographers deliver better, more accurate echocardiograms and improve the diagnosis of severe aortic stenosis. If you take care of your sonographers, your sonographers will take care of you. 

December 12, 2023
Medtronic Evolut FX TAVR valve

‘A huge victory for patient care’: Next-gen TAVR valve helps cardiologists target more patients

Sponsored by Medtronic

“The Evolut FX system is an improvement over previous Evolut system devices and it delivers better overall results to our patients,” says interventional cardiologist Guilherme Attizzani, MD. “It is an ideal solution for a majority of our patients.”

December 12, 2023
According to the U.S. government, Asante Health System and one of its surgeons knowingly submitted false claims to Medicare, Medicaid and TRICARE for more than six years. Heart surgery surgeons.

Early survival data favor valve-in-valve TAVR over redo SAVR—long-term data flip the script

Valve-in-valve TAVR outperforms redo SAVR for the first six months after treatment, according to a new meta-analysis published in the American Journal of Cardiology. Then, however, things begin to shift.

December 12, 2023
SavvyWire OpSens TAVR guidewire owned by Haemonetics. the SavvyWire guidewire, a sensor-guided device developed by OpSens Medical, a Canadian medical device company. According to OpSens, the SavvyWire is the first interventional device of its kind. It provides assistance with aortic valve delivery and positioning, like any guidewire, but it also includes sensors that enable continuous hemodynamic measurements and rapid LV pacing.

New 3-in-1 TAVR guidewire capable of hemodynamic measurements, LV pacing impresses cardiologists

The company behind the new technology was recently acquired for approximately $253 million. 

December 5, 2023
Cardiawave Valvosoft non-invasive ultrasound therapy

Cardiawave’s non-invasive ultrasound therapy impresses cardiologists early on—could it be an alternative to SAVR, TAVR?

While TAVR and SAVR are reliable treatments for calcific aortic stenosis, some patients are not considered for those procedures due to severe comorbidities or a limited life expectancy. This is where the investigational Valvosoft device from Cardiawave enters the equation.

November 28, 2023
Smartphone

Smartphone app helps TAVR patients avoid major complications

Hospital readmissions, ER visits and major complications were all less likely when TAVR patients used a smartphone app to assist with their recovery. 

November 20, 2023
The Bern TAVI Registry looked at 2,500 TAVR patients to determine the level of prosthesis-patient mismatch (PPM) using transthoracic echocardiography (TTE), predicting PPM based one the size of the valve used, or using CT measurements of the aortic annulus to see which was method was most accurate at predicting PPM. Image courtesy of Tomii et al. 

Cardiologists may want to rethink how they track prosthesis-patient mismatch after TAVR

Researchers evaluated two techniques for predicting PPM after TAVR, comparing them to how cardiologists typically check for PPM in day-to-day practice. 

November 17, 2023

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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