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Long-Term Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement Among Patients With Prior Mediastinal Radiation Limited data suggest that transcatheter aortic valve replacement (TAVR) is associated with similar short-term outcomes to surgical aortic valve replacement (SAVR) among patients with a history of medi...

📊5yr outcomes of #TAVR vs #SAVR in patients with mediastinal #radiation.

The Results?
✔️No significant differences in:
🔹All-cause mortality
🔹Stroke
🔹All-cause hospitalization

➡️ www.jscai.org/article/S277...

#StructuralHeart #RadiationHeartDisease #Radiotherapy

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6 yrs after surgery or #TAVR with CoreValve/Evolut, low-risk AS pts showed no difference in all-cause mortality or disabling #stroke in the Evolut Low-Risk trial. However, reinterventions were higher after TAVR, largely driven by increased AR. https://bit.ly/4csz87C

#JACC #vhdAS #SAVR #CardioSky

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Close-up profile of Frankie, the majestic, long-haired, dark brown tabby - Maine Coon mix, nestled comfortably on a pale mocha-colored furry blanket. He is looking off to the right with a dignified expression, while Mama's hand is visible, gently supporting his chest. The background shows soft indoor lighting, white curtains, and some simple wall decor, including framed pictures and a small shelf with plants.

Close-up profile of Frankie, the majestic, long-haired, dark brown tabby - Maine Coon mix, nestled comfortably on a pale mocha-colored furry blanket. He is looking off to the right with a dignified expression, while Mama's hand is visible, gently supporting his chest. The background shows soft indoor lighting, white curtains, and some simple wall decor, including framed pictures and a small shelf with plants.

"I'm not a lap cat. I'm not a LAP cat. I'm NOT a lap cat. I'm only doing til Mama is feeling better." (Buries face in blanket and falls promptly asleep.) #ALTtext #caturday #catsofbluesky #mainecoon #cats #petsofbluesky #SAVR #cardiology #aorticstenosis #openheart #Dartmouth #vermont

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A detailed image of a fluffy, large, long-haired Maine Coon cat named Sully, resting indoors. Sully has a thick, multi-toned gray and silver coat and is lying on a white and gray rug. He's looking directly forward, and his large, expressive eyes are the central focus. His eyes are a warm, golden-green, framed by the distinctive dark tabby markings that converge towards the nose, giving him an alert and intelligent gaze. The background shows a scratching post and dark wooden floor, creating a cozy atmosphere.

A detailed image of a fluffy, large, long-haired Maine Coon cat named Sully, resting indoors. Sully has a thick, multi-toned gray and silver coat and is lying on a white and gray rug. He's looking directly forward, and his large, expressive eyes are the central focus. His eyes are a warm, golden-green, framed by the distinctive dark tabby markings that converge towards the nose, giving him an alert and intelligent gaze. The background shows a scratching post and dark wooden floor, creating a cozy atmosphere.

"Mama, how long is this recovery thing supposed to last?" #SAVR #openheart #newlife #aorticstenosis #bioprosthetic #ALTtext

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A full-length vertical photo showing two long-haired cats, Frankie (on the left, with dark, charcoal-colored, striped fur) and Sully (on the right, with lighter gray, charcoal and white fur), sitting side-by-side with their backs to the camera. They are gazing out a full length glass door that opens to the outside. The immediate foreground is raw, light-colored plywood flooring with some white paint splatters and construction materials nearby, including a partial paint can on the lower left. Through the glass, the yard is visible, showing yellow and orange autumn foliage on a few trees and several large orange pumpkins resting on the lawn.

A full-length vertical photo showing two long-haired cats, Frankie (on the left, with dark, charcoal-colored, striped fur) and Sully (on the right, with lighter gray, charcoal and white fur), sitting side-by-side with their backs to the camera. They are gazing out a full length glass door that opens to the outside. The immediate foreground is raw, light-colored plywood flooring with some white paint splatters and construction materials nearby, including a partial paint can on the lower left. Through the glass, the yard is visible, showing yellow and orange autumn foliage on a few trees and several large orange pumpkins resting on the lawn.

After getting a zipper on my chest, the last thing I want is to tackle a staircase just to pee. Kudos to Mr. G for hearing, & granting my recovery wish - a main level
1/2 bath. The boys treating it like a VIP lounge is a happy accident. #caturday #ALTtext
#catsofbluesky #openheart #cats #SAVR

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TODAY'S THE DAY! On the way to Dartmouth for an open aortic valve replacement. Can't wait to start feeling better again! #SAVR #cardiology #aorticstenosia #thursdaythoughts

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In seven days I'll finally be on my way to Dartmouth to have my aortic valve replaced. Open heart's a daunting surgery, but I'm ready. Recovery will be long, and painful. But I'm ready. #bringiton #aorticstenosis #cardiology #dartmouth #openheart #SAVR

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Most important message: #Savr has the same results in randomized vs registry/observational studies. #Tavi has better results in randomized vs registry/observational studies.

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Transcatheter or Surgical Treatment of Patients With Aortic Stenosis This individual participant data meta-analysis evaluates 1-year outcomes in patients with aortic stenosis who underwent transcatheter aortic valve implantation vs those to underwent surgical aortic va...

En pacientes con estenosis aórtica sintomática grave con riesgo bajo a intermedio, la implantación trascatéter valvular aórtica se asocia con una reducción en la incidencia de muerte por todas las causas o ictus al año #TAVI #SAVR #AS jamanetwork.com/journals/jam...

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Explanted TAVI transcatheter aortic valve prosthesis on a gauze swab.

Explanted TAVI transcatheter aortic valve prosthesis on a gauze swab.

Astonishing how a patient, that before was in no way apt for #SAVR suddenly is clearly surgical when #TAVI has failed.

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Jag är sugen på att testa #SAVR och har ju genom åren hört mängder av nykundserbjudanden via diverse poddar, men nu när man väl ska göra slag i saken finner jag givetvis ingenting :)
Någon som läser här som har kod som ger både mig och dig någon form av kickback när jag reggar mig? Skicka DM isf

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In a late-breaking clinical trial, Dr. John Forrest from @yaleschoolofmed.bsky.social reports that low-risk patients with AS treated with #TAVR had similar rates of mortality and stroke at 5 years compared to those treated with surgery jacc.org/doi/10.1016/...

#JACC #ACC25 #vhdAS #SAVR #CardioSky

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Did mini #SAVR. 5 sutures in each commisure, 5 knots on each suture. 55 minutes x-clamp. Finished pump run at 5:25pm. Unfortunately it was a 23 prosthesis, not a 25. Anybody else in #heartsurgery with an obsession for numbers?

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Transcatheter vs Surgical Aortic Valve Replacement in Lower-Risk Patients: An Updated Meta-Analysis of Randomized Controlled Trials

According to an updated meta-analysis including 6 RCTs and 5,341 low-risk patients, #TAVR was associated with a reduced hazard of death and death or disabling stroke compared with #SAVR, while rates of stroke were equivalent www.jacc.org/doi/10.1016/... #CardioSky

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Hmm, ett jävla hoppande mellan #Avanza #Nordnet #Montrose #SAVR även inne o pillar på #Lysa #Opti #Levler #Fondo #kiwitrader - beslutsångest! Viktigast är nog courtage, utdelningsdata, känsla i app/webb - hade velat se månadssparande i andelsaktier/etfer likt M1 Finance!

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Hmm, ett jävla hoppande mellan #Avanza #Nordnet #Montrose #SAVR även inne o pillar på #Lysa #Opti #Levler #Fondo #kiwitrader - beslutsångest!

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Stimulating discussion of best therapy for #bicuspid #aortic #stenosis by, among others, Aakriti Gupta and Michael Bowdish. Paradoxical realization that bioprosthetic valves may be worse than mechanical ones in young people…. Let alone #TAVR vs #SAVR.

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'Managing bleeding after cardiac surgery'

#cccsky #cardiosky #critcaresky #cabg #AVR #SAVR blood transfusion

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DEFINE_ME

acute valve syndrome, aortic stenosis, #avr aortic valve replacement, #tavr #savr
.
'most patients presented with AVS, which was associated with an increased risk of mortality and heart failure hospitalization'
#cardiosky
www.structuralheartjournal.org/article/S247...

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Selection for transcatheter versus surgical aortic valve replacement and mid-term survival: results of the AUTHEARTVISIT study The comparative effectiveness of aortic valve replacement (AVR) for severe aortic stenosis using a surgically implanted bioprosthesis (surgical/biological

Registry data on #SAVR vs #TAVI from Austria.
A bit of reality instead of industry financed RCT. Of course registries also have important limitations, but nevertheless it gives you something to think about.
#cardiosky

academic.oup.com/ejcts/articl...

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Surgical vs Transcatheter Treatment in Patients With Coronary Artery Disease and Severe Aortic Stenosis Severe aortic stenosis (AS) coexists with coronary artery disease (CAD) in approximately 50% of patients. The preferred treatment is combined surgical…

'CABG + SAVR in patients with severe AS and CAD was associated with a higher rate of death and stroke compared with PCI + TAVR' surgical aortic valve replacement, transcatheter aortic valve replacement, #TAVI #TAVR #SAVR #cardiosky interventional cardiology
www.sciencedirect.com/science/arti...

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