Structural & Congenital Heart Disease

Heart valve surgery patients, including those who undergo aortic and mitral interventions, are at risk of temporary cognitive decline for up to six months after their procedure, according to a study published in the Journal of the American Geriatrics Society this week.

Socioeconomic factors—namely a mother’s insurance status and level of education—weigh heavily on Hispanic infants’ chances of surviving critical congenital heart disease (CHD) in their first year of life, a study out of the University of California, San Francisco suggests.

The GALILEO trial has been stopped after an early look at outcomes revealed rivaroxaban was associated with greater odds of thromboembolic events, all-cause death and bleeding events compared to antiplatelet therapy following transcatheter aortic valve replacement (TAVR).

Asymptomatic patients with severe aortic stenosis are at greater risk of all-cause and cardiovascular mortality if they have higher peak aortic jet velocities or left ventricular ejection fractions (LVEFs) below 60 percent, researchers reported Oct. 3 in JAMA Cardiology.

The considerable survival advantage observed in female patients undergoing transcatheter aortic valve implantation (TAVI) during the procedure’s earlier years has diminished in the contemporary TAVI era, according to research out of Petah Tikva, Israel, meaning men and women are seeing similar outcomes post-procedure.

With CMS set to release a new National Coverage Determination (NCD) for transcatheter aortic valve replacement (TAVR) next June, researchers at TCT 2018 weighed in on what the new procedural volume thresholds should look like.

Transcatheter aortic valve replacement (TAVR) was easily the treatment of choice in German patients with severe stenosis at intermediate surgical risk from 2012 to 2014, according to a registry study, with both TAVR and surgical AVR (SAVR) carrying a 3.6 percent risk of in-hospital mortality.

Emergency department visits for children with congenital heart disease (CHD) are getting more expensive over time but mortality rates are improving, according to an analysis of more than 420,000 CHD-related trips to the ED over a nine-year period.

Heart failure (HF) patients who experience moderate functional mitral regurgitation (FMR) for at least six months after cardiac resynchronization therapy (CRT) are at an increased risk for death, researchers suggest in a study published this week.

Mitral valve prolapse (MVP)—a common condition that’s rarely serious—might boost heart patients’ risk for sudden cardiac death (SCD), researchers reported in the BMJ journal Heart this week.

OAC-ALONE, the first randomized trial to test the efficacy of oral anticoagulation (OAC) alone against combined OAC and a single antiplatelet agent (APT) in patients with atrial fibrillation and stable coronary artery disease, was unable to establish noninferiority of OACs to dual therapy, according to data presented at the 30th annual TCT conference in San Diego.

SAN DIEGO — General and local anesthesia are comparably safe and effective during transcatheter aortic valve replacement (TAVR) procedures, according to the first randomized trial to compare the two approaches.