‍ 📚📖#آموزشی : 📚📖

📖🗒به روز رسانی #اطلاعات

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💌💌2017 #ACC Expert Consensus Decision Pathway for #Transcatheter #Aortic #Valve Replacement in the #Management of Adults With Aortic Stenosis💌💌

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👉 The intent of this clinical expert consensus pathway is to provide additional details and practical guidance about TAVR with point-of-care checklists and algorithms. These have been separated into 4 sections: 1) preprocedure evaluation of the patient being considered for TAVR; 2) imaging modalities and measurements; 3) key issues in performing the TAVR procedure; and 4) recommendations for #patient follow-up after TAVR...

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✅ #TAVR Decision Pathway Outline

♻️2017 #ACC Expert Consensus Decision Pathway for #Transcatheter Aortic #Valve Replacement in the #Management of Adults With Aortic Stenosis

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📌 به #بیماران خود #آموزش دهیم :

✍️ #تنگی_دریچه_آئورت چیست؟

🖇 What is #Aortic #Valve Stenosis?


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‍ 📚 به روز رسانی #اطلاعات 📕📖

📚 #دانلود #مقاله 📚📖


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✅ ❣️ACC 2018 : #TAVR for Severe Bicuspid #Aortic #Valve Stenosis❣️

📌Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high-risk patients with symptomatic severe aortic valve stenosis (AS). Although randomized trials have established TAVR as the standard treatment in inoperable patients and a reasonable option in intermediate- or high-surgical-risk patients, bicuspid AS has been excluded from these major trials.1-4 This was mainly attributable to concerns about challenging anatomic features of bicuspid AS for TAVR including the following:

1. A larger annulus, severe and asymmetric leaflet calcification, or presence of calcified raphe that may hinder valve positioning and expansion and lead to significant paravalvular regurgitation or annulus rupture (Figure 1)

2. Concomitant aortopathy with a potential increased risk of aortic dissection or rupture during long-term follow-up

3. Long-term durability of transcatheter heart valves in younger patients with longer life expectancy

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‍ 📚 به روز رسانی #اطلاعات 📕📖

📚 #دانلود #مقاله 📚📖


💻👉👉#DOWNLOAD PDF:

✅ ❣️ACC 2018 : #TAVR for Severe Bicuspid #Aortic #Valve Stenosis❣️

📌Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high-risk patients with symptomatic severe aortic valve stenosis (AS). Although randomized trials have established TAVR as the standard treatment in inoperable patients and a reasonable option in intermediate- or high-surgical-risk patients, bicuspid AS has been excluded from these major trials.1-4 This was mainly attributable to concerns about challenging anatomic features of bicuspid AS for TAVR including the following:

1. A larger annulus, severe and asymmetric leaflet calcification, or presence of calcified raphe that may hinder valve positioning and expansion and lead to significant paravalvular regurgitation or annulus rupture (Figure 1)

2. Concomitant aortopathy with a potential increased risk of aortic dissection or rupture during long-term follow-up

3. Long-term durability of transcatheter heart valves in younger patients with longer life expectancy

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‍ 📚📖#آموزشی : 📚📖

🚩#Quiz Of The Week

* #ESCardioEd challenge by Dr Francesco Petracca and team, Cardiocentro Ticino Institute, Lugano, Switzerland.

✳️ A 44-year-old woman with history of drug addiction and cirrhosis related to chronic hepatitis C infection, presented to the out-patient clinic with severe right-sided heart failure. She underwent partial tricuspid valve resection and De Vega annuloplasty in 2001 for infective endocarditis and in 2009 a tricuspid #valve_replacement with a Carpentier-Edwards Perimount Magna 31 mm valve, for symptomatic severe tricuspid regurgitation recurrence.
Transthoracic #echocardiography on admission showed degeneration of the bioprosthetic valve.
The heart team decided to proceed with a trans-jugular implantation of a new valve in view of the patient’s overall frailty and significant comorbid conditions.
The preoperative computed tomography showed total occlusion of the internal jugular vein up to the subclavian vein confluence (figure 2 below), making this vascular access route unsuitable.

What #vascular access would you choose?

✅ #مشاهده_تصویر 👇

📌#پاسخ فردا در همین کانال 👇

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