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10.1186/s12947-015-0040-5

http://scihub22266oqcxt.onion/10.1186/s12947-015-0040-5
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C4696344!4696344!26714887
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suck abstract from ncbi

pmid26714887      Cardiovasc+Ultrasound 2015 ; 13 (ä): ä
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  • The beneficial effects of TAVI in mitral insufficiency #MMPMID26714887
  • Costantino MF; Dores E; Innelli P; Matera A; Santillo V; Violini R; Fiorilli R; Cappabianca G; Marraudino N; Picano E; Tarsia G
  • Cardiovasc Ultrasound 2015[]; 13 (ä): ä PMID26714887show ga
  • Background: Previous studies have suggested that concomitant mitral regurgitation (MR) is a risk factor for acute transcatheter aortic valve implantation (TAVI) failure, but may improve afterwards. Aim of this study was to assess the prevalence, clinical meaning and modifications of MR in patients undergoing TAVI. Methods: In a retrospective, two-center (Potenza-San Carlo and Roma- San Camillo) study, from January 2010 to June 2014 we enrolled 165 consecutive patients (age =80?±?5 years, 74 males, Ejection Fraction 51?±?9 %) referred for TAVI with either Medtronic Core-ReValving System (in 114 patients, 69 %) or balloon-expandable Edwards SAPIEN/SAPIEN XT (in 51 patients, 31 %). All patients underwent TTE and TEE assessment of MR (from 1, mild to 4?=?severe according to ESC latest guidelines) with core lab reading by a single observer blinded to patient identity and status. Assessment was performed at baseline (24 h prior to intervention) and at 1, 6, 12 and 24 months. Results: Mild-to-Moderate MR (grade 1?2) was present in 137 patients and Moderate-to-Severe MR (grade 3?4) was present in 28 patients. No significant differences were seen comparing perioperative mortality and morbidity between the two groups. In the group of preoperative MR grade 3?4 the mean decrease from MR pre-TAVI to MR at 1 month post-TAVI was 0.464 (p?
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