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Article ; Online: Follow my lead: multimodality imaging in cardiac tamponade due to coronary sinus perforation by pacemaker.

Sebastián, Cristina García / Sanz, Ana Pardo / Gómez, José Luis Zamorano

European heart journal. Cardiovascular Imaging

2022 Volume 23, Issue 7, Page(s) e277

MeSH term(s)	Cardiac Tamponade/diagnostic imaging ; Cardiac Tamponade/etiology ; Cardiac Tamponade/surgery ; Coronary Sinus/diagnostic imaging ; Heart ; Heart Injuries ; Humans ; Pacemaker, Artificial/adverse effects
Language	English
Publishing date	2022-08-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2638345-7
ISSN	2047-2412 ; 2047-2404
ISSN (online)	2047-2412
ISSN	2047-2404
DOI	10.1093/ehjci/jeac073
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Article ; Online: Aortic Valve Thrombosis: Be Prepared for the Unusual.

Gómez, Jose Luis Zamorano / Gómez, Ariana González

Journal of the American College of Cardiology

2021 Volume 78, Issue 8, Page(s) 825–826

MeSH term(s)	Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Heart Valve Diseases ; Humans ; Thrombosis/diagnostic imaging
Language	English
Publishing date	2021-08-20
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	605507-2
ISSN	1558-3597 ; 0735-1097
ISSN (online)	1558-3597
ISSN	0735-1097
DOI	10.1016/j.jacc.2021.06.025
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Article ; Online: Embolización en el tronco coronario tras el cierre percutáneo de fuga paravalvular

Ana Pardo Sanz / Luisa Salido Tahoces / José Luis Mestre Barcelo / María Abellás Sequeiros / José Luis Zamorano Gómez / Ángel Sánchez-Recalde

REC: Interventional Cardiology, Vol 4, Iss 4, Pp 351-

2022 Volume 352

Abstract: Se presenta el caso de un varón de 72 años con válvulas protésicas mecánicas mitral y aórtica, insuficiencia renal crónica e hipertensión pulmonar grave. En 2019, se procedió al cierre percutáneo de una fuga periprotésica (FPP) anterolateral mitral con ... ...

Abstract	Se presenta el caso de un varón de 72 años con válvulas protésicas mecánicas mitral y aórtica, insuficiencia renal crónica e hipertensión pulmonar grave. En 2019, se procedió al cierre percutáneo de una fuga periprotésica (FPP) anterolateral mitral con implante de 2 dispositivos (el AVP III 10 x 5 mm y el AVP III 8 x 4 mm, St Jude Medical, Estados Unidos) ante la presencia de insuficiencia cardiaca. La evolución clínica del paciente fue favorable con insuficiencia mitral moderada. Un año después, los síntomas empeoraron y un ecocardiograma transesofágico reveló la presencia de insuficiencia mitral grave por FPP recurrente alrededor de los dispositivos (figura 1A). Se programó un segundo intento de cierre percutáneo de la FPP. La intervención inicial consistió en implantar otro dispositivo al lado de los ya implantados, pero embolizaron dentro del ventrículo izquierdo con la manipulación del catéter guía orientable (figura 1B). Fueron capturados empleando un lazo a través de la FFP y recuperados usando 2 vainas en la aurícula izquierda (figura 1C). Dos horas después, el paciente desarrolló inestabilidad hemodinámica y elevación del segmento ST. Una angiografía coronaria de urgencia confirmó la presencia de estenosis grave en el tronco común izquierdo (TC) que no se.
Keywords	Internal medicine ; RC31-1245
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Left main coronary artery embolization after transcatheter paravalvular leak closure

Ana Pardo Sanz / Luisa Salido Tahoces / José Luis Mestre Barcelo / María Abellás Sequeiros / José Luis Zamorano Gómez / Ángel Sánchez-Recalde

REC: Interventional Cardiology (English Ed.), Vol 4, Iss 4, Pp 351-

2022 Volume 352

Abstract: This is the case of a 72-year-old man with mitral and aortic mechanical prosthetic valves, chronic kidney disease, and severe pulmonary hypertension. In 2019, a mitral anterolateral paravalvular leak (PVL) was percutaneously closed with implantation of 2 ...

Abstract	This is the case of a 72-year-old man with mitral and aortic mechanical prosthetic valves, chronic kidney disease, and severe pulmonary hypertension. In 2019, a mitral anterolateral paravalvular leak (PVL) was percutaneously closed with implantation of 2 devices (the AVP III 10 mm x 5 mm, and the AVP III 8 mm x 4 mm, St Jude Medical, United States) due to heart failure. The patient’s clinical progression was favorable with moderate mitral regurgitation. One year later, the patient’s symptoms worsened, and the transesophageal echocardiogram performed revealed severe mitral regurgitation due to recurrent PVL around the devices (figure 1A). A second percutaneous closure attempt was scheduled to close the PVL. The initial procedure was to implant another device next to the other devices, but they embolized into the left ventricle when the deflectable catheter touched them (figure 1B). They were captured using a gooseneck loop snare through the PVL and then retrieved using 2 sheaths in the left atrium (figure 1C). Two hours later, the patient developed hemodynamic instability, and ST-segment elevation. An emergency coronary angiogram revealed the presence of severe stenosis in the left main coronary artery (LMCA) that was not present in the previous angiogram (figure 1D). The.
Keywords	Medicine ; R
Subject code	610
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Orbital atherectomy for calcified nodule

María Abellas-Sequeiros / Ángel Sánchez-Recalde / Ana Pardo-Sanz / Luisa Salido-Tahoces / José Luis Zamorano

REC: Interventional Cardiology (English Ed.), Vol 4, Iss 2, Pp 163-

optical coherence tomography assessment

2022 Volume 164

Abstract: We present the case of a 91-year-old man with a past medical history of moderate-to-severe aortic stenosis referred due to breathlessness. The routine invasive coronary angiography performed before transcatheter aortic valve replacement confirmed the ... ...

Abstract	We present the case of a 91-year-old man with a past medical history of moderate-to-severe aortic stenosis referred due to breathlessness. The routine invasive coronary angiography performed before transcatheter aortic valve replacement confirmed the presence of a severely calcified left anterior descending coronary artery proximal segment (figure 1A; video 1 of the supplementary data). The functional assessment performed showed a fractional flow reserve of 0.79. The optical coherence tomography (OCT) interrogation revealed an arc of calcium > 180°, thickness of 0.6 mm, and length > 5 mm with a calcified nodule with a minimum lumen area of 3.49 mm2 (figure 1C; video 2 of the supplementary data). Orbital atherectomy with the Diamondback 360 Coronary OAS (Cardiovascular Systems, Inc., United States) was selected to prepare the lesion. After 5 runs at low speed (80 000 rpm), a new OCT was performed that confirmed the fracture of the calcified nodule achieving a minimum lumen area of 7.5 mm2 (figure 1D; video 3 of the supplementary data). Consecutively, a 2.5 mm x 15 mm SC balloon (OrbusNeich, China) plus a 3.0 mm x 10 mm NC balloon (Medtronic, United States) were advanced through the lesion and inflated twice. Finally, a Megatron 3.5 mm.
Keywords	Medicine ; R
Language	English
Publishing date	2022-05-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Aterectomía orbitacional de nódulo de calcio

María Abellas-Sequeiros / Ángel Sánchez-Recalde / Ana Pardo-Sanz / Luisa Salido-Tahoces / José Luis Zamorano

REC: Interventional Cardiology, Vol 4, Iss 2, Pp 163-

valoración con tomografía de coherencia óptica

2022 Volume 164

Abstract: Presentamos el caso de un varón de 91 años con una historia clínica de estenosis aórtica entre moderada y grave derivado con un cuadro de disnea. La coronariografía invasiva rutinaria previa al implante percutáneo de prótesis valvular aórtica confirmó la ...

Abstract	Presentamos el caso de un varón de 91 años con una historia clínica de estenosis aórtica entre moderada y grave derivado con un cuadro de disnea. La coronariografía invasiva rutinaria previa al implante percutáneo de prótesis valvular aórtica confirmó la presencia de un segmento proximal gravemente calcificado en la descendente anterior (figura 1A; vídeo 1 del material adicional). Según la valoración funcional, los valores de la reserva fraccional de flujo fueron 0,79. La interrogación con tomografía de coherencia óptica (OCT) reveló la presencia de un arco de calcio > 180°, un grosor de 0,6 mm y una longitud > 5 mm acompañado de un nódulo calcificado y una área luminal mínima de 3,49 mm2 (figura 1C; vídeo 2 del material adicional). Se optó por una aterectomía orbital con el dispositivo estándar de AO coronaria Diamondback 360 (Cardiovascular Systems, Inc., Estados Unidos) para preparar la lesión. Tras 5 pasadas a baja velocidad (80.000 rpm), se hizo una nueva OCT que confirmó la fractura del nódulo calcificado, alcanzando un área luminal mínima de 7,5 mm2 (figura 1D; vídeo 3 del material adicional). Consecutivamente, se avanzaron 2 balones, uno semidistensible de 2,5 × 15 mm (OrbusNeich, China) y otro no distensible de 3,0.
Keywords	Internal medicine ; RC31-1245
Language	English
Publishing date	2022-05-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: AF in Cancer Patients: A Different Need for Anticoagulation?

Sanz, Ana Pardo / Gómez, José Luis Zamorano

European cardiology

2019 Volume 14, Issue 1, Page(s) 65–67

Abstract: Cancer and cancer therapies might be a risk factor for developing Atrial Fibrillation (AF). It remains unclear if one is the cause or consequence of the other, or if they simply coexist. An unpredictable response to anticoagulation can be expected, as a ... ...

Abstract	Cancer and cancer therapies might be a risk factor for developing Atrial Fibrillation (AF). It remains unclear if one is the cause or consequence of the other, or if they simply coexist. An unpredictable response to anticoagulation can be expected, as a result of the lack of information in oncology patients. The balance between thromboembolic and bleeding risks of AF in these patients is particularly challenging. Little is known about whether embolic and bleeding risk scores used for the general population can be applied in oncologic patients. Cardiology involvement in the management of these patients seems to be associated with favourable AF-related outcomes.
Language	English
Publishing date	2019-05-17
Publishing country	England
Document type	Journal Article ; Review
ISSN	1758-3764
ISSN (online)	1758-3764
DOI	10.15420/ecr.2018.32.2
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Article ; Online: Coste-efectividad del implante percutáneo de válvula aórtica con SAPIEN 3 en pacientes con bajo riesgo de mortalidad quirúrgica en España

José Manuel Vázquez Rodríguez / Eduardo Pinar Bermúdez / José Luis Zamorano / José Moreu Burgos / José Francisco Díaz-Fernández / Bruno García del Blanco / Archita Sarmah / Pascal Candolfi / Judith Shore / Michelle Green

REC: Interventional Cardiology, Vol 5, Iss 1, Pp 38-

2023 Volume 45

Abstract: RESUMEN Introducción y objetivos: El implante percutáneo de válvula aórtica (TAVI) se introdujo en 2007 como una alternativa a la cirugía a corazón abierto para tratar a pacientes con estenosis aórtica grave sintomática, y desde entonces han aumentado ... ...

Abstract	RESUMEN Introducción y objetivos: El implante percutáneo de válvula aórtica (TAVI) se introdujo en 2007 como una alternativa a la cirugía a corazón abierto para tratar a pacientes con estenosis aórtica grave sintomática, y desde entonces han aumentado las indicaciones autorizadas. Recientemente, el Placement of Aortic Transcatheter Valve Study (PARTNER) 3 ha demostrado beneficios clínicos con el TAVI con la válvula SAPIEN 3 frente al reemplazo quirúrgico de válvula aórtica (RVAo) en pacientes seleccionados con bajo riesgo de mortalidad quirúrgica. Utilizando los datos del PARTNER 3 junto con datos económicos de España, se evaluó la relación coste-efectividad del TAVI en comparación con el RVAo en pacientes con estenosis aórtica grave sintomática con bajo riesgo de mortalidad quirúrgica. Métodos: Se utilizó un modelo en dos etapas para estimar los costes directos sanitarios y los datos de calidad de vida relacionadas con la salud para TAVI con la válvula SAPIEN 3 y RVAo. Los eventos adversos tempranos relacionados con TAVI del PARTNER 3 se incluyeron en un modelo de Markov, que capturó los resultados a más largo plazo tras TAVI o RVAo. Resultados: El TAVI con SAPIEN 3 mejoró los años de vida ajustados por calidad por paciente (+1,00), con un aumento en el coste frente al RVAo de 6.971 € por paciente. Esto representó una ratio coste-efectividad incremental por año de vida ganado ajustado por calidad de 6.952 € por paciente. Los resultados fueron robustos en los diversos análisis de sensibilidad realizados, en los que el TAVI con SAPIEN 3 se mantiene como una opción coste-efectiva. Conclusiones: El TAVI con SAPIEN 3 es coste-efectivo en ...
Keywords	España ; Implante percutáneo de válvula aórtica ; Cirugía cardiaca ; Prótesis valvular cardiaca ; Reemplazo quirúrgico de válvula aórtica ; Análisis coste-beneficio ; Análisis coste-efectividad ; Estenosis aórtica ; Bajo riesgo ; Internal medicine ; RC31-1245
Language	English
Publishing date	2023-02-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cost-effectiveness of SAPIEN 3 transcatheter aortic valve implantation in low surgical mortality risk patients in Spain

REC: Interventional Cardiology (English Ed.), Vol 5, Iss 1, Pp 38-

2023 Volume 45

Abstract: ABSTRACT Introduction and objectives: Transcatheter aortic valve implantation (TAVI) was first introduced in 2007 as an alternative to open heart surgery to treat patients with severe symptomatic aortic stenosis (sSAS) with various indication expansions ... ...

Abstract	ABSTRACT Introduction and objectives: Transcatheter aortic valve implantation (TAVI) was first introduced in 2007 as an alternative to open heart surgery to treat patients with severe symptomatic aortic stenosis (sSAS) with various indication expansions since that date. Recently, the PARTNER 3 study (Placement of aortic transcatheter valve) demonstrated clinical benefits with TAVI with the SAPIEN 3 valve vs surgical aortic valve replacement (SAVR) in selected low surgical mortality risk patients. We reviewed data from the PARTNER 3 and economic data from Spain to assess the cost-effectiveness ratio of TAVI vs SAVR in patients with sSAS and low surgical mortality risk. Methods: A 2-stage model was used to estimate direct healthcare costs and health-related quality of life data regarding TAVI with the SAPIEN 3 valve and SAVR. Early adverse events associated with TAVI from the PARTNER 3 were fed into a Markov model that captured longer-term outcomes after TAVI or SAVR. Results: TAVI with SAPIEN 3 improved quality-adjusted life years per patient (+ 1.00) with an increase in costs vs SAVR (€6971 per patient). This meant an incremental cost-effectiveness ratio/quality-adjusted life year of €6952 per patient. The results were robust with TAVI with the SAPIEN 3 valve remaining cost-effective across several sensitivity analyses. Conclusions: TAVI with the SAPIEN 3 valve is cost effective compared to SAVR in patients with sSAS and low surgical mortality risk. These findings can inform policymakers to facilitate policy development in Spain on intervention selection in this patient population.
Keywords	Spain ; Transcatheter aortic valve replacement ; Heart procedures and surgeries ; Prosthetic heart valve ; Surgical aortic valve replacement ; Cost-benefit analysis ; Aortic stenosis ; Low-risk ; Medicine ; R
Subject code	616 ; 610
Language	English
Publishing date	2023-02-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: WHF Recommendations for the Use of Echocardiography in Chagas Disease

Kate Ralston / Ezequiel Zaidel / Harry Acquatella / Marcia Melo Barbosa / Jagat Narula / Yu Nakagama / Gustavo Restrepo Molina / Karen Sliwa / Jose Luis Zamorano / Fausto J. Pinto / Daniel Jose Piñeiro / Mariana Corneli

Global Heart, Vol 18, Iss 1, Pp 27-

2023 Volume 27

Abstract: Chagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe ... ...

Abstract	Chagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe manifestation and a leading cause of heart failure and mortality in affected individuals. Echocardiography, a non-invasive imaging modality, plays a crucial role in the diagnosis, monitoring, and risk stratification of ChCM. This consensus recommendation aims to provide guidance on the appropriate use of echocardiography in ChD. An international panel of experts, including cardiologists, infectious disease specialists, and echocardiography specialists, convened to review the available evidence and provide practical recommendations based on their collective expertise. The consensus addresses key aspects related to echocardiography in ChD, including its role in the initial evaluation, serial monitoring, and risk assessment of patients. It emphasizes the importance of standardized echocardiographic protocols, including the assessment of left ventricular function, chamber dimensions, wall motion abnormalities, valvular involvement, and the presence of ventricular aneurysm. Additionally, the consensus discusses the utility of advanced echocardiographic techniques, such as strain imaging and 3D echocardiography, in assessing myocardial mechanics and ventricular remodeling.
Keywords	chagas disease ; echocardiography ; cardiomyopathy ; aneurysm ; heart failure ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Public aspects of medicine ; RA1-1270
Subject code	610
Language	English
Publishing date	2023-06-01T00:00:00Z
Publisher	Ubiquity Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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