Discover and read the best of Twitter Threads about #eacts2020

Most recents (9)

#EACTS2020 Update!

What a busy day! Great session related to TAVI and discussion of low risk patients and insights from the πŸ‡ΊπŸ‡Έ TVT database containing results from over 330,000 patients! Read more below... warning, long but interesting (hopefully!) thread...
@EACTS @SCTSUK
First presentation included 2yr outcomes from PARTNER 3 trial from Dr Vinod Thourani πŸ‘‡
We were reminded of the 1year results presented last year at ACC

Significant difference in composite 1o EP at 1yr, endpoint was death / stroke / rehospitalization

At 2 yrs, similar results for this composite EP
Read 27 tweets
@kaulcsmc discussing TAVI in low-risk patients
Disclosure: from an impartial observer
#EACTS2020
Current recommendations for TAVR
#EACTS2020
Trial design in TAVI
Total number of total primary outcome events 4x lower in low-risk trial for Sapien. CoreValve more robust by design, yet events 2.5x lower and 2yr follow-up computed.
#EACTS2020
Read 11 tweets
@BavariaMd giving insights of TVT registry on TAVI
#EACTS2020
Importance of registries
#EACTS2020
Numbers in TVT: ViV represents 6-7%; TAVR
#EACTS2020
Read 13 tweets
Dr Barili updating meta-analysis from last year - TAVI and SAVR

#EACTS2020
Major updates in data from randomized trials. 5 yr follow-up now doubled!
#EACTS2020
7 trials included with 1 yr data
#EACTS2020
Read 7 tweets
SYNTAX score is an angiographic score of angiographic complexity
Designed to predict feasibility of PCI - nothing to do with feasibility of CABG or outcomes
#EACTS2020
It may prove actually wrong for CABG: a CTO can easily be grafted, yet prediction by SYNTAX would suspect bad outcome.
#EACTS2020
Read 10 tweets
#EACTS2020 Update

Abstract - PERSIST-AVR RCT

Well, had to choose this! Not often there's a RCT in heart valve disease!

Study: Perceval sutureless valve vs a stented tissue aortic valve, both by full sternotomy and mini sternotomy approaches

@EACTS @BrHeartValveSoc
47 sites across 3 continents recruiting from 2016-2018

578 underwent isolated AVR

Mean age 75yrs
Authors report quicker surgery and better outcomes for the Perceval valve *in combination with* mini-sternotomy approach
Read 9 tweets
#EACTS2020 update

Abstract - MV repair or replacement in the elderly? Presented Friday

I was interested in this as I too have often wondered if repair is "necessary" or "correct" in the older patient

@EACTS @BrHeartValveSoc @SCTSUK @ctsnetorg @escardio @global_wic @TheBJCA
Retrospective study of patients age >70 undergoing minimal invasive MV repair or replacement

Propensity match scoring to balance differences in baseline characteristics
Mean age 76yrs
Good LV in >80%
AF in >50%
Read 10 tweets
#EACTS2020

Important πŸ‡¬πŸ‡§ data on mitral valve repair over a 15 year period, from 2002/03 - 2015/16
(Presented yesterday)

@SCTSUK @ctsnetorg @HeartValveOrg @BrHeartValveSoc @escardio @EACTS @BritishCardioSo
Over past 15yrs, the number of MV operations has increased and % performed as repair has also increased...
Repair rate in ELECTIVE mitral surgery is ⬆️

Recently, the repair rate in URGENT and EMERGENCY mitral surgery has ⬇️ slightly
Read 7 tweets
#EACTS2020

Starting now - Focus session on Challenges in TAVI in patients with >1 cardiac problem!

TAVI & CAD
TAVI & MR
TAVI & TR

Great talks, tune in now! 😁

@EACTS @VictorDayan1 @BCIS_uk @kaschenke @M_Pompeu_Sa_MD @EulertJ @dompagano @MadalinaGarbi @JGrapsa @doconmoney ImageImage
TAVI and Coronary Disease

Such a difficult topic! No RCTs. What do you do in these patients?
And, if your patient needs revascularization, do you *ever* do PCI and TAVI in the same procedure?
Read 4 tweets

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