Dia: 19 de julho de 2023

Basic Mitraclip Steering Tweetorial. Device View. (1/6) for fellows and whoever!

Let's Start with M Knob. After the clip is advanced in to the LA, this is the typical maneuver to steer down to the valve. #UABStructural pic.twitter.com/YJNJ1G2bmG

— Mustafa Ahmed (@MustafaAhmedMD) July 17, 2023

O diagnóstico de estenose Aórtica moderada é frequente entre idosos.

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A intervenção nesta fase pode ser melhor que o acompanhamento clínico?

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The PROGRESS Trial: A Prospective, Randomized, Controlled Trial to Assess the Management of Moderate Aortic Stenosis by Clinical Surveillance or Transcatheter Aortic Valve Replacement

Estimated Primary Completion Date :

June 2029

Multi-center, international, prospective, randomized study. Subjects will be randomized to either transcatheter aortic valve replacement (TAVR) with the Evolut PRO+ TAVR System, or Evolut FX System, and guideline-directed management (GDMT) or GDMT alone.

Estimated Primary Completion Date :

February 2026 .

Como podem ver, respostas objetivas para a pergunta, ainda vão demorar.

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https://www.tctmd.com/news/moderate-patients-baseline-factors-can-help-id-whos-most-risk

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Quem é o paciente?

moderate AS—defined as an aortic valve area of 1-1.5 cm², a mean gradient of 20-40 mm Hg, and a peak velocity of < 4 m/s

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https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.123.015475

Atenção a resposta para a pergunta: Como acompanhar e descrever após o MitraClip?