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1. Guidelines on the management of valvular heart disease (version 2012): The Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)

Author

Vahanian, Alec, ALFIERI, OTTAVIO, Andreotti, Felicita, Antunes, Manuel J., Barã³n esquivias, Gonzalo, Baumgartner, Helmut, Borger, Michael Andrew, Carrel, Thierry P., DE BONIS, MICHELE, Evangelista, Arturo, Falk, Volkmar, Iung, Bernard, Lancellotti, Patrizio, Pierard, Luc, Price, Susanna, Schã¤fers, Hans joachim, Schuler, Gerhard, Stepinska, Janina, Swedberg, Karl, Takkenberg, Johanna, Von Oppell, Ulrich Otto, Windecker, Stephan, Zamorano, Jose Luis, Zembala, Marian, Bax, Jeroen J., Ceconi, Claudio, Dean, Veronica, Deaton, Christi, Fagard, Robert, Funck brentano, Christian, Hasdai, David, Hoes, Arno, Kirchhof, Paulus, Knuuti, Juhani, Kolh, Philippe, Mcdonagh, Theresa, Moulin, Cyril, Popescu, Bogdan A., Reiner, Željko, Sechtem, Udo, Sirnes, Per Anton, Tendera, Michal, Torbicki, Adam, Von Segesser, Ludwig, Badano, Luigi P., Bunc, Matjaå¾, Claeys, Marc J., Drinkovic, Niksa, Filippatos, Gerasimos, Habib, Gilbert, Pieter Kappetein, A., Kassab, Roland, Lip, Gregory Y. H., Moat, Neil, Nickenig, Georg, Otto, Catherine M., Pepper, John, Piazza, Nicolo, Pieper, Petronella G., Rosenhek, Raphael, Shuka, Naltin, Schwammenthal, Ehud, Schwitter, Juerg, Mas, Pilar Tornos, Trindade, Pedro T., Walther, Thomas, Vahanian, Alec, Alfieri, Ottavio, Andreotti, Felicita, Antunes, Manuel J., Barã³n esquivias, Gonzalo, Baumgartner, Helmut, Borger, Michael Andrew, Carrel, Thierry P., DE BONIS, Michele, Evangelista, Arturo, Falk, Volkmar, Iung, Bernard, Lancellotti, Patrizio, Pierard, Luc, Price, Susanna, Schã¤fers, Hans joachim, Schuler, Gerhard, Stepinska, Janina, Swedberg, Karl, Takkenberg, Johanna, Von Oppell, Ulrich Otto, Windecker, Stephan, Zamorano, Jose Lui, Zembala, Marian, Bax, Jeroen J., Ceconi, Claudio, Dean, Veronica, Deaton, Christi, Fagard, Robert, Funck brentano, Christian, Hasdai, David, Hoes, Arno, Kirchhof, Paulu, Knuuti, Juhani, Kolh, Philippe, Mcdonagh, Theresa, Moulin, Cyril, Popescu, Bogdan A., Reiner, Željko, Sechtem, Udo, Sirnes, Per Anton, Tendera, Michal, Torbicki, Adam, Von Segesser, Ludwig, Badano, Luigi P., Bunc, Matjaå¾, Claeys, Marc J., Drinkovic, Niksa, Filippatos, Gerasimo, Habib, Gilbert, Pieter Kappetein, A., Kassab, Roland, Lip, Gregory Y. H., Moat, Neil, Nickenig, Georg, Otto, Catherine M., Pepper, John, Piazza, Nicolo, Pieper, Petronella G., Rosenhek, Raphael, Shuka, Naltin, Schwammenthal, Ehud, Schwitter, Juerg, Mas, Pilar Torno, Trindade, Pedro T., and Walther, Thomas

Published
2012

2. Guidelines on myocardial revascularization The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)

Author

Wijns, W, Kolh, P, Sabaté M., and Zembala, Marian

Subjects
Stable angina, Heart team, Coronary artery bypass grafting, Guidelines, Myocardial ischaemia, Recommendation, EuroSCORE, Coronary artery disease, Percutaneous coronary intervention, SYNTAX score, Myocardial infarction, Myocardial revascularization, Bare metal stents, Drug-eluting stents, Optimal medical therapy, Unstable angina, Risk stratification
Published
2010

3. Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)

Author

European Association, for Percutaneous Cardiovascular Interventions, Wijns, William, Kolh, Philippe, Danchin, Nicolas, Di Mario, Carlo, Falk, Volkmar, Folliguet, Thierry, Garg, Scot, Huber, Kurt, James, Stefan, Knuuti, Juhani, Lopez-Sendon, Jose, Marco, Jean, Menicanti, Lorenzo, Ostojic, Miodrag, Piepoli, Massimo F, Pirlet, Charles, Pomar, Jose L, Reifart, Nicolaus, Ribichini, Flavio L, Schalij, Martin J, Sergeant, Paul, Serruys, Patrick W, Silber, Sigmund, Sousa Uva, Miguel, Taggart, David, ESC Committee, for Practice Guidelines, Vahanian, Alec, Auricchio, Angelo, Bax, Jeroen, Ceconi, Claudio, Dean, Veronica, Filippatos, Gerasimos, Funck-Brentano, Christian, Hobbs, Richard, Kearney, Peter, McDonagh, Theresa, Popescu, Bogdan A, Reiner, Zeljko, Sechtem, Udo, Sirnes, Per Anton, Tendera, Michal, Vardas Panos, E, Widimsky, Petr, EACTS Clinical Guidelines, Committee, Alfieri, Ottavio, Dunning, Joel, Elia, Stefano, Kappetein, Pieter, Lockowandt, Ulf, Sarris, George, Vouhe, Pascal, von Segesser, Ludwig, Agewall, Stefan, Aladashvili, Alexander, Alexopoulos, Dimitrios, Antunes, Manuel J, Atalar, Enver, Brutel de la Riviere, Aart, Doganov, Alexander, Eha, Jaan, Fajadet, Jean, Ferreira, Rafael, Garot, Jerome, Halcox, Julian, Hasin, Yonathan, Janssens, Stefan, Kervinen, Kari, Laufer, Gunther, Legrand, Victor, Nashef Samer, A M, Neumann, Franz-Josef, Niemela, Kari, Nihoyannopoulos, Petros, Noc, Marko, Piek, Jan J, Pirk, Jan, Rozenman, Yoseph, Sabate, Manel, Starc, Radovan, Thielmann, Matthias, Wheatley, David J, Windecker, Stephan, and Zembala, Marian

Subjects
myocardial, revascularization, medicine.medical_specialty, business.industry, Judgement, Medizin, MEDLINE, Conflict of interest, EuroSCORE, Evidence-based medicine, medicine.disease, Coronary artery bypass surgery, Cardiothoracic surgery, Internal medicine, medicine, Cardiology, Medical emergency, Cardiology and Cardiovascular Medicine, Risk assessment, business
Abstract

Guidelines and Expert Consensus Documents summarize and evaluate all available evidence with the aim of assisting physicians in selecting the best management strategy for an individual patient suffering from a given condition, taking into account the impact on outcome and the risk–benefit ratio of diagnostic or therapeutic means. Guidelines are no substitutes for textbooks and their legal implications have been discussed previously. Guidelines and recommendations should help physicians to make decisions in their daily practice. However, the ultimate judgement regarding the care of an individual patient must be made by his/her responsible physician(s). The recommendations for formulating and issuing ESC Guidelines and Expert Consensus Documents can be found on the ESC website (http://www.escardio.org/knowledge/guidelines/rules). Members of this Task Force were selected by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) to represent all physicians involved with the medical and surgical care of patients with coronary artery disease (CAD). A critical evaluation of diagnostic and therapeutic procedures is performed including assessment of the risk–benefit ratio. Estimates of expected health outcomes for society are included, where data exist. The level of evidence and the strength of recommendation of particular treatment options are weighed and graded according to predefined scales, as outlined in Tables 1 and 2 . View this table: Table 1 Classes of recommendations View this table: Table 2 Levels of evidence The members of the Task Force have provided disclosure statements of all relationships that might be perceived as real or potential sources of conflicts of interest. These disclosure forms are kept on file at European Heart House, headquarters of the ESC. Any changes in conflict of interest that arose during the writing period were notified to the ESC. The Task Force report received its entire financial support from the ESC and EACTS, without any involvement of the pharmaceutical, device, or surgical industry. ESC …

Published
2010
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4. Resistance to oral antiplatelet drugs - A Position Paper of the Working Group on antiplatelet drug resistance appointed by the Section of Cardiovascular Interventions of the Polish Cardiac Society

Author

Kuliczkowski, Wiktor, Witkowski, Adam, Watala, Cezary, Filipiak, Krzysztof J., Budaj, Andrzej, Jacek Golański, Sitkiewicz, Dariusz, Pregowski, Jerzy, Gorski, Jacek, Zembala, Marian, Opolski, Grzegorz, and Polonski, Lech

Subjects
Cardiovascular Diseases, Drug Resistance, Humans, Platelet Aggregation Inhibitors

10. Guidelines on the management of valvular heart disease (version 2012) The Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)

Author

Vahanian, Alec, Alfieri, Ottavio, Andreotti, Felicita, Antunes, Manuel J., Baron-Esquivias, Gonzalo, Baumgartner, Helmut, Borger, Michael Andrew, Carrel, Thierry P., Bonis, Michele, Evangelista, Arturo, Falk, Volkmar, Bernard Iung, Lancellotti, Patrizio, Pierard, Luc, Price, Susanna, Schaefers, Hans-Joachim, Schuler, Gerhard, Stepinska, Janina, Swedberg, Karl, Takkenberg, Johanna, Oppell, Ulrich Otto, Windecker, Stephan, Luis Zamorano, Jose, Zembala, Marian, Cardiothoracic Surgery, Vahanian, A, Alfieri, Ottavio, Andreotti, F, Antunes, Mj, Baron Esquivias, G, Baumgartner, H, Borger, Ma, Carrel, Tp, DE BONIS, Michele, Evangelista, A, Falk, V, Lung, B, Lancellotti, P, Pierard, L, Price, S, Schaefers, Hj, Schuler, G, Stepinska, J, Swedberg, K, Takkenberg, J, Von Oppell, Uo, Windecker, S, Luis Zamorano, J, and Zembala, M.

Subjects
Balloon Valvuloplasty, Diagnostic Imaging, Heart Valve Prosthesis Implantation, Cardiac Catheterization, Cardiotonic Agents, Endocarditis, Non-Infective, Heart Valve Prosthesis, Heart Valve Diseases, Humans, Arrhythmias, Cardiac, Coronary Disease, Rheumatic Fever, Risk Assessment

11. The 2011-2012 pilot European Society of Cardiology Sentinel Registry of Transcatheter Aortic Valve Implantation: 12-month clinical outcomes

Author

Georg Nickenig, Javier Goicolea, Francesco Romeo, Carlos Macaya, Gerhard Schuler, Martine Gilard, Eduardo Alegria Barrero, Peter Wenaweser, Marian Zembala, Carlo Di Mario, Roberta Serdoz, Petr Kala, Cécile Laroche, Stephan Windecker, Geneviève Derumeaux, Bernard D. Prendergast, Susanna Price, Erwin Schroeder, Bernard Iung, Ottavio Alfieri, Hélène Eltchaninoff, Adam Witkowski, Peter Ludman, Thomas Snow, Michele Pighi, Michael Schlüter, Haim D. Danenberg, Gian Paolo Ussia, Manel Sabaté, Neil Moat, Pepe Zamorano, Roberto Corti, Gianni Dall'Ara, Gilard, Martine, Schlüter, Michael, Snow, Thomas M., Dall'Ara, Gianni, Eltchaninoff, Helene, Moat, Neil, Goicolea, Javier, Ussia, Gian Paolo, Kala, Petr, Wenaweser, Peter, Zembala, Marian, Nickenig, Georg, Price, Susanna, Barrero, Eduardo Alegria, Iung, Bernard, Zamorano, Pepe, Schuler, Gerhard, Corti, Roberto, Alfieri, Ottavio, Prendergast, Bernard, Ludman, Peter, Windecker, Stephan, Sabate, Manel, Witkowski, Adam, Danenberg, Haim, Schroeder, Erwin, Romeo, Francesco, Macaya, Carlo, Derumeaux, Geneviève, Laroche, Cécile, Pighi, Michele, Serdoz, Roberta, Di Mario, Carlo, Gilard, M, Schlüter, M, Snow, Tm, Dall'Ara, G, Eltchaninoff, H, Moat, N, Goicolea, J, Ussia, Gp, Kala, P, Wenaweser, P, Zembala, M, Nickenig, G, Price, S, Alegria Barrero, E, Iung, B, Zamorano, P, Schuler, G, Corti, R, Prendergast, B, Ludman, P, Windecker, S, Sabate, M, Witkowski, A, Danenberg, H, Schroeder, E, Romeo, F, Macaya, C, Derumeaux, G, Laroche, C, Pighi, M, Serdoz, R, and Di Mario, C.

Subjects
Male, Registrie, Aortic valve, Cardiac Catheterization, Aortic stenosi, Survival, medicine.medical_treatment, 030204 cardiovascular system & hematology, Prosthesis, Transcatheter aortic valve implantation (TAVI), Postoperative Complications, 0302 clinical medicine, Risk Factors, 80 and over, Registries, 030212 general & internal medicine, Cardiac catheterization, Aged, 80 and over, Heart Valve Prosthesis Implantation, aortic stenosis, registry, survival, transcatheter aortic valve implantation (TAVI), Aged, Aortic Valve, Aortic Valve Stenosis, Female, Follow-Up Studies, Heart Valve Prosthesis, Humans, Pilots, Treatment Outcome, Transcatheter Aortic Valve Replacement, Pilot, Atrial fibrillation, 3. Good health, medicine.anatomical_structure, Aortic valve stenosis, Cardiology, Cardiology and Cardiovascular Medicine, Human, Registry, medicine.medical_specialty, Logistic euroscore, Transcatheter aortic, Vascular access, Follow-Up Studie, 03 medical and health sciences, Internal medicine, medicine, business.industry, Risk Factor, medicine.disease, Aortic Valve Stenosi, Surgery, Heart Valve Prosthesi, Postoperative Complication, business
Abstract

AIMS Our aim was to assess one-year outcomes of patients enrolled in the pilot European Sentinel Registry of Transcatheter Aortic Valve Implantation (TAVI). METHODS AND RESULTS One-year outcomes of 4,571 patients (81.4±7.2 years, 2,291 [50.1%] male) receiving TAVI with the SAPIEN XT (57.3%) or CoreValve prosthesis at 137 European centres were analysed using Kaplan-Meier and Cox proportional hazards regression techniques. At one year, 3,341 patients were alive, 821 had died, and 409 were lost to follow-up. Of 2,125 patients who underwent functional assessment, 1,916 (90%) were in New York Heart Association (NYHA) Class I/II at one year, with functional improvement from baseline noted in 1,682 patients (88%). One-year survival based on 4,564 patients was estimated at 79.1%. Independent baseline predictors of mortality were increasing age and logistic EuroSCORE, the presence of NYHA III/IV, chronic obstructive pulmonary disease, and atrial fibrillation. Female gender was associated with a 4% survival benefit at one year. Vascular access routes other than transfemoral were associated with poorer survival. Procedural failure and major periprocedural complications had an adverse impact on survival. CONCLUSIONS Contemporary European experience attests to the effectiveness of routine TAVI in unselected elderly patients.

Published
2016

12. Local and general anaesthesia do not influence outcome of transfemoral aortic valve implantation

Author

Hélène Eltchaninoff, Martine Gilard, Eduardo Alegria Barrero, Francesco Romeo, Carlo Di Mario, Bernard Iung, Georg Nickenig, Manel Sabaté, Peter Wenaweser, Alessio Mattesini, Javier Goicolea, Petr Kala, Adam Witkowski, Marian Zembala, Geneviève Derumeaux, Thomas Snow, Stephan Windecker, Ottavio Alfieri, Rodrigo Estévez-Loureiro, Peter Ludman, Susanna Price, Neil Moat, Cécile Laroche, Carlos Macaya, Gerhard Schuler, Gian Paolo Ussia, Luigi Tavazzi, Bernard D. Prendergast, Gianni Dall'Ara, José Luis Zamorano, Haim D. Danenberg, Erwin Schroeder, Dall'Ara, G, Eltchaninoff, H, Moat, N, Laroche, C, Goicolea, J, Ussia, Gp, Kala, P, Wenaweser, P, Zembala, M, Nickenig, G, Snow, T, Price, S, Alegria Barrero, E, Estevez Loureiro, R, Iung, B, Luis Zamorano, J, Schuler, G, Alfieri, Ottavio, Prendergast, B, Ludman, P, Windecker, S, Sabate, M, Gilard, M, Witkowski, A, Danenberg, H, Schroeder, E, Romeo, F, Macaya, C, Derumeaux, G, Mattesini, A, Tavazzi, L, Di Marioa, C., Dall'Ara, Gianni, Eltchaninoff, Helene, Moat, Neil, Laroche, Cécile, Goicolea, Javier, Ussia, Gian Paolo, Kala, Petr, Wenaweser, Peter, Zembala, Marian, Nickenig, Georg, Snow, Thoma, Price, Susanna, Barrero, Eduardo Alegria, Estevez-Loureiro, Rodrigo, Iung, Bernard, Zamorano, José Lui, Schuler, Gerhard, Prendergast, Bernard, Ludman, Peter, Windecker, Stephan, Sabate, Manel, Gilard, Martine, Witkowski, Adam, Danenberg, Haim, Schroeder, Erwin, Romeo, Francesco, MacAya, Carlo, Derumeaux, Genevieve, Mattesini, Alessio, Tavazzi, Luigi, and Di Mario, Carlo

Subjects
Male, Registrie, Aortic valve, medicine.medical_specialty, Aortic valve stenosi, Population, Pilot Projects, Anesthesia, General, Anaesthesia, Transcatheter Aortic Valve Replacement, medicine, Humans, Pilot Project, General anaesthesia, Registries, education, Stroke, Outcome, Aged, Aged, 80 and over, Transcatheter aortic valve implantation, education.field_of_study, business.industry, Mortality rate, Incidence (epidemiology), Confounding, Aortic Valve Stenosis, medicine.disease, 3. Good health, Surgery, Treatment Outcome, medicine.anatomical_structure, Aortic valve stenosis, Anesthesia, Female, Cardiology and Cardiovascular Medicine, business, Anesthesia, Local, Human
Abstract

Background: There is great variability for the type of anaesthesia used during TAVI, with no clear consensus coming from comparative studies or guidelines. We sought to detect regional differences in the anaesthetic management of patients undergoing transcatheter aortic valve implantation (TAVI) in Europe and to evaluate the relationship between type of anaesthesia and in-hospital and 1 year outcome. Methods: Between January 2011 and May 2012 the Sentinel European TAVI Pilot Registry enrolled 2807 patients treated via a transfemoral approach using either local (LA-group, 1095 patients, 39%) or general anaesthesia (GA-group, 1712 patients, 61%). Results: A wide variation in LA use was evident amongst the 10 participating countries. The use of LA has increased over time (from a mean of 37.5% of procedures in the first year, to 57% in last 6 months, p < 0.01). MI, major stroke aswell as in-hospital death rate (7.0% LAvs 5.3% GA, p = 0.053) had a similar incidence between groups, confirmed in multivariate regression analysis after adjusting for confounders. Dividing our population in tertiles according to the Log-EuroSCORE we found similar mortality under LA, whilst mortality was higher in the highest risk tertile under GA. Survival at 1 year, compared by Kaplan-Meier analysis, was similar between groups (log-rank: p = 0.1505). Conclusions: Selection of anaesthesia appears to be more influenced by national practice and operator preference than patient characteristics. In the absence of an observed difference in outcomes for either approach, there is no compelling argument to suggest that operators and centres should change their anaesthetic practice. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

Published
2014

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