SATS 2009 Final Program - Scandinavian Association for Thoracic ...

Recommendations

Info

S05 SATS CARDIAC ORAL ABSTRACT SESSION S05:1 INITIAL EXPERIENCE WITH A CATHETER BASED AORTIC VALVE IMPLANTATION SYSTEM. Ahn Henrik 1 , Baranowski Jacek 1 , Freter Wolfgang 1 , Nielsen Niels Erik 1 , Nylander Eva 1 , Wallby Lars 1 , Tamas Eva 1 1) Linköping Heart Center, Sweden Fifteen patients (pts), 9 females and 6 males, mean age 78 (60-91) years were selected for transcatheter aortic valve implantation. The pts were evaluated according to our regular routines and denied for open chest surgery due to high risk profile with logistic Euroscore 22 (7-45) % and STS score 19 (10-30). Mean maximal velocity (Vmax) was 4.8 (3.8–6.5) m/s, the mean gradient was 60 (33-108) mmHg and the mean aortic valve area was 0.5 (0.4–0.8) cm2. Methods All procedures were carried out in general anesthesia using the Sapien valve (Edwards Lifesciences). Ten transapical and 5 transfemoral implants were performed. Results All implantations (8 valves 26 mm and 7 valves 23 mm) were successful. Blood pressure failed to recover in 2 pts following rapid pacing necessitating CPR with good recovery. However, 2 pts suffered from renal failure, one needing dialysis. One pt got a postoperative pericardial effusion. The 30-day mortality was 1/15 pts as well as the 90-day mortality. The residual aortic valve leaks (central and paravalvular) were small in all pts. Post-implant mean Vmax was 2.4 (1.5–2.9) m/s and the mean gradient was 15 (4-37) mmHg. The mean ICU-stay was 2.6 (1-18) days. Pts were discharged after 10 (4-18) days. Conclusion This new technology worked well in our hands and the procedure was performed with reproducible and acceptable results. The patient selection is a challenge since serious comorbidity can impair results, disguising the potential of this promising technology. The long-term results will be the most important endpoints. S05:2 ECHO-GUIDED PRESENTATION OF AORTIC VALVE MINIMISES CONTRAST MEDIUM EXPOSURE IN SAPIEN AORTIC VALVE RECIPIENTS. Baranowski Jacek 1 , Ahn Henrik 1 , Freter Wolfgang 1 , Nielsen Niels Erik 1 , Nylander Eva 1 , Tamas Eva 1 , Wallby Lars 1 1) Linköping Heart Center, Sweden During Sapien aortic valve prothesis implantation a perpendicular position of the aortic valve to the radiation beam is a sine-qua-non for the optimal prosthesis delivery. This right valve-beam-angle is expected to lower risks for proximal and distal embolisation of the protheses, reststenosis, coronary artery occlusion, and AV-block occurrence. The current gold standard to achieve this optimal angle is to use repeated aortic aortograms. The Sapien valve candidates often have reduced renal function with contrast exposure being an important factor for their recovery. Material and methods Transcatheter Sapien aortic valve prostheses have been implanted in 15 patients. Various methods for perpendicular valve presentation during fluoroscopy were employed: statistical chance, CT, repeated ascendens aortograms and transthoracic echo-guided presentation in a new Linköping design. Results Statistical chance and CT have failed to be of help during the procedure. Repeated ascendens aortograms make the procedure feasible with the price of high contrast volumes and long fluoroscopy times. The transthoracic echoguided presentation resulted in a dramatic decrease in contrast ( from 223 ml/ procedure to 69 ml/procedure) and some in radiation exposure to the patients during the procedure. Conclusion Our echo-guided method for perpendicular aortic valve position lowers significantly the contrast media exposure in the fragile population of transcatheter aortic prosthesis recipients. 44 www.sats2009.org
S05:3 SURVIVAL AND QUALITY OF LIFE AFTER AORTIC ROOT REPLACEMENT WITH CRYOPRESERVED HOMOGRAFTS IN ACUTE ENDOCARDITIS Perrotta Sossio 1 , Aljassim Obaid 1 , Bech-hanssen Odd 1 , Jeppsson Anders 1 , Svensson Gunnar 1 1) Sahlgrenska University Hospital, Sweden Background Aortic root replacement with homograft is a theoretically attractive but technically demanding option in patients with infective endocarditis, especially in patients with subvalvular abscesses and/or prosthetic endocarditis. We report our midterm experience with cryopreserved homografts in acute infective aortic endocarditis. Methods All 62 patients operated with aortic homograft for severe acute aortic endocarditis between 1997 and June 2008 were retrospectively analysed. Fifty two (84%) had subvalvular abscesses. 24 patients (39%) had prosthetic endocarditis. Survival, perioperative complications, re-operations and quality of life (SF 36) were assessed. Mean follow-up was 3.1 years (range 0 12). Results Nine patients (14%) died within 30 days. Pre and perioperative variables univariately associated with early mortality were CPB-time (p=0.003), prolonged inotropic support (p=0.03), reoperation for bleeding (p=0.01) and perioperative myocardial infarction (p
Page 1 and 2: Final Programme & Abstracts First J
Page 3 and 4: Table of contents Awards. . . . . .
Page 5 and 6: Transcatheter Valve CardioVascular.
Page 7 and 8: Programme overview Thursday, 20 Aug
Page 9 and 10: Saturday, 22 August 2009 SATS SCANS
Page 11 and 12: Scientific Programme THURSDAY, 20 A
Page 13 and 14: FRIDAY, 21 AUGUST 2009 08:30 - 10:3
Page 15 and 16: FRIDAY, 21 AUGUST 2009 11:00 - 11:3
Page 17 and 18: SATURDAY, 22 AUGUST 2009 08:30 - 10
Page 19 and 20: Cardiac lesions that work Cardiobla
Page 21 and 22: Introducing... V-Loc Advanced Woun
Page 23 and 24: Smoking policy Kistamässan and the
Page 25 and 26: ��
Page 27 and 28: Kistamässan Overview KONFERENS Fir
Page 29 and 30: M2 M1 Exhibition Floor Plan STOCKHO
Page 31 and 32: Authors' Index A Aasmundstad, Tor S
Page 33 and 34: R Raffa, Giuseppe S05:5 Raoul, Berg
Page 36 and 37: Epic Stented Tissue Valve with Lin
Page 38 and 39: S01 SATS AWARD NOMINEES ORAL ABSTRA
Page 40 and 41: S01:5 THE NEW TNM STAGING SYSTEM FO
Page 42 and 43: S03:3 GABAPENTIN FOR POSTOPERATIVE
Page 46 and 47: S05:5 MINIMALLY INVASIVE REOPERATIV
Page 48 and 49: S06 SCANSECT ORAL ABSTRACT SESSION
Page 50 and 51: S06:4 IN VITRO COMPARISON OF THE NE
Page 52 and 53: S06:8 COAGULATION IN OXYGENATOR AND
Page 54 and 55: S07:3 SURGICAL TEAM MEMBER’S EXPE
Page 56 and 57: S07:7 ADDRESSING THE SPOUSES UNIQUE
Page 58 and 59: S09:3 THE NO TOUCH VEIN GRAFT HARVE
Page 60 and 61: S09:7 SURGICAL CORRECTION OF PECTUS
Page 62 and 63: S10:3 VALIDATION OF CYSTATIN C WITH
Page 64 and 65: S18 PHYSIOTHERAPISTS ORAL ABSTRACT
Page 66 and 67: P01 POSTER SESSION P01:01 PLATELET
Page 68 and 69: P01:04 RIGHT VENTRICULAR 3-D ARCHIT
Page 70 and 71: P01:08 THE EFFECT OF CO2-INSUFFLATI
Page 72 and 73: P01:12 REOPERATION FOR BLEEDING FOL
Page 74 and 75: P01:16 PNEUMONECTOMY FOR NON-SMALL
Page 76 and 77: P01:20 SURGICAL REVASCULARIZATION A
Page 78 and 79: P01:24 HOW DOES INTRAOPERATIVE ASSE
Page 80 and 81: P01:28 CORONARY ARTERY BYPASS GRAFT
Page 82 and 83: P01:32 RECIPIENT CELLS IN BRONCHIAL
Page 84 and 85: P01:36 ACUTE DYSFUNCTION OF MECHANI
Page 86 and 87: P01:40 SVO2 A MARKER WITH EXCELLENT
Page 88 and 89: P01:44 SUBCLAVIAN ARTERY APPROACH I
Page 90 and 91: P01:48 NURSING STUDY 30 DAYS AFTER
Page 92 and 93: Notes www.sats2009.org
Page 94 and 95:
Notes www.sats2009.org
Page 96 and 97:
Page 98 and 99:
Page 100:
www.sats2009.org
show all

SATS 2009 Final Program - Scandinavian Association for Thoracic ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?