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News, opinions and meeting coverage in surgery.

Sapien 3 Evolves Into Novel Mitral Valve Device

No left ventricular outflow tract obstruction seen with novel approach

Study: CABG Bests PCI for Younger People in the Long Run

Fewer repeat revascularizations, MIs over 12 years in single-center study

More Take Up Cardiac Rehab with Launch of Home-Based Offerings

Number of facilities offering more accessible programs on the rise

'Normal' LVEF: Misnomer in Aortic Stenosis?

Study shows survival in severe aortic stenosis impaired with LVEF

Survival Not Better When Patients Have ICD Plus Newer LVAD

Combo may even be associated with harm, registry suggests

AHA: For CIED Surgery, NOAC Administration Up to Clinician

Continued or interrupted therapy carried same risk of clinically significant hematoma development

AHA: Restrictive Blood Transfusion OK for Select Patients

Stricter approach deemed noninferior to liberal strategy in cardiac surgery

TCT: Easier Recovery with PCI vs CABG Validated in EXCEL Trial

But early quality of life advantage largely dissipates by 1 year

ESC: Concomitant LAA Closure During Heart Surgery Scores a Win

But will making it routine safely prevent strokes?

No SOAP to Clean Up Columbia's Match Day Mess

Opted for no heart surgery residents after accidentally skipping Match

SURTAVI: TAVR Matches Surgery in Lowest-Risk Cohort

But reinterventions, parvalvular regurgitation, and pacemaker implants mar a supposed victory

Time for Interventional Radiologists, Surgeons to End Turf War?

A look at two areas of contention: stenting, IVC filter implants

No Heart Surgeon Match Day for Major Medical Center

Columbia University missed deadline to submit residents' ranking list

CRT: Physicians Squabble Over Tricuspid Valve Technologies

How low should tricuspid regurgitation go?

SAVR Beats Expectations in Intermediate Risk Trial

Lower mortality than surgical risk score predicted in PARTNER 2A

Arterial Grafting Seen as Better for Moderate Coronary Blockages

Observational study shows less ischemia, but some experts skeptical

Afib Ablation May Erase Poorer Mitral Valve Tx Outcomes

Registry data suggest combo treatment might help

Heater-Cooler Infections: Incidence Most Likely Underreported

'We've only begun to scratch the surface'

Placebo Effect Works for Heart Procedures, Too

Keeping 'eyes on the prize' appears to improve outcomes

AHA: Real World TAVR Is All About Patient Selection

Intermediate risk is a moving target

TCT: TAVR Holds Up Pretty Well Over Time

Also, 2-year data confirm lasting improvements in QoL

TCT: Trials Split on PCI vs CABG for Left Main Disease

NOBLE hands advantage to surgery, EXCEL finds noninferiority

FDA Warns on Cardiac Surgery Heater-Cooler Device

Cites mycobacterial contamination risk

Aspirin Before Cardiac Surgery: Not Harmful, But Not Helpful

Death, thrombotic complication, and bleeding risk all unaffected in ATACAS trial

PA Home Visits Save $$ After Cardiac Surgery

Physician assistant house calls cut unnecessary post-op readmissions

Gross Anatomy: Breast Implant Makes a Break for It

Interthoracic migration not unheard of

Guidelines Issued for Managing Temperature During CBP

Clinicians now have officially sanctioned procedures to follow

Cardiac Device Explant Clears Nickel Allergy Reactions

Case series suggests skin tests before atrial septal closure device implant.

Lung Foam Disappoints in COPD

SAN DIEGO -- A trial of hydrogel-based lung volume reduction therapy in patients with chronic obstructive pulmonary disease (COPD) complicated by emphysema failed to show consistent enough results and has been abandoned by the agent's developer, researchers said here.

Missed Doses Cripple Postop DVT Prevention

Missed doses of prophylactic anticoagulation account for much of the deep vein thrombosis that occurs in surgery and trauma patients, a study showed.

ACC: Still No Clear CHOICE for TAVI

WASHINGTON -- Head-to-head comparison of transcatheter aortic valve implantation (TAVI) devices favored the second-generation Sapien XT over CoreValve, although the trial was criticized on several fronts.

ACC: CoreValve Bests Surgery

WASHINGTON -- Transcatheter aortic valve implantation (TAVI) with the CoreValve device improved survival compared with surgery in the high-risk pivotal trial cohort.

Heart Surgery as Infant Hikes Risk for ADHD Later

Children who underwent surgery for congenital heart disease in the first year of life appeared to carry an increased risk of attention deficit hyperactivity disorder (ADHD) once they reached school age, researchers found.

Randy Travis Gets an LVAD, Future Uncertain

Grammy award-winning country music star Randy Travis has received the Impella pump, a temporary percutaneous left ventricular assist device, to help him as he battles viral cardiomyopathy, according to his publicist.

Cardio Notes: Stress Test Finds Heart Disease in Seniors

Researchers are taking a second look at the accuracy of treadmill exercise testing for women over 65. Also this week, the birth of a subspecialty for adults with congenital heart disease and leg artery stenting.

Cardio Notes: Sex Improves with Stenting

Opening the arteries of those with stable coronary disease also opens the door to an improved sex life. Also this week, bariatric surgery helps remodel the heart.

Recall: Device Sucks Life From Patient

A suction system for collecting surgical waste apparently killed one patient and seriously injured another, prompting its maker to recall it and several related devices, the FDA said.

Engineers Turn Fat into Blood Vessels

Liposuction can provide the raw materials for growing new small-diameter blood vessels in the lab, researchers found.

Adult Lungs Can Sprout New Growth

The lungs may have greater capacity for regeneration in adults than thought, according to a case report of new growth after lung cancer resection.

Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

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