TAVI in Patients Unsuitable for Surgery

TAVI in Patients Unsuitable for Surgery

Since Alain Cribier performed the first human transcatheter aortic valve implantation (TAVI) in 2002 (1), the procedure has evolved into a reproducible and safe technique with >100,000 procedures performed worldwide. Early experience with new devices and techniques in Europe led to advanced procedural techniques, and large commercial and national registries provided real-world outcome data (2–4...

Recognition of the patient unsuitable for aesthetic surgery.

Mark Gorney, MD, is a senior consultant at The Doctors Company, a physician-owned medical malpractice carrier in Napa, CA. T here are definable risk-benefit ratios in every surgical procedure, and assessment of a patient's risk-benefit is a particularly important and complex responsibility of the aesthetic surgeon. If someone seeks an aesthetic operation and the surgeon carefully determines tha...

Ossicular Erosion in Patients Requiring Surgery for Cholesteatoma

Introduction: The aim of this study was to evaluate the condition of the ossicular chain in patients requiring surgery for cholesteatoma.  Materials and Methods: In a retrospective analysis, the destruction of the individual and combined bony structures of the ear was described in 166 patients with cholesteatoma who went through surgery in our Otology Center between 2003 and 2009.  Results:...

Standard Operating Procedure: Clinical Commissioning Policy: Robotic assisted surgery for early kidney cancers that are unsuitable for conventional laparoscopic surgery

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI...