Commisural Fusion as Etiology of Severe Early Stenosis of Bioprosthetic Mitral Valve in a Woman With Rheumatic Heart Disease

Matka, Marsel; Vallabhaneni, Srilakshmi; Longo, Santo; Shirani, Jamshid

doi:10.1016/s0735-1097(20)33376-3

Cited by 2 publications

(1 citation statement)

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“… 78 However, bioprosthetic stenosis is typically caused by leaflet fibrosis, and calcification and commissural fusion is rare. 79 Thus, the deployment of a balloon is likely to provide stretching and calcification fracturing rather than any long-term anatomic benefit. There is risk of embolization of thrombus, pannus, or calcium as well as MR due to leaflet disruption.…”

Section: Special Considerationsmentioning

confidence: 99%

The 40th Anniversary of Percutaneous Balloon Valvuloplasty for Mitral Stenosis: Current Status

Turi¹

2022

Structural Heart

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Section: Special Considerationsmentioning

confidence: 99%

The 40th Anniversary of Percutaneous Balloon Valvuloplasty for Mitral Stenosis: Current Status

Turi¹

2022

Structural Heart

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Race and Ethnic Disparities in Catheter Ablation Utilization for Atrial Fibrillation: A Meta-analysis and Framework for Implementation Research

Nosair,

Smith,

Dolman

et al. 2024

Preprint

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Background Race/ethnic disparities in catheter ablation utilization for atrial fibrillation (AF) have been reported in the literature, however the data have not been systematically reviewed. Objectives To perform a systematic review and meta-analysis of studies reporting on disparities in the utilization of catheter ablation (CA) and to explore possible root causes of disparities using a behavioral model of health service utilization. Methods We searched PubMed/MEDLINE, Web of Science and Embase for studies reporting on race/ethnic disparities in the utilization of CA for AF in the United States. A meta-analysis was performed on a subset of included articles using a random-effects model. Publication bias was assessed for race/ethnic groups pooled from 10 or more studies. We adapted a behavioral model of health service utilization to identify root causes of disparities. Results Our search identified 20 studies published between 2011 and 2023, representing 47,700,642 patients with AF of whom over 561,490 underwent CA. Compared to non-Hispanic White patients, racial minorities had a lower odds of utilization of catheter ablation: 0.68 (95%CI 0.58 ? 0.77) for non-Hispanic black (NHB) patients, 0.72 (95%CI 0.65 ? 0.79) for Hispanic/LatinX (HLx) patients, and 0.62 (95%CI 0.45 ? 0.78) for Asian patients. Other race groups were excluded due to insufficient data. There was a moderate to high degree of between-study heterogeneity for each race/ethnicity group: HLx (I2 = 58.2%), Asian (I2 = 80.9%), and NHB (I2 = 90.4%). Only NHB patients had sufficient data to generate a funnel plot which showed evidence of publication bias. Conclusions The high between-study heterogeneity reveals varying degrees of disparities across studies and settings. Further research adjusting for patient-provider preferences and factors, echocardiographic data and social determinants of health is needed to clarify root causes of disparities and to promote equitable adoption of this important therapy in AF care.

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Commisural Fusion as Etiology of Severe Early Stenosis of Bioprosthetic Mitral Valve in a Woman With Rheumatic Heart Disease

Cited by 2 publications

References 0 publications

The 40th Anniversary of Percutaneous Balloon Valvuloplasty for Mitral Stenosis: Current Status

The 40th Anniversary of Percutaneous Balloon Valvuloplasty for Mitral Stenosis: Current Status

Race and Ethnic Disparities in Catheter Ablation Utilization for Atrial Fibrillation: A Meta-analysis and Framework for Implementation Research

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