Video Experimental Relacionado

Updated: Apr 16, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Endocarditis infecciosa después de la implantación de válvula aórtica transcatéter: resultados de un gran registro

Ignacio J Amat-Santos¹, David Messika-Zeitoun¹, Helene Eltchaninoff¹

¹From Quebec Heart & Lung Institute, Quebec, Canada (I.J.A.-S., H.B.R., M.U., E.D., P.P., J.R.-C.); Hospital Clínico Universitario de Valladolid, Spain (I.J.A.-S., J.L, A.S.R.); Assistance Publique-Hôpitaux de Paris, Bichat Hospital, France (D.M.-Z., B.I., A.V.); Hôpital Charles Nicolle, University of Rouen, France (H.E., E.D.); Department of Cardiovascular Medicine, Cleveland Clinic, OH (S. Kapadia, E.M.T.); Emory University School of Medicine, Division of Cardiology, Atlanta, GA (S.L., S.S.H.); St. Michael's Hospital Toronto, ON, Canada (A.C.); Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain (E.G.-I., R.A.-L.); Hospital Universitario Virgen de la Victoria, Málaga, Spain (A.M.-G., J.J.G.-D.); Hospital Universitario Reina Sofía, Córdoba, Spain (M.P., J.C.C.); St. Paul's Hospital, Vancouver, BC, Canada (J.G.W., D.D.); Hospital of the University of Pennsylvania, Philadelphia (H.H.); Columbia University Medical Center/New York Presbyterian Hospital, NY (S. Kodali, M.B.L.); Instituto Cardiovascular, Hospital Universitario Clínico San Carlos, Madrid, Spain (L.N.-F., E.G., J.C., I.V.); Ferrarotto Hospital, University of Catania, Italy (C.T., M.B.); Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA (H.J., R.M.); Centre Hospitalier de l'Université de Montréal, QC, Canada (J.-B.M.); Hospital Israelita Albert Einstein, Sao Paulo, Brazil (F.S.d.B.); Hospital Naval Marcilio Dias, Rio de Janeiro, Brazil (M.C.F.); Hospital Sao Francisco-Santa Casa de Misericórdia, Porto Alegre, Porto Alegre, Brazil (V.C.L.); and Hospital Beneficência Portuguesa, Sao Paulo, Brazil (J.A.M.).

|March 11, 2015

Resumen

La endocarditis infecciosa (IE) después de la implantación de la válvula aórtica transcatéter (TAVI) ocurre en el 0,50% dentro de un año. Los factores de riesgo incluyen la intubación orotraqueal y las válvulas autoexpandibles, con altas tasas de mortalidad y complicaciones.

Área de la Ciencia:

Cardiología Cardiología.
Enfermedades infecciosas Enfermedades infecciosas.
Dispositivos Médicos Dispositivos Médicos para el Cuerpo

Sus antecedentes:

La endocarditis infecciosa (IE) es una complicación grave después de los procedimientos cardíacos.
La implantación de válvula aórtica transcatéter (TAVI) es un tratamiento cada vez más común para la estenosis aórtica.

Objetivo del estudio:

Para investigar la incidencia, los predictores, las características clínicas, el manejo y los resultados de IE post-TAVI.
Para identificar los factores de riesgo asociados con IE después de TAVI.

Principales métodos:

Un estudio de registro multicéntrico que involucró a 7944 pacientes que se sometieron a TAVI.
Análisis de 53 pacientes que desarrollaron IE post-TAVI, con un seguimiento medio de 1,1 años.
Análisis multivariado para identificar predictores de IE, incluida la intubación orotraqueal y el tipo de dispositivo TAVI.

Principales resultados:

La incidencia de IE dentro de un año después del TAVI fue del 0,50%.
La intubación orotraqueal (HR 3.87) y el sistema CoreValve autoexpandible (HR 3.12) fueron predictores significativos de IE.
Los estafilococos negativos a la coagulasa, el Staphylococcus aureus y los enterococos fueron los patógenos más comunes. El 87% de los pacientes experimentaron complicaciones, y la mortalidad hospitalaria fue del 47,2%.

Conclusiones:

La IE después de TAVI se asocia con una morbilidad y mortalidad significativas.
La estratificación del riesgo y la detección temprana son cruciales para los pacientes sometidos a TAVI.
Se necesita más investigación para optimizar las estrategias de gestión de IE post-TAVI.

Palabras clave:

La endocarditis también es endocarditis.Las válvulas del corazón son las válvulas del corazón.Implantación de válvula aórtica transcatéter para la implantación de la válvula aórtica.

Más Videos Relacionados

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Videos de Conceptos Relacionados

Endocarditis I: Introduction

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...

Endocarditis III: Medical Management

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...

Endocarditis IV: Nursing Management

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...

Aortic Regurgitation I: Introduction

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...