Gabriela Veiga Fernández
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Coronary Interventions and Diagnostics
- Infective Endocarditis Diagnosis and Management
- Cardiac pacing and defibrillation studies
- Cardiovascular Issues in Pregnancy
- Cardiac Arrhythmias and Treatments
- Cardiovascular Function and Risk Factors
- Acute Myocardial Infarction Research
- Atrial Fibrillation Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Imaging and Diagnostics
- Aortic Disease and Treatment Approaches
- Cardiac Health and Mental Health
- Antiplatelet Therapy and Cardiovascular Diseases
- Coronary Artery Anomalies
- Lipoproteins and Cardiovascular Health
- Mechanical Circulatory Support Devices
- Vascular Procedures and Complications
- Health Systems, Economic Evaluations, Quality of Life
- Takotsubo Cardiomyopathy and Associated Phenomena
- Peripheral Artery Disease Management
- Cardiac Arrest and Resuscitation
- ECG Monitoring and Analysis
- Intracranial Aneurysms: Treatment and Complications
Marqués de Valdecilla University Hospital
2016-2025
Instituto de Investigación Marqués de Valdecilla
2018-2024
Universidad de Managua
2023
Hospital Clínico San Carlos
2018-2022
Montreal Heart Institute
2015-2020
Lung Institute
2018
Universidad Nacional Autónoma de México
1981
Abstract Aims Valve durability becomes a major issue as transcatheter aortic valve implantation (TAVI) is expanding to populations with longer life expectancy. We sought i) determine the incidence of structural deterioration (SVD), ii) compare SVD between balloon-expandable (BE) and self-expandable (SE) valves, iii) analyze impact SVD. Methods Results 2040 patients who underwent TAVI (2007-2020) from 9 centers were included. After inverse probability treatment weighting (IPTW), 1848 selected...
Scarce data exist on coronary events following transcatheter aortic valve replacement (TAVR), and no study has determined the factors associated with poorer outcomes in this setting. This sought to determine clinical characteristics, outcomes, prognostic of acute syndrome (ACS) TAVR. Multicenter cohort including a total 270 patients presenting an ACS after median time 12 (interquartile range, 5-17) months post-TAVR. Post-ACS death, myocardial infarction, stroke, overall major adverse...
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute syndrome. Our aim was to assess adverse events at follow-up from a nationwide prospective cohort. The Spanish Registry on SCAD (SR-SCAD) included patients 34 hospitals. All angiograms were analysed by two experts. Those cases with doubts regarding the diagnosis excluded. angiographic classification Saw et al followed. Major cardiovascular and cerebrovascular event (MACCE) predefined as composite death, myocardial...
Transfemoral approach has been commonly used as secondary access in transcatheter aortic valve replacement (TAVR). Scarce data exist on the use and potential clinical benefits of transradial during TAVR procedures. The objective study is to determine occurrence vascular complications (VC) outcomes according (transfemoral versus transradial) patients undergoing TAVR.This was a multicenter including 4949 who underwent (mean age, 81±8 years, mean Society Thoracic Surgeons score, 4.9 [3.3-7.5])....
This study sought to investigate the prognostic effect of a protocol with optimisation targets for intravascular ultrasound (IVUS)-guided left main (LM) revascularisation.A was prospectively applied IVUS-guided LM revascularisation (IVUS-PRO group) including predefined targets. Using propensity score matching, we selected as control groups patients angiography-guided PCI (ANGIO and (IVUS from large multicentre registry. The primary endpoint composite cardiac death, LM-related infarction at...
Aims: The aim of this study was to investigate the diagnostic performance quantitative flow ratio (QFR) in assessing physiological relevance coronary lesions presence severe aortic valve stenosis (SAS). Methods and results: A total 115 SAS patients (138 arteries) were included. Functional assessment stenoses performed with fractional reserve (FFR) before transcatheter implantation (TAVI). Subsequently, QFR calculated at a central core laboratory, blinded FFR results. yield assessed using as...
Abstract Introduction Left atrium strain (LAS) is a marker of left function, which has been shown to have diagnostic and prognostic value in various cardiovascular pathologies, serving as an indirect fibrosis. On the other hand, implantation TAVI currently therapeutic alternative indicated increasingly broad cohort patients with aortic stenosis (AS). Our objective was analyze variation LAS values after implantation. Methods Patients diagnosis severe symptomatic AS who received...
Abstract Introduction TAVI implantation is currently indicated as a therapeutic alternative for an increasingly broad cohort of patients with aortic valve disease. Myocardial mass regression appears to be constant in follow-up studies these patients. However, there no consensus on the evolution systolic function after TAVI. Purpose The objective our study was analyze 6-month effect myocardial and left ventricular function, measured through usual estimation parameter—left ejection fraction...
Abstract Background Right ventricular (RV) function is a potent marker of morbidity and mortality in heart failure other cardiovascular diseases. However, the prognostic value right myocardial aortic stenosis (AS) treated with percutaneous valve implantation (TAVI) not well defined. Objetive In present study, we aim to analyze impact two relevant RV parameters, TAPSE longitudinal strain, measured pre-TAVI on medium- long-term elderly patients severe AS. Methods We included 180 consecutive AS...
Background— Chronic liver disease is a known risk factor for perioperative morbidity and mortality in patients undergoing cardiac surgery. Very little data exist about such treated with transcatheter aortic valve replacement (TAVR). Our objective was to evaluate early late clinical outcomes large cohort of TAVR determine predictive factors among these patients. Methods Results— This multicenter study collected from 114 chronic who underwent 12 institutions. Perioperative long-term were...
Objectives In this study we sought to evaluate coverage and apposition of Synergy™ stent at 3 6 months after implantation. Background The Pt‐Cr everolimus‐eluting with abluminal bioabsorbable polymer (Synergy™) is a new generation drug‐eluting features potentially favoring an early healing process which could make safe shorter period dual antiplatelet‐therapy treatment. Methods Prospective, two‐centers enrolling patients similar lesions treated stents undergoing examination OCT in the...
Background There is a paucity of outcome data on patients who are morbidly obese (MO) undergoing transcatheter aortic valve replacement. We aimed to determine their periprocedural and midterm outcomes investigate the impact obesity phenotype. Methods Results Consecutive MO (body mass index, ≥40 kg/m2, or ≥35 kg/m2 with obesity-related comorbidities; n=910) severe stenosis underwent replacement in 18 tertiary hospitals were compared nonobese cohort 18.5-29.9 n=2264). Propensity-score matching...
The potential benefit of using larger or smaller transcatheter heart valves (THV) in patients with borderline aortic annulus measurement (BAM) remains uncertain. objective this study was to evaluate the clinical outcomes associated selection THV context BAM.This a multicenter observational including who underwent valve replacement SAPIEN 3 Ultra-valve systems (Edwards Lifesciences, Irvine, CA) from April 2014 June 2021. BAM defined according manufacturer sizing chart and included following...