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Conference Highlights: SCAI 2016

Conference Highlights: SCAI 2016

Improving PCI Outcomes PCI is a common procedure, but research indicates that PCI-related bleeding can result in substantial morbidity and mortality. Researchers conducted a study to determine if use of the National Cardiovascular Data Registry bleeding risk calculator applied to evidence-based bleeding avoidance strategies could help reduce bleeding events. For the study, the bleeding risk calculator was used during the intra-procedural “time out.” Based on the score provided by the calculator, patients were divided into high-, intermediate-, or low-bleeding risk groups. Other interventions were used at the discretion of the operator based on risk assessment, access site, and anticoagulant use. During the first 2 years of using this approach, bleeding rates decreased by 40%. In addition, the costs of bleeding complications were reduced by about $1 million across the 21-hospital system assessed in the analysis. ————————————————————–   Moderate Sedation in TAVR Clinical studies have shown that moderate sedation is increasingly be used in lieu of general anesthesia for transcatheter aortic valve replacement (TAVR). For a new study, investigators compared the effectiveness of moderate sedation with that of general anesthesia among nearly 11,000 patients who underwent TAVR via the percutaneous transfemoral approach between April 2014 and June 2015. Success rates were about 98.5% for both groups. However, those who underwent moderate sedation had a 30-day mortality rate of 2.9%, compared with a rate of 4.1% for those who underwent general anesthesia. Patients in the moderate sedation group, when compared with those in the general anesthesia group, also had lower rates of 30-day mortality of stroke (4.8% vs 6.4%) and shorter hospital stays (6.0 days vs 9.6 days). ————————————————————–   Assessing...
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