Search

Your search keyword '"Andrea Torrisi"' showing total 4 results
Start Over Author "Andrea Torrisi"
4 results on '"Andrea Torrisi"'

1. TAVR in Patients with Left Ventricular Assist Device: Case Report and Literature Review

Author

Alessandro Iadanza, Giuseppe Sinicropi, Flavio D'Ascenzi, Massimo Maccherini, Andrea Torrisi, Sonia Bernazzali, Carlo Pierli, and Eugenio Neri

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, equipment and supplies, medicine.disease, Internal medicine, Heart failure, Ventricular assist device, Cardiology, Medicine, In patient, Cardiology and Cardiovascular Medicine, business, Destination therapy
Abstract

The use of left ventricular assist devices (LVADs) as a bridge-to-transplant or destination therapy in patients with end-stage heart failure has been increased during the last years. However, a pot...

Published
2019
Full Text
View/download PDF

2. Improvement of left ventricular longitudinal systolic function after transcatheter aortic valve implantation: a speckle-tracking prospective study

Author

Alessandro Iadanza, Carlo Pierli, Flavio D'Ascenzi, Andrea Torrisi, Valerio Zacà, Sergio Mondillo, Matteo Lisi, Rosanna Reccia, Matteo Cameli, Valeria Curci, and Giuseppe Sinicropi

Subjects
Male, Cardiac Catheterization, medicine.medical_specialty, Time Factors, Systole, Heart Ventricles, medicine.medical_treatment, Hemodynamics, Ventricular Function, Left, Predictive Value of Tests, Internal medicine, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Prospective Studies, Ventricular remodeling, Aged, Cardiac catheterization, Aged, 80 and over, Echocardiography, Doppler, Pulsed, Heart Valve Prosthesis Implantation, Ejection fraction, Ventricular Remodeling, business.industry, Stroke Volume, EuroSCORE, Aortic Valve Stenosis, Recovery of Function, Stroke volume, medicine.disease, Echocardiography, Doppler, Treatment Outcome, Italy, Aortic valve stenosis, Multivariate Analysis, Linear Models, Cardiology, Female, Cardiology and Cardiovascular Medicine, business
Abstract

Transcatheter aortic valve implantation (TAVI) is able to determine a significant improvement of left ventricular ejection fraction (LVEF). The variations of LV global longitudinal strain (GLS) have not been yet investigated in TAVI patients with reduced LVEF. The aim of this study was to determine the effects of TAVI on LV function by 2D speckle-tracking echocardiography (STE) in patients with reduced LVEF. Eighteen consecutive patients undergoing TAVI in our centre were prospectively enrolled. Echocardiography was performed pre-procedurally the day of TAVI and at 40-day and 3-month follow-up (FU). The mean age of TAVI patients was 79.75 ± 7.68 years. The mean EuroSCORE was 26.59 ± 14.62%. A significant decrease of mean trans-aortic gradient was observed 40 days after TAVI (51.69 ± 18.82 vs. 9.62 ± 3.28 mmHg, p < 0.0001). LV mass index significantly decreased at 40-day FU (165.72 ± 37.75 vs. 145.52 ± 31.32 g/m(2), p < 0.001) with a further reduction at 3-month FU (136.91 ± 26.91 g/m(2), p < 0.05 in comparison with 40-day FU). The mean pre-procedural LVEF was 45.87 ± 7.95%. LVEF significantly increased at 40-day FU (55.20 ± 5.91%, p < 0.05) and remained stable at 3-month FU (55.58 ± 6.14%). Interestingly, an early improvement of LV GLS was observed at 40-day FU (-11.09 ± 3.40 vs. -14.40 ± 3.68%, p < 0.001) with a slight further increase at 3-month FU (-14.71 ± 3.56%). Our results indicate that significant improvements of LVEF and LV GLS can be observed in patients undergoing TAVI with impaired LVEF. Two-dimensional STE was able to detect the reverse remodeling of LV function, adding further insights into the assessment of LV mid-term recovery after TAVI.

Published
2012
Full Text
View/download PDF

3. How should I treat severe symptomatic aortic stenosis with transcatheter aortic valve implantation in a patient with right aortic arch?

Author

Sergio Mondillo, Flavio D'Ascenzi, Julia Baron, Innocenzo Scrocca, Emanuele Meliga, Andrea Torrisi, Mauro De Benedictis, Alessandro Iadanza, Carlo Pierli, Giuseppe Sinicropi, Valerio Zacà, Derek Chin, Giovanni Sorropago, and Jan Kovac

Subjects
Aortic arch, Heart Defects, Congenital, Male, medicine.medical_specialty, Thoracic, medicine.medical_treatment, Aorta, Thoracic, Prosthesis, Transcatheter Aortic Valve Replacement, Congenital, Internal medicine, medicine.artery, 80 and over, Medicine, Thoracic aorta, Humans, Tomography, Aorta, Aged, Heart Defects, Aged, 80 and over, medicine.diagnostic_test, Angiography, Aortic Valve Stenosis, Tomography, X-Ray Computed, business.industry, Mitral valve replacement, medicine.disease, X-Ray Computed, Stenosis, Aortic valve stenosis, cardiovascular system, Cardiology, Cardiology and Cardiovascular Medicine, business
Abstract

Background An 84-year-old man suffering from dyspnoea on mild exertion and a 10-year history of mitral valve replacement with a mechanical prosthesis presented to our department. The patient had an isolated right aortic arch. Investigation Transthoracic echocardiography demonstrated severe LV systolic dysfunction (EF 25%), good function of the previously implanted mechanical prosthesis and severe aortic stenosis. Multislice computed tomography confirmed the presence of an isolated right aortic arch with mirror-image branching. Diagnosis Severe symptomatic aortic stenosis in a patient with right aortic arch at high risk for surgical reintervention. Management Transcatheter aortic valve implantation using conventional delivery system.

Published
2014

4. Left atrial remodelling in patients undergoing transcatheter aortic valve implantation: a speckle-tracking prospective, longitudinal study

Author

Flavio D'Ascenzi, Valeria Curci, Sergio Mondillo, Michael Y. Henein, Giuseppe Sinicropi, Andrea Torrisi, Rosanna Reccia, Matteo Cameli, Matteo Lisi, Carlo Pierli, and Alessandro Iadanza

Subjects
Male, Longitudinal study, medicine.medical_specialty, Cardiac Catheterization, Time Factors, medicine.medical_treatment, Severity of Illness Index, Ventricular Function, Left, Left atrial, Predictive Value of Tests, Internal medicine, Severity of illness, medicine, Humans, Radiology, Nuclear Medicine and imaging, Heart Atria, Longitudinal Studies, Prospective Studies, Prospective cohort study, Cardiac imaging, Cardiac catheterization, Aged, Aged, 80 and over, Echocardiography, Doppler, Pulsed, Heart Valve Prosthesis Implantation, business.industry, Aortic Valve Stenosis, medicine.disease, Myocardial Contraction, Biomechanical Phenomena, Stenosis, Treatment Outcome, Predictive value of tests, Cardiology, Atrial Function, Left, Female, Cardiology and Cardiovascular Medicine, business
Abstract

Aortic stenosis (AS) results in several left ventricular (LV) disturbances as well as progressive left atrial (LA) enlargement and dysfunction. Transcatheter aortic valve implantation (TAVI) reverses LV remodelling and improves overall systolic function but its effect on LA function remains undetermined. The aim of this prospective, longitudinal study was to investigate the effects of TAVI on LA structure and function. We studied thirty-two patients with severe symptomatic AS who underwent TAVI, using standard and 2-dimensional speckle-tracking echocardiography before, at 40-day and at 3-month follow-up. Following TAVI, mean transvalvular gradient decreased (p

Published
2013

Catalog

Books, media, physical & digital resources
See catalog results