Recent content by ElectLive

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    Statistics on AVR operations

    I wouldn't necessarily encourage this, but since you asked... :wink2: The Society of Thoracic Surgeons maintains a national database, and there is actually an accessible risk calculator for short term complications...
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    What Valve Type Did You Choose and Would You Do it Again?

    I would do it again. My valve is a-ok so far. I would do it again. Had my valve failed me yesterday, a year ago, 2 years ago, etc....well, I would still (in the moment and at the time) do it again. :wink2: There are no guarantees, so we all make our own best decision with the available...
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    ON-X Valve?

    There's some discussion of this here: http://www.valvereplacement.org/forums/showthread.php?42468-On-X-CE-mark-and-%28unfortunately%29-1-5 and here: http://www.valvereplacement.org/forums/showthread.php?41634-Latest-on-ProAct-for-Reduced-Anticoagulation-with-On-X-valve.
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    ? dabigatrin or apixaban for Alice

    You might look here and also the other threads linked (by me) therein: http://www.valvereplacement.org/forums/showthread.php?39921-Pradaxa-Xarelto-Warfarin. Sorry, I've rambled on and on about this before, just short on time today! :smile2: The short takeaway point, though, seemingly...
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    Can you have a stroke or bleeding event when INR is in range?

    Unfortunately, yes, but the odds are certainly reduced. The On-X PROACT trial is a good source of current-day data for evaluating things such as this, although they somewhat limit what is made public. But if you check out page 38 here...
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    Which Mechanical Valve produces the lowest number of bloodclots?

    The On-X PROACT trial has generated a lot of valuable data, but internally focused only. There is no sound reason to automatically assume it is better than the others based on PROACT alone. Could it be? Sure. Has it been proven? No. Beyond some of the slightly "hidden" aspects of PROACT...
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    A little evidence

    Bioprosthetic you mean? Short term anticoagulation is common, at least procedural. Long term anticoagulation, though, is not standard, but in the currently targeted age group is fairly common due to other related factors.
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    On-X CE-mark and (unfortunately) 1.5

    My guess would be that many cardios might take this approach, even should full approval continue into the US, then beyond. Sure, the number 1.5 for On-X is likely to sell more valves, but a meaningful interpretation of the available data would make a number like 2.2 for instance probably a much...
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    On-X CE-mark and (unfortunately) 1.5

    Hello all. Well...my "attendance" has been very poor the last year or so, so unfortunately have not seen much of the recent conversations. But after taking a quick look, it appears no one has brought this up here yet, so let me try to do my best in limited time...
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    Help!! Surgery Tomorrow!

    Allison - I assume you may already be in surgery by now, so first things first...wishing you all the best and hope to hear soon of a smooth and steady recovery! I couldn't agree more about the poor timing of this "option" and sure hope that it hasn't had any impact on your pre-surgery resolve...
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    Met my surgeon today

    You know, I made a point to ask my surgeon beforehand how prepared the entire medical team (surgical and recovery) would be to both monitor and treat my diabetes (Type 1). He quickly reminded me that diabetics are a fairly high percentage of those with heart problems, so as a result, generally...
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    That Mayo Clinic video which promotes MHV over THV...

    The plavix/aspirin arm of the study was scheduled to complete March 2015, or not much longer than a year as you say, but since enrollment wasn't even completed until May of this year, my guess would be that completion gets pushed back. There is supposed to be a minimum 5 years of follow-up...
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    That Mayo Clinic video which promotes MHV over THV...

    Well, at best, it was a poorly researched and lazy prediction, which unfortunately raises suspicions (perhaps unnecessarily) about the rest of the presentation. He basically closes with the hope being marketed at the time by the Boehringer Ingelheim team, not an informed medical professional...
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    Should I choose a mechanical valve or a tissue valve?

    You know, one of our members who always stayed very up to date on new technology posted similar info about two years ago. I think the key point then was how half and replacement were defined, though. My understanding was it was 1/2 of bioprosthetic replacements, not all replacements and all...
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    Should I choose a mechanical valve or a tissue valve?

    I know a lot of great points have been made, but back to the OP, seems to me that this is the most important one of all. :thumbup: