eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
4/2017
vol. 14
 
Share:
Send email
Share:
abstract:
Original paper

Transcatheter aortic valve implantation at a high-volume center: the Bad Rothenfelde experience

Marek Kowalski
,
Cornelia Deutsch
,
Steffen Hofmann
,
Norbert Franz
,
Michael Billion
,
Abbas Ferdosi
,
Peter Bramlage
,
Guram Imnadze
,
Henning Warnecke

Kardiochirurgia i Torakochirurgia Polska 2017; 14 (4): 215-224
DOI: https://doi.org/10.5114/kitp.2017.72224
Online publish date: 2017/12/22
View full text Get citation
 
PlumX metrics:
Introduction: The “transfemoral (TF) first” approach to access route selection in transcatheter aortic valve implantation (TAVI) is popular; however, the risk of major vascular complications is substantial. The “best for TF” approach identifies only the patients with ideal anatomy for TF-TAVI, potentially minimizing complications.

Aim: To characterize the outcomes of patients undergoing TAVI at a large-volume site that employs this approach.

Material and methods: Patients who underwent TAVI at the Bad Rothenfelde Heart Centre between 2008 and 2016 were consecutively enrolled. Findings were compared to those from large, multicenter registries.

Results: Of the 1,644 patients enrolled, 1,140 underwent TA- and 504 TF-TAVI. Comorbidities were more frequent in TA patients, who also had higher risk scores (EuroSCORE: 25.5% vs. 21.2%; STS score: 11.0% vs. 7.5%; p < 0.001 for both). Rates of conversion to open surgery, major vascular complications and intra-procedural mortality did not differ between groups. At 30 days, mortality rates were higher in the TA group (3.9% vs. 1.9%, p = 0.036). Stroke/transient ischemic attack and permanent pacemaker implantation rates did not differ significantly between groups (2.0% and 9.1% overall, respectively). Compared to multicenter registries, trends in mortality and complication rates were similar, though magnitudes were lower in the present study. In contrast with the present study, major vascular complication rates in multicenter registries are significantly higher for TF compared to TA patients.

Conclusions: At this high-volume center, the use of a “best for TF” approach to TAVI resulted in low mortality and complication rates.
keywords:

transcatheter aortic valve implantation, transapical, transfemoral
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.