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Transcatheter versu...
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Appel, Carl-FredrikLinköpings universitet,Östergötlands Läns Landsting,Thorax-kärlkliniken i Östergötland,Kardiologi,Hälsouniversitetet
(författare)
Transcatheter versus surgical treatment for aortic stenosis : Patient selection and early outcome
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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2012-07-05
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Informa Healthcare,2012
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-84532
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-84532URI
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https://doi.org/10.3109/14017431.2012.699636DOI
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies|Swedish Heart and Lung Foundation||Medical Research Council of Southeast Sweden (FORSS)||ALF||County Council of Ostergotland||
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Objectives. To describe short-term clinical and echocardiography outcomes in patients undergoing transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR). To explore patient selection criteria for treatment with TAVI. Design. TAVI patients (n = 45) were matched to SAVR patients (n = 45) with respect to age within +/- 10 years, sex and systolic left ventricular function. Results. TAVI patients were older, 82 +/- 8 versus 78 +/- 5 years (p = 0.005) and they had higher logEuroSCORE, 16 +/- 11% versus 8 +/- 4% (p andlt; 0.001). There were no significant differences in 30 days mortality, stroke and myocardial infarction. TAVI patients received less erythrocyte (53% vs. 78%, p = 0.03) and thrombocyte (7% vs. 27%, p = 0.02) transfusions. Postoperative atrial fibrillation was less common (18% vs. 60%, p andlt; 0.001) in the TAVI group. Paravalvular regurgitation was more common in TAVI patients (87% vs. 0%, p andlt; 0.001) and 27% had access site complications. Aortic transvalvular velocity was 2.3 +/- 0.4 m/s versus 2.6 +/- 0.5 m/s (p = 0.002) and mean valve pressure gradient was 12 +/- 4 mmHg versus 15 +/- 5 mmHg (p = 0.01) in the TAVI and SAVR groups, respectively. Twenty-nine (64%) of the TAVI patients had logEuroSCORE andlt; 15%. Conclusions. Both TAVI and SAVR have good short term clinical outcome with excellent hemodynamic result. In clinical practice, factors other than high logEuroSCORE play an important role in patient selection for TAVI.
Ämnesord och genrebeteckningar
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transcatheter aortic valve implantation
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aortic valve replacement
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outcome
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echocardiography
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patient selection
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MEDICINE
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MEDICIN
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Hultkvist, HenrikÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)henhu71
(författare)
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Nylander, EvaÖstergötlands Läns Landsting,Linköpings universitet,Klinisk fysiologi,Hälsouniversitetet,Fysiologiska kliniken US(Swepub:liu)evany41
(författare)
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Ahn, Henrik CasimirÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)henah22
(författare)
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Nielsen, Niels ErikÖstergötlands Läns Landsting,Linköpings universitet,Kardiologi,Hälsouniversitetet,Kardiologiska kliniken US(Swepub:liu)nieni36
(författare)
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Freter, WolfgangLinköpings universitet,Östergötlands Läns Landsting,Thorax-kärlkliniken i Östergötland,Kardiologi,Hälsouniversitetet
(författare)
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Vánky, FarkasÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)farva32
(författare)
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Östergötlands Läns LandstingThorax-kärlkliniken i Östergötland
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scandinavian Cardiovascular Journal: Informa Healthcare46:5, s. 301-3071401-74311651-2006
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