Search: id:"swepub:oai:DiVA.org:liu-84532" >
Transcatheter versu...
-
Appel, Carl-FredrikLinköpings universitet,Östergötlands Läns Landsting,Thorax-kärlkliniken i Östergötland,Kardiologi,Hälsouniversitetet
(author)
Transcatheter versus surgical treatment for aortic stenosis : Patient selection and early outcome
- Article/chapterEnglish2012
Publisher, publication year, extent ...
-
2012-07-05
-
Informa Healthcare,2012
-
electronicrdacarrier
Numbers
-
LIBRIS-ID:oai:DiVA.org:liu-84532
-
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-84532URI
-
https://doi.org/10.3109/14017431.2012.699636DOI
Supplementary language notes
-
Language:English
-
Summary in:English
Part of subdatabase
Classification
-
Subject category:ref swepub-contenttype
-
Subject category:art swepub-publicationtype
Notes
-
Funding Agencies|Swedish Heart and Lung Foundation||Medical Research Council of Southeast Sweden (FORSS)||ALF||County Council of Ostergotland||
-
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.
Subject headings and genre
-
transcatheter aortic valve implantation
-
aortic valve replacement
-
outcome
-
echocardiography
-
patient selection
-
MEDICINE
-
MEDICIN
Added entries (persons, corporate bodies, meetings, titles ...)
-
Hultkvist, HenrikÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)henhu71
(author)
-
Nylander, EvaÖstergötlands Läns Landsting,Linköpings universitet,Klinisk fysiologi,Hälsouniversitetet,Fysiologiska kliniken US(Swepub:liu)evany41
(author)
-
Ahn, Henrik CasimirÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)henah22
(author)
-
Nielsen, Niels ErikÖstergötlands Läns Landsting,Linköpings universitet,Kardiologi,Hälsouniversitetet,Kardiologiska kliniken US(Swepub:liu)nieni36
(author)
-
Freter, WolfgangLinköpings universitet,Östergötlands Läns Landsting,Thorax-kärlkliniken i Östergötland,Kardiologi,Hälsouniversitetet
(author)
-
Vánky, FarkasÖstergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland(Swepub:liu)farva32
(author)
-
Östergötlands Läns LandstingThorax-kärlkliniken i Östergötland
(creator_code:org_t)
Related titles
-
In:Scandinavian Cardiovascular Journal: Informa Healthcare46:5, s. 301-3071401-74311651-2006
Internet link
Find in a library
To the university's database