Long-term survival of patients with severe aortic stenosis undergoing transcatheter aortic valve implantation

被引：0

作者：

Perez, Luis ^{[1
,2
]}

Venegas, Reinaldo ^{[1
]}

Ibieta, Guillermo ^{[1
]}

Lecannelier, Eduardo ^{[1
,2
]}

Stockins, Aleck ^{[1
]}

Sanhueza, Eugenio ^{[1
]}

Fasce, Fabrizio ^{[1
,2
]}

Gonzalez, Alicex ^{[1
]}

Saez, Jatun ^{[1
,2
]}

Sandoval, Constanza ^{[1
]}

Segall, Virginia ^{[1
]}

Robles, Isabel ^{[1
]}

机构：

[1] Hosp Guillermo Grant Benavente, Lab Hemodinamia, San Martin 1436, Concepcion, Chile

[2] Univ Concepcion, Fac Med, Concepcion, Chile

来源：

REVISTA MEDICA DE CHILE | 2021年 / 149卷 / 04期

关键词：

Aortic Valve Stenosis; Heart Valve Disease; Transcatheter Aortic Valve Implantation; INTERMEDIATE-RISK PATIENTS; REPLACEMENT; DEFINITIONS; OUTCOMES;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Transcatheter aortic valve implantation (TAVI) is an effective and safe option for low, medium and high-risk patients with severe aortic stenosis (SAS). Aim: To analyze the clinical results and long-term survival of TAVI in our center. Material and Methods: Prospective analysis of 53 patients aged 73 +/- 10 years with a Society of Thoracic Surgeons (STS) score of 7.3 +/- 3.9%. Results: In 96% a transfemoral access was used and, in most patients, ProGlides (TM) as vascular closure device was used. General anesthesia and conscious sedation were used in 79 and 21% of cases, respectively. Fifty-three valves were implanted, 42 self-expandable (SEV) and 11 balloon-expandable (Edwards Sapiens). The implant was successful in 49 patients (92,4%). The transaortic gradient after TAVI was almost zero mmHg in all patients and one had a severe aortic regurgitation. Permanent pacemakers were needed in 17% of patients. Two patients had a pericardial effusion, and one had a major vascular complication. No strokes were recorded, and 30-day mortality was 3.7%. At long-term follow up (23.4 +/- 21.6 months) the global survival was 85% and the rate of cardiovascular mortality was 5.9%. Conclusions: In this series of intermediate to high-risk patients, TAVI was associated with an excellent early and long-term survival.

引用

页码：514 / 519

页数：6

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