Short- and mid-term outcome of transcatheter aortic valve implantation in patients with advanced age

Olasińska-Wiśniewska, Anna; Grygier, Marek; Lesiak, Maciej; Trojnarska, Olga; Araszkiewicz, Aleksander; Komosa, Anna; Misterski, Marcin; Jemielity, Marek; Proch, Marek; Grajek, Stefan

doi:10.5603/cj.a2016.0093

Cited by 6 publications

(7 citation statements)

References 13 publications

(15 reference statements)

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“…Conventional aortic valve replacement is the gold standard for the treatment of aortic valve stenosis. However, TAVI has emerged and proved itself as a credible alternative for high-risk patients and patients in advanced age [ 1 , 13 ]. The latest meta-analysis had shown the safety and efficacy of TAVI when compared to the standard surgical treatment [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Novotný

Hlubocký

Kovárník

et al. 2017

Case Reports in Cardiology

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We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI position. Patient underwent a surgical resection of TAVI with implantation of biological aortic valve prosthesis. In situations where TAVI treatment fails or is complicated beyond the possibility of endovascular repair, surgical intervention despite its higher risks is the preferred choice.

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Section: Discussionmentioning

confidence: 99%

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Novotný

Hlubocký

Kovárník

et al. 2017

Case Reports in Cardiology

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“…General anesthesia or deep sedation was used during the procedures. The TTE monitoring was performed and a temporary pacemaker was inserted from the jugular vein for rapid pacing and as prevention of iatrogenic atrioventricular block consequences [19].…”

Section: Methodsmentioning

confidence: 99%

Transcatheter Aortic Valve Replacement Is Associated with Less Oxidative Stress and Faster Recovery of Antioxidant Capacity than Surgical Aortic Valve Replacement

Komosa

Perek

Rzymski

et al. 2019

JCM

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The objective of this study was to compare oxidative stress indices in 24 patients (mean ± SD age 71 ± 13 years) undergoing surgical aortic valve replacement (SAVR) versus transcatheter aortic valve replacement (TAVR). Serum total antioxidant capacity (TAC), copper/zinc ratio (Cu/Zn), activity of lactate dehydrogenase (LDH), and thiobarbituric acid reactive substances (TBARS) were assessed at four different time-points: pre-procedure, immediately post-procedure, and one day and two days after the procedure. All oxidative stress parameters were comparable in both groups pre-procedure. TAC decreased significantly when assessed immediately after procedures in both groups (p < 0.001); however, the magnitude of the reduction was more pronounced after SAVR (88% decrease from baseline: 1.8 ± 0.1 vs. 0.2 ± 0.03 mM) compared to TAVR procedures (53% decrease from baseline: 1.9 ± 0.1 vs. 1.0 ± 0.1 mM; p < 0.001). TAC returned to baseline two days after TAVR in all patients, but was still reduced by 55% two days after SAVR. In concordance, TBARS levels and Cu/Zn ratio increased significantly with maximum levels immediately after procedures in both groups (p < 0.001), but the magnitude of the increase was significantly higher in SAVR compared to TAVR (TBARS: 3.93 ± 0.61 µM vs. 1.25 ± 0.30 µM, p = 0.015; Cu/Zn ratio: 2.33 ± 0.11 vs. 1.80 ± 0.12; p < 0.001). Two days after the procedure, TBARS levels and the Cu/Zn ratio returned to baseline after TAVR, with no full recovery after SAVR. TAVR is associated with a lesser redox imbalance and faster recovery of antioxidant capacity compared to SAVR.

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“…[ 5 ] Transcatheter aortic valve implantation (TAVI) has currently become an alternative treatment for severe AS patients who are inoperable or with very high surgical risk. [ 6 , 7 ] In the 2017 guidelines of the American heart association/American college of cardiology (AHA/ACC), it is clearly pointed out TAVI is recommended for AS patients with high-risk surgical operations (stage D), and is a reasonable alternative to SAVR for medium-risk AS patients (stage D). [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

“…However, age, as an independent risk factor of perioperative mortality and morbidity for TAVI, [ 7 ] don’t be discussed in the 2017 guidelines of AHA/ACC. [ 9 , 10 ] The majority of TAVI patients are senile in the United States, with the median age of them being about 80 year [ 11 ] and approximately 16% of them being ≥90 years.…”

Section: Introductionmentioning

confidence: 99%

Comparison of outcome of transcatheter aortic valve implantation in patients with advanced age

et al. 2020

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Short- and mid-term outcome of transcatheter aortic valve implantation in patients with advanced age

Abstract: (Cardiol J 2017; 24, 4: 358-363)

Cited by 6 publications

References 13 publications

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Transcatheter Aortic Valve Replacement Is Associated with Less Oxidative Stress and Faster Recovery of Antioxidant Capacity than Surgical Aortic Valve Replacement

Comparison of outcome of transcatheter aortic valve implantation in patients with advanced age

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