Transaortic transcatheter aortic valve implantation: Results of the Polish arm of the ROUTE registry

Abstract

(Cardiol J 2015; 22, 6: 651-656)

Outcome prediction following transcatheter aortic valve implantation: Multiple risk scores comparison

“…Finally, all models failed in being able to accurately classify patients into high or non-high risk categories, however the simplest one (ACEF) was closest to reach statistical significance. Furthermore, univariate analysis of baseline and periprocedural characteristics identified 3 factors that occurred significantly more often in patients with an endpoint: MR grade ≥ 3, GFR < 30 mL/min/1.73 m 2 and AR post-TAVI grade ≥ 3 -findings consistent with previously published observations [19][20][21][22][23].…”

Postoperative Delirium in Individuals Undergoing Transcatheter Aortic Valve Replacement: A Systematic Review and Meta‐Analysis

“…The majority of participants included in our meta‐analysis were derived from 2 large prospective registries, with the lack of information regarding delirium diagnostic criteria and timing of the delirium screening . Interestingly, while these 2 large studies reported lower incidence of IHPOD after TAVR (e.g., 3.8% and 4.6%), small studies included in our analysis report higher incidence of IHPOD after TAVR . Several participant‐ and procedural‐related factors, including age at admission, comorbid condition, TAVR access, and hospital complication rate, could explain the differences in the incidence of IHPOD between these studies.…”

“…When inclusion and exclusion criteria were applied, 31 publications remained for assessment. 6,8,9,11,17, Most included studies were observational (14 prospective, 6,17,23,[26][27][28][29][30]33,35,37,41,44,47 6 propensity matched, 22,24,25,36,40,42 10 retrospective 8,9,11,31,32,34,38,43,45,46 ), with only one randomized controlled trial. 39 Differences in the differential diagnosis between POD and other comparable cognitive disorders, including dementia, depression, and schizophrenia, are summarized in Table 1.…”

“…29,45 Interestingly, while these 2 large studies reported lower incidence of IHPOD after TAVR (e.g., 3.8% and 4.6%), small studies included in our analysis report higher incidence of IHPOD after TAVR. 6,8,9,11,17,[22][23][24][25][26][27][28][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]46,47 Several participant-and procedural-related factors, including age at admission, comorbid condition, TAVR access, and hospital complication rate, could explain the differences in the incidence of IHPOD between these studies. Larger studies are needed to identify clinical and procedural predictors of change in cognitive status early after TAVR, and to evaluate nonpharmacological strategies to reduce the incidence of IHPOD after TAVR.…”

Transcatheter aortic valve implantation. Expert Consensus of the Association of Cardiovascular Interventions of the Polish Cardiac Society and the Polish Society of Cardio-Thoracic Surgeons, approved by the Board of the Polish Cardiac Society…

“…In the case of a very small artery diameter ≤ 5 mm or the presence of extensive atherosclerosis or calcifications, significantly narrowing the vessel lumen, the TAVI team should consider an alternative vascular approach. If no contraindications to general anaesthesia exist, a transthoracic access should be considered [77,78].…”