Transapical Versus Transfemoral Aortic Valve Implantation: A Comparison of Survival and Safety

Johansson, Malin; Nozohoor, Shahab; Kimblad, Per Ola; Harnek, Jan; Olivecrona, Göran; Sjögren, Johan

doi:10.1016/j.athoracsur.2010.07.072

Cited by 82 publications

(64 citation statements)

References 21 publications

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“…Both the lengths of ICU and hospital stay of the patients in the follow-up period were comparable with those of other authors (16,20). Our results in regards to 30-day mortality also compare well with those reported in other recently published studies (23)(24)(25)(26). Nevertheless, the 1-year mortality in our series cannot be reported because we could not complete the followup period in all patients due to a lack of communication.…”

Section: Discussionsupporting

confidence: 73%

Anesthetic management and perioperative complications in transcatheter aortic valve implantation: the Turkish experience

Gümüş¹,

Kesimci²,

Soykut³

et al. 2014

Turk J Med Sci

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Section: Discussionsupporting

confidence: 73%

Anesthetic management and perioperative complications in transcatheter aortic valve implantation: the Turkish experience

Gümüş¹,

Kesimci²,

Soykut³

et al. 2014

Turk J Med Sci

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“…3 ). The balloon-expandable Sapien valve (Edwards Lifesciences, Inc., Irvine, California, United States) can be used for TAVI delivered through the transfemoral (TF) or transapical (TA) approach 4 , additionally, the self-expanding CoreValve system (Medtronic-CorevalveTM, LLC; Minneapolis, Minnesota, United States) is also commercially available. The aim of this study was to ascertain the quality of life of TAVI patients in the initial phase of the program directly compared with SAVR patients as the well-established method in the same center.…”

Section: Introductionmentioning

confidence: 99%

Quality of life after transcatheter aortic valve implantation and surgical replacement in high-risk elderly patients

Kala¹,

Třetina²,

Poloczek³

et al. 2013

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aim. The aim of this study was to compare the quality of life after transcatheter aortic valve implantation (TAVI) and surgical replacement (SAVR) at one year. Methods. The study included 45 consecutive high-risk patients (average age 82.0 years; logistic Euroscore 22.3%) with symptomatic severe aortic stenosis allocated to TAVI transfemoral, TAVI transapical using the Edwards-Sapien valve or SAVR with the Edwards Perimount bioprosthesis (n=15 in each). The pre-operative characteristics were similar except for more myocardial infarctions in TAVI. The quality of life was assessed using the standardized EQ-5D questionnaire at baseline and on days 30, 90 and 360. The protocol was approved by the local ethics committee and an informed consent was signed. A total of 7 patients (15.5%) died during follow-up. Results. At baseline no significant differences in any of the quality-of-life parameters were found except for usual activities described as "best" (46.7% in SAVR vs. 10.0% in TAVI; P=0.002). At 30 and 90 days surviving patients were similar and at 360 days only the anxiety/depression score was "best" in 83.3% SAVR vs. 59.1% (P=0.046). Functional status improved in all patients (NYHA class I-II in 13.3% at baseline vs. 78.9% at 360-days) and the general health median significantly improved in TAVI patients (from 50 to 67; P=0.001) with a positive trend in SAVR patients (P=0.060). Conclusions. At one year, the general quality of life of high-risk patients had significantly improved after transcatheter aortic valve implantation with a positive trend in surgically treated patients.

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“…The anesthetic technique remains uncertain, as there are schools using the deep sedation technique, others using general anesthesia, and still another school using combined epidural anesthesia with sedation 4,[12][13][14][15][16] . General anesthesia and deep sedation have been used in several studies with good results 4,10,[16][17][18][19][20][21][22][23][24][25][26][27] . In our case series, we used general anesthesia due to the need for prolonged immobilization of patients in uncomfortable tables, tendency for hypothermia, the team's learning curve, need for surgical repair of catheterized arteries, TEE use, possibility of neurological complications and surgical intervention with cardiopulmonary bypass (CPB), and little knowledge on the technique.…”

Section: Discussionmentioning

confidence: 99%

Manejo anestésico e complicações no implante percutâneo de válvula aórtica

Grando¹,

Sarmento‐Leite²,

Prates³

et al. 2013

Rev. Bras. Anestesiol.

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Background and objective: Aortic stenosis is a highly prevalent and life-threatening disease. In elderly patients with comorbidities, percutaneous valve implantation is an option. The aim of the study was to describe the anesthetic management and complications of general anesthesia. Method: Case series with 30-day and 24-month follow-ups after implantation of the CoreValve device performed at the Institute of Cardiology/University Foundation of Cardiology between December 2008 and January 2012. The patients underwent general anesthesia monitored with mean arterial pressure (PAM), electrocardiogram (ECG), pulse oximetry, capnography, transesophageal echocardiography, thermometry, and transvenous pacemaker. Results: Twenty-eight patients, mean age 82.46 years, 20.98% mean EuroSCORE, functional class III/IV, successfully underwent valve implantation. Nine patients required permanent pacemaker implantation. During follow-up, two patients died: one during surgery due to LV perforation and the other on the third day of unknown causes. At 24 months, one patient diagnosed with multiple myeloma died. This anesthetic technique proved to be safe. Conclusion: The initial experience with percutaneous aortic valve implantation under general anesthesia has proven to be safe and effective, with no signifi cant anesthetic complications during this procedure.

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Transapical Versus Transfemoral Aortic Valve Implantation: A Comparison of Survival and Safety

Cited by 82 publications

References 21 publications

Anesthetic management and perioperative complications in transcatheter aortic valve implantation: the Turkish experience

Anesthetic management and perioperative complications in transcatheter aortic valve implantation: the Turkish experience

Quality of life after transcatheter aortic valve implantation and surgical replacement in high-risk elderly patients

Manejo anestésico e complicações no implante percutâneo de válvula aórtica

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