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Analysis of complications in transfemoral transcatheter aortic valve implantation: a single-center study.
Pylko, Anna; Dabrowski, Maciej; Kowalik, Ilona; Chmielak, Zbigniew; Kukula, Krzysztof; Wolny, Rafal; Kwiecinski, Jacek; Stoklosa, Patrycjusz; Grabowski, Maciej; Michalowska, Ilona; Kusmierski, Krzysztof; Witkowski, Adam.
Afiliación
  • Pylko A; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
  • Dabrowski M; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland. macidabro@gmail.com
  • Kowalik I; Department of Statistics, National Institute of Cardiology, Warsaw, Poland
  • Chmielak Z; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
  • Kukula K; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
  • Wolny R; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
  • Kwiecinski J; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
  • Stoklosa P; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
  • Grabowski M; Department of Valvular Heart Disease, National Institute of Cardiology, Warsaw, Poland
  • Michalowska I; Department of Radiology, National Institute of Cardiology, Warsaw, Poland
  • Kusmierski K; Department of Cardiac Surgery and Transplantation, National Institute of Cardiology, Warsaw, Poland
  • Witkowski A; Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warsaw, Poland
Pol Arch Intern Med ; 134(4)2024 04 26.
Article en En | MEDLINE | ID: mdl-38483121
ABSTRACT

INTRODUCTION:

Transfemoral access is a prevailing approach for transcatheter aortic valve implantation (TAVI) in contemporary practice, with a shift from surgical arteriotomy to a percutaneous arterial approach.

OBJECTIVES:

This study assessed long- and short­term mortality, along with Valve Academic Research Consortium-2-defined complications in percutaneous transfemoral approach (PTA) TAVI. Furthermore, it explored the impact of a learning curve on procedural outcomes. PATIENTS AND

METHODS:

The study included 600 patients undergoing PTA TAVI at the National Institute of Cardiology, Warsaw, Poland, from January 2009 to September 2020. Retrospective data comparison involved 2 groups early experience (first 200 patients) and late experience (next 400 patients).

RESULTS:

The primary end point (composite of life­threatening bleeding, major vascular complication, or death at 30 days) occurred less often in the late experience group (28% vs 17.5%; P = 0.003). The late experience group also showed fewer cases of vascular complications (19% vs 10.7%; P = 0.005) and major bleeding (17.5% vs 8.5%; P = 0.001). Propensity matching yielded similar trends, including reduced frequency of pacemaker implantation (22.8% vs 10.9%; P = 0.03) and shorter median (interquartile range) hospitalization (11 [8-18] vs 7 [6-12] days; P <0.001) in the late experience group.

CONCLUSIONS:

The late experience group rated with PTA TAVI exhibited significantly reduced periprocedural complications, indicating a positive impact of accumulated expertise.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis de la Válvula Aórtica / Complicaciones Posoperatorias / Arteria Femoral / Reemplazo de la Válvula Aórtica Transcatéter Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Pol Arch Intern Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis de la Válvula Aórtica / Complicaciones Posoperatorias / Arteria Femoral / Reemplazo de la Válvula Aórtica Transcatéter Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Pol Arch Intern Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia