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SURgical vs. PERcutaneous ACCESS in Transfemoral Transcatheter Aortic Valve Implantation (SU-PER-ACCESS Study).
Cammardella, Antonio Giovanni; Russo, Marco; Di Mauro, Michele; Romagnoni, Claudia; Ceresa, Fabrizio; Patanè, Francesco; Gelpi, Guido; Pollari, Francesco; Barili, Fabio; Parolari, Alessandro; Ranocchi, Federico.
Afiliación
  • Cammardella AG; Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, Italy.
  • Russo M; Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, 00152 Rome, Italy.
  • Di Mauro M; Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, 6229 HX Maastricht, The Netherlands.
  • Romagnoni C; Department of Cardiothoracic Surgery, IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, 20122 Milano, Italy.
  • Ceresa F; Department of Cardiothoracic Surgery, Azienda Ospedaliera Papardo, 98158 Messina, Italy.
  • Patanè F; Department of Cardiothoracic Surgery, Azienda Ospedaliera Papardo, 98158 Messina, Italy.
  • Gelpi G; Department of Cardiothoracic Surgery, IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, 20122 Milano, Italy.
  • Pollari F; Cardiac Surgery, Klinikum Nürnberg-Paracelsus Medical University, 90471 Nuremberg, Germany.
  • Barili F; Department of Biomedical and Clinical Sciences, Universitá degli Studi di Milano, 20122 Milan, Italy.
  • Parolari A; University Cardiac Surgery Unit, IRCCS Ospedale Galeazzi Sant'Ambrogio, 20157 Milan, Italy.
  • Ranocchi F; Harvard TH Chan School of Public Health, Boston, MA 02115, USA.
J Clin Med ; 13(15)2024 Jul 30.
Article en En | MEDLINE | ID: mdl-39124736
ABSTRACT

Background:

The transfemoral (TF) approach is the most common route in TAVI, but it is still associated with a risk of bleeding and vascular complications. The aim of this study was to compare the clinical outcomes between surgical cut-down (SC) and percutaneous (PC) approach. (2)

Methods:

Between January 2018 and June 2022, 774 patients underwent a transfemoral TAVI procedure. After propensity matching, 323 patients underwent TAVI in each group. (3)

Results:

In the matched population, 15 patients (4.6%) in the SC group vs. 34 patients in the PC group (11%) experienced minor vascular complications (p = 0.02), while no difference for major vascular complication (1.5% vs. 1.9%) were reported. The rate of minor bleeding events was higher in the percutaneous group (11% vs. 3.1%, p <.001). The SC group experienced a higher rate of non-vascular-related access complications (minor 8% vs. 1.2%; major 2.2% vs. 1.2%; p < 0.001). (4)

Conclusions:

SC for TF-TAVI did not alter the mortality rate at 30 days and was associated with reduced minor vascular complication and bleeding. PC showed a lower rate of non-vascular-related access complications and a lower length of stay. The specific approach should be tailored to the patient's clinical characteristics.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza