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Long-term follow-up after stent graft placement for access-site and access-related vascular injury during TAVI - The Bonn-Copenhagen experience.
- Source :
-
International journal of cardiology [Int J Cardiol] 2019 Apr 15; Vol. 281, pp. 42-46. Date of Electronic Publication: 2018 Dec 29. - Publication Year :
- 2019
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Abstract
- Aims: Stent graft placement is a safe and effective treatment option for vascular complications in the context of transcatheter aortic valve implantation (TAVI). This study aimed to provide long-term angiological follow-up of stent grafts used for this indication.<br />Methods and Results: Seventy-one patients (64.8% female, log EuroScore 14.7 ± 6.8%) who had undergone TAVI between March 2010 and October 2015 with implantation of a Viabahn or Fluency stent graft to treat access-site or access-related vascular injury (ASARVI) were analyzed. Implantations were mostly due to access-site bleeding complications (83.1%) in the common femoral artery (97.1%). Follow-up was performed with duplex sonography in all patients after a median of 3.9 years after TAVI (interquartile range [IQR]: 895-1749 days). Ultrasound revealed tri- or biphasic flow patterns in 16.9% and 77.6%, respectively. Stent graft patency was 100% without signs of stent graft stenosis (mean peak velocity ratio 1.0 ± 0.2). Pseudo-aneurysms or endoleaks were diagnosed in 5.6% of patients. Additional fluoroscopic and/or computed tomography (CT)-imaging was available in 36.6% of patients and did not reveal any stent fracture.<br />Conclusion: Self-expanding stent grafts provide excellent long-term function with few complications when implanted in the context of TAVI-related ASARVI.<br /> (Copyright © 2019 Elsevier B.V. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Blood Vessel Prosthesis adverse effects
Cohort Studies
Cross-Sectional Studies
Female
Follow-Up Studies
Humans
Male
Stents adverse effects
Time Factors
Tomography, X-Ray Computed trends
Transcatheter Aortic Valve Replacement adverse effects
Treatment Outcome
Blood Vessel Prosthesis trends
Stents trends
Transcatheter Aortic Valve Replacement trends
Vascular System Injuries diagnostic imaging
Vascular System Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1874-1754
- Volume :
- 281
- Database :
- MEDLINE
- Journal :
- International journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 30711261
- Full Text :
- https://doi.org/10.1016/j.ijcard.2018.12.053