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Transfemoral versus transapical transcatheter aortic valve implantation: a single-centre experience
- Source :
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 55(4)
- Publication Year :
- 2018
-
Abstract
- OBJECTIVES Transapical transcatheter aortic valve implantation (TAVI) is associated with increased mortality as compared to the transfemoral (TF) access. Possible mechanisms include different patient risk profiles as well as an intrinsic injury caused by the access route itself. METHODS All consecutive patients scheduled for TAVI between January 2009 and June 2016 at a single centre were evaluated. A comparison of 30-day mortality and morbidity rates for patients undergoing TF or transapical (TA) TAVI was performed according to the criteria of the Valve Academic Research Consortium 2. RESULTS During the investigated period, 1130 patients (TF: n = 619, TA: n = 511) were scheduled for TAVI. TA patients had a higher operative risk profile (logistic EuroSCORE: 24% vs 17%; P
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Transcatheter aortic
Patient risk
Operative Time
030204 cardiovascular system & hematology
Logistic regression
Transcatheter Aortic Valve Replacement
03 medical and health sciences
0302 clinical medicine
Risk Factors
Internal medicine
medicine
Humans
Aged
Aged, 80 and over
Proportional hazards model
business.industry
Mortality rate
Hazard ratio
General Medicine
Odds ratio
Length of Stay
Middle Aged
Single centre
Treatment Outcome
030228 respiratory system
Cardiology
Surgery
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 1873734X
- Volume :
- 55
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
- Accession number :
- edsair.doi.dedup.....3726831209a8d39d2cc608808be90003