Transfemoral versus transapical approach for transcatheter aortic valve implantation: hospital outcome and risk factor analysis

Transcatheter aortic valve implantation is indicated in high-risk patients with aortic stenosis. We compared the clinical outcome of 180 consecutive patients who underwent transapical (TA) and transfemoral (TF) procedures in a single centre. Ninety consecutive TA (TA-group) and 90 consecutive TF (TF...

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Veröffentlicht in:Journal of cardiothoracic surgery 2017-09, Vol.12 (1), p.78-78, Article 78
Hauptverfasser: Ferrari, Enrico, Eeckhout, Eric, Keller, Sanjiv, Muller, Olivier, Tozzi, Piergiorgio, Berdajs, Denis, von Segesser, Ludwig Karl
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Sprache:eng
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Zusammenfassung:Transcatheter aortic valve implantation is indicated in high-risk patients with aortic stenosis. We compared the clinical outcome of 180 consecutive patients who underwent transapical (TA) and transfemoral (TF) procedures in a single centre. Ninety consecutive TA (TA-group) and 90 consecutive TF (TF-group) were performed from 2009 to 2014. Clinical variables were prospectively collected and retrospectively analysed for hospital outcomes and to identify risk factors for hospital mortality, vascular complications and stroke. Mean age was 80 ± 8.5 and 83 ± 8.4 years, in the TA and TF-group, respectively. TA-group presented higher prevalence of comorbidities: more vascular disease (79% vs 22%, p 
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-017-0638-9