Puncture versus Surgical Cutdown Complications of Transfemoral Aortic Valve Implantation (From the Spanish TAVI Registry)

Abstract Vascular complications in Transfemoral Aortic Valve Implantation (TAVI-TF) are related to higher mortality. Complete percutaneous approach is currently the preferred technique for vascular access. However, some centers still perform surgical cutdown. Our purpose was to determine complicatio...

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Veröffentlicht in:	The American journal of cardiology 2016-08, Vol.118 (4), p.578-584
Hauptverfasser:	Hernández-Enriquez, Marco, MD, Andrea, Rut, MD, PhD, Brugaletta, Salvatore, MD, PhD, Jiménez-Quevedo, Pilar, MD, PhD, Hernández-García, José María, MD, Trillo, Ramiro, MD, Larman, Mariano, MD, Fernández-Avilés, Francisco, MD, Vázquez-González, Nicolás, MD, Iñiguez, Andrés, MD, Zueco, Javier, MD, Ruiz-Salmerón, Rafael, MD, Valle, Raquel del, MD, Molina, Eduardo, MD, García del Blanco, Bruno, MD, Berenguer, Alberto, MD, Valdés, Mariano, MD, Moreno, Raúl, MD, Urbano-Carrillo, Cristóbal, MD, Hernández-Antolín, Rosana, MD, Gimeno, Federico, MD, Cequier, Ángel, MD, Cruz, Ignacio, MD, López-Mínguez, José Ramón, MD, Aramendi, José Ignacio, MD, Sánchez, Ángel, MD, Goicolea, Javier, MD, Albarrán, Agustín, MD, Díaz, José Francisco, MD, Navarro, Felipe, MD, Moreu, José, MD, Morist, Andrés, MD, Fernández-Nofrerías, Eduard, MD, Fernández-Vázquez, Felipe, MD, Ten, Francisco, MD, Mainar, Vicente, MD, Mari, Belén, MD, Saenz, Alberto, MD, Alfonso, Fernando, MD, Diarte, José Antonio, MD, Sancho, Manuel, MD, Lezáun, Román, MD, Arzamendi, Dabit, MD, Sabaté, Manel, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Angina pectoris Aortic Valve Stenosis - surgery Body mass index Cardiology Cardiovascular Cardiovascular disease Confidence intervals Consortia Contrast Media Coronary vessels Dissection - methods Female Femoral Artery Fluoroscopy Gender Heart attacks Humans Kaplan-Meier Estimate Length of Stay Male Mortality Myocardial Infarction - epidemiology Operative Time Patients Postoperative Complications - epidemiology Postoperative Hemorrhage - epidemiology Proportional Hazards Models Prostheses Punctures - methods Registries Spain Stroke Survival analysis Transcatheter Aortic Valve Replacement - methods
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Zusammenfassung:	Abstract Vascular complications in Transfemoral Aortic Valve Implantation (TAVI-TF) are related to higher mortality. Complete percutaneous approach is currently the preferred technique for vascular access. However, some centers still perform surgical cutdown. Our purpose was to determine complications related to vascular access technique in the population of the Spanish TAVI National Registry. Between January 2010 and July 2015, 3046 patients were included in this Registry. Of them, 2465 underwent transfemoral approach and were treated with either surgical cutdown and closure (Cutdown group, n=632) or percutaneous approach (Puncture group, n=1833). VARC-2 definitions were used to assess vascular and bleeding complications. Propensity matching resulted in 615 matched pairs. Overall, 30-day vascular complications were significantly higher in the Puncture group (109[18%] vs 42[6.9%]; RR 2.60; 95% CI [1.85-3.64], p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2016.05.054