Analysis of complications in transfemoral transcatheter aortic valve implantation: a single-center study
Transfemoral access is a prevailing approach for transcatheter aortic valve implantation (TAVI) in contemporary practice, with a shift from surgical arteriotomy to a percutaneous arterial approach. This study assessed long- and short‑term mortality, along with Valve Academic Research Consortium-2-de...
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| Veröffentlicht in: | Polskie archiwum medycyny wewne̦trznej 2024-04, Vol.134 (4) |
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| container_title | Polskie archiwum medycyny wewne̦trznej |
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| creator | Pyłko, Anna Dąbrowski, Maciej Kowalik, Ilona Chmielak, Zbigniew Kukuła, Krzysztof Wolny, Rafał Kwieciński, Jacek Stokłosa, Patrycjusz Grabowski, Maciej Michałowska, Ilona Kuśmierski, Krzysztof Witkowski, Adam |
| description | Transfemoral access is a prevailing approach for transcatheter aortic valve implantation (TAVI) in contemporary practice, with a shift from surgical arteriotomy to a percutaneous arterial approach.
This study assessed long- and short‑term mortality, along with Valve Academic Research Consortium-2-defined complications in percutaneous transfemoral approach (PTA) TAVI. Furthermore, it explored the impact of a learning curve on procedural outcomes.
The study included 600 patients undergoing PTA TAVI at the National Institute of Cardiology, Warsaw, Poland, from January 2009 to September 2020. Retrospective data comparison involved 2 groups: early experience (first 200 patients) and late experience (next 400 patients).
The primary end point (composite of life‑threatening bleeding, major vascular complication, or death at 30 days) occurred less often in the late experience group (28% vs 17.5%; P = 0.003). The late experience group also showed fewer cases of vascular complications (19% vs 10.7%; P = 0.005) and major bleeding (17.5% vs 8.5%; P = 0.001). Propensity matching yielded similar trends, including reduced frequency of pacemaker implantation (22.8% vs 10.9%; P = 0.03) and shorter median (interquartile range) hospitalization (11 [8-18] vs 7 [6-12] days; P |
| doi_str_mv | 10.20452/pamw.16696 |
| format | Article |
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This study assessed long- and short‑term mortality, along with Valve Academic Research Consortium-2-defined complications in percutaneous transfemoral approach (PTA) TAVI. Furthermore, it explored the impact of a learning curve on procedural outcomes.
The study included 600 patients undergoing PTA TAVI at the National Institute of Cardiology, Warsaw, Poland, from January 2009 to September 2020. Retrospective data comparison involved 2 groups: early experience (first 200 patients) and late experience (next 400 patients).
The primary end point (composite of life‑threatening bleeding, major vascular complication, or death at 30 days) occurred less often in the late experience group (28% vs 17.5%; P = 0.003). The late experience group also showed fewer cases of vascular complications (19% vs 10.7%; P = 0.005) and major bleeding (17.5% vs 8.5%; P = 0.001). Propensity matching yielded similar trends, including reduced frequency of pacemaker implantation (22.8% vs 10.9%; P = 0.03) and shorter median (interquartile range) hospitalization (11 [8-18] vs 7 [6-12] days; P <0.001) in the late experience group.
The late experience group rated with PTA TAVI exhibited significantly reduced periprocedural complications, indicating a positive impact of accumulated expertise.</description><identifier>ISSN: 1897-9483</identifier><identifier>EISSN: 1897-9483</identifier><identifier>DOI: 10.20452/pamw.16696</identifier><identifier>PMID: 38483121</identifier><language>eng</language><publisher>Poland</publisher><subject>Aged ; Aged, 80 and over ; Aortic Valve Stenosis - surgery ; Female ; Femoral Artery ; Humans ; Male ; Poland ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Retrospective Studies ; Transcatheter Aortic Valve Replacement - adverse effects ; Transcatheter Aortic Valve Replacement - methods ; Treatment Outcome</subject><ispartof>Polskie archiwum medycyny wewne̦trznej, 2024-04, Vol.134 (4)</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38483121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pyłko, Anna</creatorcontrib><creatorcontrib>Dąbrowski, Maciej</creatorcontrib><creatorcontrib>Kowalik, Ilona</creatorcontrib><creatorcontrib>Chmielak, Zbigniew</creatorcontrib><creatorcontrib>Kukuła, Krzysztof</creatorcontrib><creatorcontrib>Wolny, Rafał</creatorcontrib><creatorcontrib>Kwieciński, Jacek</creatorcontrib><creatorcontrib>Stokłosa, Patrycjusz</creatorcontrib><creatorcontrib>Grabowski, Maciej</creatorcontrib><creatorcontrib>Michałowska, Ilona</creatorcontrib><creatorcontrib>Kuśmierski, Krzysztof</creatorcontrib><creatorcontrib>Witkowski, Adam</creatorcontrib><title>Analysis of complications in transfemoral transcatheter aortic valve implantation: a single-center study</title><title>Polskie archiwum medycyny wewne̦trznej</title><addtitle>Pol Arch Intern Med</addtitle><description>Transfemoral access is a prevailing approach for transcatheter aortic valve implantation (TAVI) in contemporary practice, with a shift from surgical arteriotomy to a percutaneous arterial approach.
This study assessed long- and short‑term mortality, along with Valve Academic Research Consortium-2-defined complications in percutaneous transfemoral approach (PTA) TAVI. Furthermore, it explored the impact of a learning curve on procedural outcomes.
The study included 600 patients undergoing PTA TAVI at the National Institute of Cardiology, Warsaw, Poland, from January 2009 to September 2020. Retrospective data comparison involved 2 groups: early experience (first 200 patients) and late experience (next 400 patients).
The primary end point (composite of life‑threatening bleeding, major vascular complication, or death at 30 days) occurred less often in the late experience group (28% vs 17.5%; P = 0.003). The late experience group also showed fewer cases of vascular complications (19% vs 10.7%; P = 0.005) and major bleeding (17.5% vs 8.5%; P = 0.001). Propensity matching yielded similar trends, including reduced frequency of pacemaker implantation (22.8% vs 10.9%; P = 0.03) and shorter median (interquartile range) hospitalization (11 [8-18] vs 7 [6-12] days; P <0.001) in the late experience group.
The late experience group rated with PTA TAVI exhibited significantly reduced periprocedural complications, indicating a positive impact of accumulated expertise.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Female</subject><subject>Femoral Artery</subject><subject>Humans</subject><subject>Male</subject><subject>Poland</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Transcatheter Aortic Valve Replacement - adverse effects</subject><subject>Transcatheter Aortic Valve Replacement - methods</subject><subject>Treatment Outcome</subject><issn>1897-9483</issn><issn>1897-9483</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkEtLAzEUhYMotlZX7iVLQaYmk2Qm406KLyi40fWQpDc2MjOpSabSf-_0obi6r-8cLgehS0qmOeEiv12p9ntKi6IqjtCYyqrMKi7Z8b9-hM5i_CSkqJgsT9GIyWFJczpGy_tONZvoIvYWG9-uGmdUcr6L2HU4BdVFC60PqtkPw3EJCQJWPiRn8Fo1a8Bu0Kku7YR3WOHouo8GMgPdFo2pX2zO0YlVTYSLQ52g98eHt9lzNn99epndzzOTS54yIwkwy8Ayxa3QWovCEMm0JNRwwkpOuBZcWW4t0CLXnEoDZS40FVTx0rAJut77roL_6iGmunXRQDP8B76PdV6JkhZlJeSA3uxRE3yMAWy9Cq5VYVNTUu-irbfR1rtoB_rqYNzrFhZ_7G-W7AcWSHdL</recordid><startdate>20240426</startdate><enddate>20240426</enddate><creator>Pyłko, Anna</creator><creator>Dąbrowski, Maciej</creator><creator>Kowalik, Ilona</creator><creator>Chmielak, Zbigniew</creator><creator>Kukuła, Krzysztof</creator><creator>Wolny, Rafał</creator><creator>Kwieciński, Jacek</creator><creator>Stokłosa, Patrycjusz</creator><creator>Grabowski, Maciej</creator><creator>Michałowska, Ilona</creator><creator>Kuśmierski, Krzysztof</creator><creator>Witkowski, Adam</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240426</creationdate><title>Analysis of complications in transfemoral transcatheter aortic valve implantation: a single-center study</title><author>Pyłko, Anna ; Dąbrowski, Maciej ; Kowalik, Ilona ; Chmielak, Zbigniew ; Kukuła, Krzysztof ; Wolny, Rafał ; Kwieciński, Jacek ; Stokłosa, Patrycjusz ; Grabowski, Maciej ; Michałowska, Ilona ; Kuśmierski, Krzysztof ; Witkowski, Adam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c284t-c80e3f3ef3a4f5bbb56c083b801c4037404b54af4ffe162b418ce725b151a47c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Female</topic><topic>Femoral Artery</topic><topic>Humans</topic><topic>Male</topic><topic>Poland</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Transcatheter Aortic Valve Replacement - adverse effects</topic><topic>Transcatheter Aortic Valve Replacement - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pyłko, Anna</creatorcontrib><creatorcontrib>Dąbrowski, Maciej</creatorcontrib><creatorcontrib>Kowalik, Ilona</creatorcontrib><creatorcontrib>Chmielak, Zbigniew</creatorcontrib><creatorcontrib>Kukuła, Krzysztof</creatorcontrib><creatorcontrib>Wolny, Rafał</creatorcontrib><creatorcontrib>Kwieciński, Jacek</creatorcontrib><creatorcontrib>Stokłosa, Patrycjusz</creatorcontrib><creatorcontrib>Grabowski, Maciej</creatorcontrib><creatorcontrib>Michałowska, Ilona</creatorcontrib><creatorcontrib>Kuśmierski, Krzysztof</creatorcontrib><creatorcontrib>Witkowski, Adam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Polskie archiwum medycyny wewne̦trznej</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pyłko, Anna</au><au>Dąbrowski, Maciej</au><au>Kowalik, Ilona</au><au>Chmielak, Zbigniew</au><au>Kukuła, Krzysztof</au><au>Wolny, Rafał</au><au>Kwieciński, Jacek</au><au>Stokłosa, Patrycjusz</au><au>Grabowski, Maciej</au><au>Michałowska, Ilona</au><au>Kuśmierski, Krzysztof</au><au>Witkowski, Adam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of complications in transfemoral transcatheter aortic valve implantation: a single-center study</atitle><jtitle>Polskie archiwum medycyny wewne̦trznej</jtitle><addtitle>Pol Arch Intern Med</addtitle><date>2024-04-26</date><risdate>2024</risdate><volume>134</volume><issue>4</issue><issn>1897-9483</issn><eissn>1897-9483</eissn><abstract>Transfemoral access is a prevailing approach for transcatheter aortic valve implantation (TAVI) in contemporary practice, with a shift from surgical arteriotomy to a percutaneous arterial approach.
This study assessed long- and short‑term mortality, along with Valve Academic Research Consortium-2-defined complications in percutaneous transfemoral approach (PTA) TAVI. Furthermore, it explored the impact of a learning curve on procedural outcomes.
The study included 600 patients undergoing PTA TAVI at the National Institute of Cardiology, Warsaw, Poland, from January 2009 to September 2020. Retrospective data comparison involved 2 groups: early experience (first 200 patients) and late experience (next 400 patients).
The primary end point (composite of life‑threatening bleeding, major vascular complication, or death at 30 days) occurred less often in the late experience group (28% vs 17.5%; P = 0.003). The late experience group also showed fewer cases of vascular complications (19% vs 10.7%; P = 0.005) and major bleeding (17.5% vs 8.5%; P = 0.001). Propensity matching yielded similar trends, including reduced frequency of pacemaker implantation (22.8% vs 10.9%; P = 0.03) and shorter median (interquartile range) hospitalization (11 [8-18] vs 7 [6-12] days; P <0.001) in the late experience group.
The late experience group rated with PTA TAVI exhibited significantly reduced periprocedural complications, indicating a positive impact of accumulated expertise.</abstract><cop>Poland</cop><pmid>38483121</pmid><doi>10.20452/pamw.16696</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aged, 80 and over Aortic Valve Stenosis - surgery Female Femoral Artery Humans Male Poland Postoperative Complications - epidemiology Postoperative Complications - etiology Retrospective Studies Transcatheter Aortic Valve Replacement - adverse effects Transcatheter Aortic Valve Replacement - methods Treatment Outcome |
| title | Analysis of complications in transfemoral transcatheter aortic valve implantation: a single-center study |
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