Objective We sought to assess what proportion of patients with severe symptomatic aortic stenosis who are excluded from cardiac surgery are eligible for transcatheter aortic valve implantation (TAVI). Methods Between July 2007 and December 2008, 98 patients with severe symptomatic aortic stenosis judged inoperable were referred to our institution for percutaneous aortic balloon valvuloplasty (PABV). They entered a screening for TAVI with the CoreValve Revalving System or the Edwards-Sapien valve, comprising general clinical evaluation, echocardiogram, coronary angiography, angiography and angio-CT scan of thoracic aorta and ilio-femoral axes. Results Mean patients' age was 82 +/- 7 years; the vast majority presented relevant comorbidities. Mortality risk predicted by the logistic European System for Cardiac Operative Risk Evaluation was on average 25.3 +/- 14.5%. Overall, 45 (45.9%) patients met the criteria for TAVI: 29.6% for percutaneous transfemoral access, 6.1% for trans-subclavian and 10.2% for transapical approaches. Reason for exclusion was severe noncardiac comorbidity in around half of the cases. PABV allowed re-classification of several patients with very poor left ejection fraction and severe mitral regurgitation. Among the 39 patients undergoing TAVI after the screening, in-hospital mortality was 3.7% for transfemoral and 0 for trans-subclavian and transapical approaches. Conclusions TAVI represents a viable therapeutic option for elderly patients with severe symptomatic aortic stenosis who are not candidates for surgical aortic valve replacement. However, presently less than half of them actually fulfil the criteria for these procedures. J Cardiovasc Med 11: 727-732 (C) 2010 Italian Federation of Cardiology.
机构:
University of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele HospitalUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele Hospital
Gabriela Silvia Gheorghe
Andreea Simona Hodorogea
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University of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele HospitalUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele Hospital
Andreea Simona Hodorogea
Andrei Cristian Dan Gheorghe
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University of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele HospitalUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele Hospital
Andrei Cristian Dan Gheorghe
Ioan Tiberiu Nanea
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University of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele HospitalUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele Hospital
Ioan Tiberiu Nanea
Ana Ciobanu
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University of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele HospitalUniversity of Medicine and Pharmacy Carol Davila, Bucharest, Prof. Dr. Th. Burghele Hospital
机构:
Univ Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, RomaniaUniv Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, Romania
Gheorghe, Gabriela Silvia
Hodorogea, Andreea Simona
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Univ Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, RomaniaUniv Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, Romania
Hodorogea, Andreea Simona
Gheorghe, Andrei Cristian Dan
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Univ Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, RomaniaUniv Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, Romania
Gheorghe, Andrei Cristian Dan
Nanea, Ioan Tiberiu
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Univ Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, RomaniaUniv Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, Romania
Nanea, Ioan Tiberiu
Ciobanu, Ana
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Univ Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, RomaniaUniv Med & Pharm Carol Davila, Prof Dr Th Burghele Hosp, Bucharest, Romania
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Atilim Univ, Sch Med, Medicana Int Ankara Hosp, Dept Cardiol, Ankara, TurkeyAtilim Univ, Sch Med, Medicana Int Ankara Hosp, Dept Cardiol, Ankara, Turkey
Karaduman, Bilge Duran
Ayhan, Huseyin
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Atilim Univ, Sch Med, Medicana Int Ankara Hosp, Dept Cardiol, Ankara, TurkeyAtilim Univ, Sch Med, Medicana Int Ankara Hosp, Dept Cardiol, Ankara, Turkey
Ayhan, Huseyin
Keles, Telat
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Ankara Yildirim Beyazit Univ, Sch Med, Ankara City Hosp, Dept Cardiol, Ankara, TurkeyAtilim Univ, Sch Med, Medicana Int Ankara Hosp, Dept Cardiol, Ankara, Turkey
Keles, Telat
Bozkurt, Engin
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Medicana Int Ankara Hosp, Dept Cardiol, Ankara, TurkeyAtilim Univ, Sch Med, Medicana Int Ankara Hosp, Dept Cardiol, Ankara, Turkey
Bozkurt, Engin
TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY,
2021,
49
(02):
: 97
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107
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
Chung, B. K.
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Chan, E. Z.
Thien, L. K.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
Thien, L. K.
Pang, I. X.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
Pang, I. X.
Chan, D. S. T.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
Chan, D. S. T.
Khor, H. K.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
Khor, H. K.
Shu, F. E. P.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
Shu, F. E. P.
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Ling, H. S.
Chow, H. B.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
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Soon, S. Y.
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
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Univ Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, MalaysiaUniv Malaysia Sarawak, Dept Cardiol, Sarawak Heart Ctr, Kota Samarahan, Malaysia
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