The role of external iliac artery diameter indexed to BSA score in predicting vascular access complications after transfemoral transcatheter aortic valve implantation.

Autor: Gruz-Kwapisz M; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Gasior T; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.; Collegium Medicum - Faculty of Medicine, WSB University, Dabrowa Gornicza, Poland., Hajder A; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Wanha W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Ciosek J; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Ochala A; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Parma R; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Gocol R; Department of Cardiac Surgery, Medical University of Silesia, Katowice, Poland., Wojakowski W; Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland., Hudziak D; Department of Cardiac Surgery, Medical University of Silesia, Katowice, Poland.
Jazyk: angličtina
Zdroj: Postepy w kardiologii interwencyjnej = Advances in interventional cardiology [Postepy Kardiol Interwencyjnej] 2024 Mar; Vol. 20 (1), pp. 76-83. Date of Electronic Publication: 2024 Mar 15.
DOI: 10.5114/aic.2024.136407
Abstrakt: Introduction: Aortic stenosis is the most common primary valve disease and requires invasive treatment. Transcatheter aortic valve implantation (TAVI) from a transfemoral access is a routine intervention worldwide.
Aim: To investigate the correlation between external iliac artery diameter (EIAD) indexed to body surface area (BSA) (EIAD-BSA) and access site complications in patients undergoing TAVI via transfemoral access (TF) (TF-TAVI).
Material and Methods: Patients underwent TF-TAVI in 2017-2019 at the Upper-Silesian Medical Center in Katowice. Based on the preoperative multi-slice computed tomography (MSCT), pre-specified measurements of the ilio-femoral vessels were performed. The results were indexed to BSA and body mass index (BMI). Complications after TAVI were defined by Valve Academic Research Consortium 3 (VARC-3). The primary outcome regarding the adverse events after TAVI was the composite of access site complications requiring surgical intervention or blood transfusion.
Results: The registry included 193 unselected patients with severe symptomatic aortic stenosis. Vascular and access-related complications including bleeding occurred in 17.1% of patients. Major TAVI access site complications (VARC-3) were reported in 5.7% of patients, while minor complications (VARC-3) occurred in 2.6%. EIAD-BSA demonstrated a positive correlation with the access site complications primary endpoint. Patients with greater EIAD-BSA had a numerically higher number of access site adverse events requiring surgical intervention or blood transfusion: n = 12 (5%) vs. n = 4 (4%), p = 0.011.
Conclusions: External iliac artery diameter indexed to BSA could be an underestimated indicator of unfavorable outcomes after TF-TAVI, predicting periprocedural access site complications.
Competing Interests: Tomasz Gasior is an employee of Boehringer Ingelheim. Other authors declare no conflict of interest.
(Copyright: © 2024 Termedia Sp. z o. o.)
Databáze: MEDLINE
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