Transcatheter Aortic Valve Replacement: The Experience of One Brazilian Health Care Center
| Autor: | Fabiula Schwartz de Azevedo, Bruno Miranda Marques, Daniel Arthur Barata Kasal, Débora Holanda Gonçalves Paula, Andrey José de Oliveira Monteiro, Clara Weksler, Ana Paula Chedid Mendes, Alex dos Santos Felix, Luciano Herman Juaçaba Belém, Alexandre Siciliano Colafranceschi, Marcelo Goulart Correa, Valeria Gonçalves Silva |
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| Rok vydání: | 2018 |
| Předmět: |
Male
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty medicine.medical_treatment lcsh:Surgery Hemodynamics 030204 cardiovascular system & hematology Severity of Illness Index Prosthesis Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Valve replacement Risk Factors Internal medicine medicine Clinical endpoint Humans Prospective Studies Aortic Valve Stenosis/surgery Prospective cohort study Aged Aged 80 and over Heart Valve Prosthesis Implantation Ejection fraction business.industry Aortic Valve Stenosis lcsh:RD1-811 General Medicine medicine.disease New York Heart Association Functional Classification Stenosis Treatment Outcome Echocardiography lcsh:RC666-701 Heart Valve Prosthesis Cardiology Female Original Article Surgery Cardiology and Cardiovascular Medicine business Brazil |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery, Vol 33, Iss 1, Pp 1-7 Brazilian Journal of Cardiovascular Surgery, Volume: 33, Issue: 1, Pages: 1-7, Published: FEB 2018 Brazilian Journal of Cardiovascular Surgery Brazilian Journal of Cardiovascular Surgery v.33 n.1 2018 Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
| ISSN: | 1678-9741 |
| DOI: | 10.21470/1678-9741-2017-0117 |
| Popis: | Objective: Transcatheter aortic valve replacement has been an alternative to invasive treatment for symptomatic severe aortic stenosis in high risk patients. The primary endpoint was 30-day and 1-year mortality from any cause. Secondary endpoints were to compare the clinical and echocardiographic variation pre-and post- transcatheter aortic valve replacement, and the occurrence of complications throughout a 4-year follow-up period. Methods: This prospective cohort, nestled to a multicenter study (Registro Brasileiro de Implante de Bioprótese por Cateter), describes the experience of a public tertiary center in transcatheter aortic valve replacement. All patients who underwent this procedure between October 2011 and February 2016 were included. Results: Fifty-eight patients underwent transcatheter aortic valve replacement. The 30-day all-cause mortality was 5.2% (n=3) and after 1 year was 17.2% (n=10). A significant improvement in New York Heart Association functional classification was observed when comparing pre-and post- transcatheter aortic valve replacement (III or IV 84.4% versus 5.8%; P |
| Databáze: | OpenAIRE |
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