Initial experience with a novel, modular, minimalistic approach for transfemoral aortic valve implantation
| Autor: | Holger Nef, O Doerr, Christian W. Hamm, Matthias Renker, Won-Keun Kim, Oliver J. Liakopoulos, Yeong-Hoon Choi |
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| Rok vydání: | 2021 |
| Předmět: |
Aortic valve
medicine.medical_specialty Transcatheter aortic 030204 cardiovascular system & hematology Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Low contrast Matched cohort medicine Humans 030212 general & internal medicine Beneficial effects Retrospective Studies business.industry Aortic Valve Stenosis medicine.disease Surgery Stenosis Treatment Outcome medicine.anatomical_structure Aortic Valve Heart Valve Prosthesis Cohort Cardiology and Cardiovascular Medicine business |
| Zdroj: | International Journal of Cardiology. 332:54-59 |
| ISSN: | 0167-5273 |
| DOI: | 10.1016/j.ijcard.2021.03.060 |
| Popis: | We introduce a novel approach that involves a single arterial access and low contrast agent volume (SLIM).Transcatheter aortic valve implantation (TAVI) is subject to an ongoing process of refinement and simplification.Between January 2019 and November 2020, a total 888 patients with severe aortic stenosis underwent transfemoral TAVI using balloon-expandable or specific self-expanding devices. The study cohort comprised patients with attempted SLIM approach (n = 291). A matched cohort of patients who were treated in a standard fashion served as control group (n = 291).The SLIM approach was successful in 92.4% of attempted cases. In the SLIM group, utilization of contrast agent (23 [19-37] vs. 75 [52-100] ml; p0.001), rates of any acute kidney injury (5.5% vs. 12.7%; p = 0.002), complications at the secondary access (0.3% vs. 3.1%; p = 0.011) and length of hospital stay (7 [5-8] vs. 7 [6-9]) days; p = 0.039) were significantly reduced. All other procedural outcomes were similar between groups.Initial results of this novel, minimalistic approach demonstrate its feasibility and potential beneficial effects without compromising procedural safety. Further refinement of this approach is warranted. |
| Databáze: | OpenAIRE |
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