Differences in left ventricular remodelling in patients with aortic stenosis treated with transcatheter aortic valve replacement with corevalve prostheses compared to surgery with porcine or bovine biological prostheses
Autor: | Jesper Kjaergaard, Daniel A Steinbrüchel, Anh Thuc Ngo, Peter Bo Hansen, Christian Hassager, Lars Søndergaard, Peter Skov Olsen, M. Winther-Jensen, Hans Gustav Hørsted Thyregod, Nikolaj Ihlemann |
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Rok vydání: | 2017 |
Předmět: |
Male
Swine Denmark medicine.medical_treatment Anastomotic Leak 030204 cardiovascular system & hematology Severity of Illness Index law.invention Postoperative Complications 0302 clinical medicine Aortic valve replacement Valve replacement law 030212 general & internal medicine Aged 80 and over Heart Valve Prosthesis Implantation Ventricular Remodeling General Medicine Prosthesis Failure Thoracotomy Echocardiography Heart Valve Prosthesis Aortic valve stenosis Cardiology End-diastolic volume Female Cardiology and Cardiovascular Medicine medicine.medical_specialty Transcatheter aortic Prosthesis Design Risk Assessment Transcatheter Aortic Valve Replacement 03 medical and health sciences Internal medicine medicine Animals Humans Radiology Nuclear Medicine and imaging In patient Aged Sweden business.industry Stroke Volume Aortic Valve Stenosis medicine.disease Surgery Stenosis Artificial cardiac pacemaker Cattle business |
Zdroj: | European Heart Journal - Cardiovascular Imaging. 19:39-46 |
ISSN: | 2047-2412 2047-2404 |
Popis: | Aims Patients with severe aortic stenosis (AS) can be considered for treatment with either transcatheter (TAVR) or surgical aortic valve replacement (SAVR). The purpose of this study was to compare left ventricular (LV) remodeling in patients with AS after treatment with TAVR or SAVR. Methods and results This is an echocardiographic substudy of the NOTION trial, a randomized all-comers trial comparing TAVR with SAVR in patients above 70 years of age. Transthoracic echocardiograms were performed at baseline, 3 and 12 months after TAVR and SAVR. About 232 patients were included in the study, 120 were randomized to TAVR and 112 to SAVR. From baseline to 12 months post-procedure, aortic valve area (AVA) increased in both groups, but with a larger increase in the TAVR group (0.65 ± 0.04 cm2 vs. 1.02 ± 0.05 cm2 for SAVR and TAVR group, P |
Databáze: | OpenAIRE |
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