Transfemoral versus transcarotid access for transcatheter aortic valve replacement

Autor: Maud-Emmanuelle Olivier, Alessandro Di Cesare, Anne Poncet, Camille Brasselet, Damien Metz, Fausto Biancari, Vito Giovanni Ruggieri, Laurent Faroux, Salvatore Muccio, Pierre-Frédéric Torossian, Sébastien Duval, Li Liu, Emmanuelle Durand, Sophie Tassan, Virginie Heroguelle
Rok vydání: 2020
Předmět:
Zdroj: JTCVS techniques. 15
ISSN: 2666-2507
Popis: To compare the outcomes after transcatheter aortic valve replacement (TAVR) through a transfemoral (TF) and transcarotid (TC) access at our institution.From January 2014 to January 2020, 62 TC-TAVR and 449 TF-TAVR were performed using 2 prosthesis devices (Edwards SAPIEN 3, n = 369; Medtronic Evolut R, n = 142). Propensity score matching was used to adjust for imbalance in the baseline characteristics of the study groups.Propensity score matching provided 62 matched pairs with comparable operative risk (mean European System for Cardiac Operative Risk Evaluation II, TC-TAVR 7.6% vs TF-TAVR 6.6%,TC access for TAVR was associated with satisfactory results compared to the femoral access. TC-TAVR could be considered a valid and safe alternative to TF-TAVR when femoral access is contraindicated.
Databáze: OpenAIRE