Comparison between Surgical Access and Percutaneous Closure Device in 787 Patients Undergoing Transcatheter Aortic Valve Replacement
| Autor: | Ferdinand Vogt, Matthias Pauschinger, Theodor Fischlein, Giuseppe Santarpino, Kristinko Martinovic, Dennis Eckner, Jürgen Jessl, Francesco Pollari, Helmut Mair, Johannes Schwab |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
vascular complications Percutaneous Transcatheter aortic Transcatheter Aortic Valve Replacement (TAVR) Arterial disease medicine.medical_treatment lcsh:Medicine 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Valve replacement Peripheral Artery Disease (PAD) heart team medicine 030212 general & internal medicine Peripheral artery disease (PAD) business.industry Significant difference lcsh:R Retrospective cohort study General Medicine medicine.disease Aortic Valve Disease Surgery Surgical access business |
| Zdroj: | Journal of Clinical Medicine, Vol 10, Iss 1344, p 1344 (2021) Journal of Clinical Medicine Volume 10 Issue 7 |
| ISSN: | 2077-0383 |
| Popis: | Background: The vascular access in transcatheter aortic valve replacement (TAVR) was initially dominated by a surgical approach. Meanwhile, percutaneous closure systems became a well-established alternative. The aim of this study was to compare the clinical outcome between the two approaches. Methods: In this retrospective study, we observed 787 patients undergoing a TAVR-Procedure between 2013 and 2019. Of those, 338 patients were treated with surgical access and 449 with the Perclose ProGlide™-System (Abbott, Chicago, IL, USA). According to the Bleeding Academic Research Consortium (BARC) and Valve Academic Research Consortium (VARC) criteria, the primary combined endpoints were defined. Results: Overall hospital mortality was 2.8% with no significant difference between surgical (3.8%) and percutaneous (2.2%) access (p = 0.182). Major vascular complications or bleeding defined as the primary combined endpoint was not significantly different in either group (Surgical group 5.3%, ProGlide group 5.1%, p = 0.899). In the ProGlide group, women with pre-existing peripheral artery disease (PAD) were significantly more often affected by a vascular complication (p = 0.001 for female sex and p = 0.03 for PAD). Conclusions: We were able to show that the use of both accesses is safe. However, the surgical access route should also be considered in case of peripheral artery disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|