| Autor: |
Sabine, Bleiziffer, Robert, Bauernschmitt, Hendrik, Ruge, Domenico, Mazzitelli, Christian, Schreiber, Andrea, Hutter, Anke, Opitz, Rüdiger, Lange |
| Jazyk: |
němčina |
| Rok vydání: |
2009 |
| Předmět: |
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| Zdroj: |
Herz. 34(5) |
| ISSN: |
1615-6692 |
| Popis: |
The technology of catheter- based aortic valve implantation is a new, less invasive therapeutic option for patients with symptomatic high-grade aortic stenosis. The present paper aims to demonstrate that optimal therapy should be provided by a multidisciplinary team consisting of cardiac surgeons, cardiologists and cardioanesthesiologists in a hybrid suite.From June 2007 to April 2009, 234 patients have been treated by transcatheter aortic valve implantation through different access sites (n = 168 femoral artery, n = 56 left ventricular apex, n = 7 subclavian artery, n = 3 ascending aorta) at the German Heart Center Munich, Germany. An algorithm for the choice of the most appropriate access site for the individual patient was established.The 30-day mortality was 11.2% in this high-risk patient cohort. A certain number of periprocedural complications required surgical management. There was a considerable clinical improvement of the patients 6 months after the procedure.Integrating the new methods of aortic valve implantation into a cardiac surgery program, all kinds of surgical and interventional treatment options may be offered to the patient with aortic stenosis by one multidisciplinary team. A qualified and safe performance of transcatheter aortic valve implantation and the management of potential complications require the presence of a hybrid suite. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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