Clinical outcomes in patients after surgical and transcatheter aortic valve replacement.

Clinical outcomes in patients after surgical and transcatheter aortic valve replacement. Pol Arch Med Wewn. 2015 Sep 23; Authors: Tokarek T, Sobczyński R, Dziewierz A, Siudak Z, Zasada W, Sorysz D, Pfitzner R, Sadowski J, Dębski G, Dziewięcka E, Gruszka K, Dudek D Abstract INTRODUCTION: Transcatheter aortic valve implantation (TAVI) and minimally invasive aortic valve replacement (mini-thoracotomy, mini-sternotomy, MIAVR) have become an appealing alternative to conventional surgical (SAVR) treatment of severe aortic stenosis (AS) in high-risk patients. OBJECTIVES: Evaluate long-term result and complications after procedure in patients with diagnosed AS and treated with transfemoral TAVI, SAVR, mini-thoracotomy and mini-sternotomy. PATIENTS AND METHODS: 173 patients with symptomatic AS was enrolled in 2011-2013. Propensity scores were calculated for TAVI vs each surgical method, compared separately. Differences in clinical outcomes between TAVI patients compared with surgical methods were adjusted for propensity score using logistic regression analysis and presented as adjusted OR with 95%CI. RESULTS: Median follow-up was 583.5 (IQR:298-736) days. Before AVR no significant differences in ejection fraction (EF) were observed between groups. Mean value of EF was significantly higher one week after TAVI in comparison with other groups (TAVI:50.2%(±13.1%); minithoracotomy: 44.1%(±13.4%); ministernotomy: 37.8%(...
Source: Polskie Archiwum Medycyny Wewnetrznej - Category: Internal Medicine Tags: Pol Arch Med Wewn Source Type: research