eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2009
vol. 6
 
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abstract:

FORUM EKSPERTÓW
POL-TAVI FIRST – Polish report on transcatheter aortic valve implantation (TAVI) of Edwards-Sapien prosthesis in the first 19 high risk patients with severe aortic stenosis and comorbidities

Marian Zembala
,
Krzysztof Wilczek
,
Roman Przybylski
,
Piotr Chodór
,
Paweł Nadziakiewicz
,
Marcin Krasoń
,
Jerzy Sadowski
,
Dariusz Dudek
,
Bogusław Kapelak
,
Danuta Forysz
,
Adam Witkowski
,
Marcin Demkow
,
Zbigniew Chmielak
,
Krzysztof Kuśmierski
,
Zbigniew Juraszyński
,
Andrzej Bochenek
,
Marek Cisowski
,
Maria Trusz-Gluza
,
Paweł Buszman
,
Stanisław Woś
,
Zbigniew Kalarus
,
Lech Poloński
,
Mariusz Gąsior
,
Grzegorz Opolski
,
Witold Rużyłło

Kardiochirurgia i Torakochirurgia Polska 2009; 6 (3): 219–223
Online publish date: 2009/09/23
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Patients with severe symptomatic aortic stenosis, who from November 2008 to March 2009 were treated with Edwards-Sapien transcatheter aortic valve implantation (TAVI) within the POL-TAVI First Polish Registry, were included in the analysis. Nineteen patients aged 78±4,8 years with high operation risk and Logistic EuroSCORE 25 ± 7.6% were reported (74% were females). In 15 (79%) patients the valve was implanted transapically (TA), in the other four (21%) – via the femoral arterial access (TF). The valve was successfully implanted in 16 (84%) patients, in one patient aortic valvuloplasty alone was performed. During in-hospital period two patients died (one during periprocedural period and another one – two months after the implantation). During the mean follow-up of 5 ± 1.5 months (except for one patient who is still in hospital) all patients are in NYHA class I or II. Results of the initial series of 19 TAVI patients in Poland are satisfactory, and the trial will be continued with careful medical and economical analysis.
keywords:

severe aortic stenosis, transcatheter aortic valve implantation, Edwards-Sapien valve

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