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eISSN: 2084-9877
ISSN: 1896-9666
Przegląd Kardiodiabetologiczny/Cardio-Diabetological Review
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2/2012
vol. 7
 
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abstract:

Original paper
Transcatheter aortic valve implantation – single center experience

Paweł Kralisz
,
Marek Frank
,
Bożena Sobkowicz
,
Adam Łukasiewicz
,
Konrad Nowak
,
Agnieszka Tycińska
,
Hanna Bachórzewska-Gajewska
,
Tomasz Hirnle
,
Sławomir Dobrzycki

Przegląd Kardiodiabetologiczny 2012; 7 (2): 103–109
Online publish date: 2012/12/09
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Introduction: Transcatheter aortic valve implantation (TAVI) is alternative treatment for high risk patients with severe, symptomatic aortic stenosis. The TAVI procedures are associated with good immediate and long-term outcomes.

Aim: To determine the success, complications, and survival of patients after TAVI during hospitalization in single center.

Material and methods: A cohort of 22 patients (age 79.7 years, logistic Euroscore 23.2) with severe aortic stenosis underwent TAVI procedures. The approach was femoral in 16 patients and transapical in 6 patients.

Results: Procedural success was achieved in 21 patients (95%). AVA and Pmax before and after the procedure were respectively: 0.65 ±0.1 cm2, 99.1 ±27.1 mm Hg and 2.5 ±0.4 cm2, 15.8 ±4.4 mm Hg. Hospital mortality was 9% (2/22). One patient (with biscupid valve) died on 27 day after cardiosurgery due to aortic dissection resulting from shifting CoreValve to ascending aorta. One patient died after tamponade and multi-organ failure 4 days after procedure. During hospitalization there was no severe aortic regurgitations, strokes, myocardial infarctions and contrast induced nephropathies (excluding patients who died, nephropathy as a component of multi-organ failure).

Conclusions: Transcatheter aortic valve implantation procedures in high risk patients not qualified for surgery is efficacious method of treatment for severe, symptomatical aortic stenosis.
keywords:

aortic stenosis, transcatheter aortic valve implantation, balloon aortic valvuloplasty, femoral and transapical approach

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