Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients

Marcin Misterski; Mateusz Puślecki; Merek Grygier; Anna Olasińska-Wiśniewska; Maciej Lesiak; Aleksander Araszkiewicz; Barłomiej Perek; Aneta Choręziak; Jacek Lindner; Anna Komosa; Piotr Buczkowski; Marcin Ligowski; Sławomir Katarzyński; Marek Jemielity

doi:10.5114/wiitm.2017.67481

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2017
vol. 12

Send email

Copy url:

abstract:

Original paper

Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients

Marcin Misterski

,

Mateusz Puślecki

,

Merek Grygier

,

Anna Olasińska-Wiśniewska

,

Maciej Lesiak

,

Aleksander Araszkiewicz

,

Barłomiej Perek

,

Aneta Choręziak

,

Jacek Lindner

,

Anna Komosa

,

Piotr Buczkowski

,

Marcin Ligowski

,

Sławomir Katarzyński

,

Marek Jemielity

Videosurgery Miniinv 2017; 12 (2): 172–177

DOI: https://doi.org/10.5114/wiitm.2017.67481

Online publish date: 2017/04/27

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Misterski M, Puślecki M, Grygier M, et al. Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients. Videosurgery and Other Miniinvasive Techniques. 2017;12(2):172-177. doi:10.5114/wiitm.2017.67481.

APA

Misterski, M., Puślecki, M., Grygier, M., Olasińska-Wiśniewska, A., Lesiak, M.,  & Araszkiewicz, A. et al. (2017). Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients. Videosurgery and Other Miniinvasive Techniques, 12(2), 172-177. https://doi.org/10.5114/wiitm.2017.67481

Chicago

Misterski, Marcin, Mateusz Puślecki, Merek Grygier, Anna Olasińska-Wiśniewska, Maciej Lesiak, Aleksander Araszkiewicz,  and Barłomiej Perek et al. 2017. "Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients". Videosurgery and Other Miniinvasive Techniques 12 (2): 172-177. doi:10.5114/wiitm.2017.67481.

Harvard

Misterski, M., Puślecki, M., Grygier, M., Olasińska-Wiśniewska, A., Lesiak, M., Araszkiewicz, A., Perek, B., Choręziak, A., Lindner, J., Komosa, A., Buczkowski, P., Ligowski, M., Katarzyński, S.,  and Jemielity, M. (2017). Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients. Videosurgery and Other Miniinvasive Techniques, 12(2), pp.172-177. https://doi.org/10.5114/wiitm.2017.67481

MLA

Misterski, Marcin et al. "Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients." Videosurgery and Other Miniinvasive Techniques, vol. 12, no. 2, 2017, pp. 172-177. doi:10.5114/wiitm.2017.67481.

Vancouver

Misterski M, Puślecki M, Grygier M, Olasińska-Wiśniewska A, Lesiak M, Araszkiewicz A et al. Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients. Videosurgery and Other Miniinvasive Techniques. 2017;12(2):172-177. doi:10.5114/wiitm.2017.67481.

PlumX metrics:

Introduction: Transapical aortic valve implantation (TA-AVI) has been widely introduced for treatment of patients with severe aortic stenosis in the last decade. Here we report our first clinical experience with 10 patients using the second-generation transapical Symetis Acurate TA aortic valve designed for transapical implantation.

Aim: To evaluate the results of transapical access in transcatheter aortic valve implantation (TAVI) among patients with unsuitable vascular access.

Material and methods: All patients had been assessed by a local heart team and were disqualified from surgical aortic valve replacement (AVR) and the transfemoral TAVI approach. Mean age was 75.4 ±3.9 years (range: 68–80), with 20% being female. Logistic EuroSCORE (European System for Cardiac Operative Risk Evaluation) and STS (Society of Thoracic Surgeons) were 15.4 ±8.9% and 20.5 ±4.5%, respectively.

Results: All implantations were performed successfully in the intra-annular and subcoronary position. There were no conversions to surgical AVR. All patients survived 30-day follow-up. No strokes or transient ischemic attacks were reported. There was no need for pacemaker implantation and none of the patients demonstrated moderate or significant paravalvular leakage. The mean aortic gradients improved significantly from a baseline of 57.0 ±19.2 mm Hg to a 30-day value of 14.2 ±4.1 mm Hg.

Conclusions: Our initial clinical results indicate satisfactory functionality in patients after trans-apical implantation of the Symetis Acurate aortic valve. The procedure of implantation seems to be straightforward and may be considered in patients in whom a transfemoral approach is not a good option.

keywords:

Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients

Marcin Misterski , Mateusz Puślecki , Merek Grygier , Anna Olasińska-Wiśniewska , Maciej Lesiak , Aleksander Araszkiewicz , Barłomiej Perek , Aneta Choręziak , Jacek Lindner , Anna Komosa , Piotr Buczkowski , Marcin Ligowski , Sławomir Katarzyński , Marek Jemielity

aortic stenosis, transcatheter aortic valve implantation, transapical valve implantation, Symetis Acurate valve

Marcin Misterski

,

Mateusz Puślecki

,

Merek Grygier

,

Anna Olasińska-Wiśniewska

,

Maciej Lesiak

,

Aleksander Araszkiewicz

,

Barłomiej Perek

,

Aneta Choręziak

,

Jacek Lindner

,

Anna Komosa

,

Piotr Buczkowski

,

Marcin Ligowski

,

Sławomir Katarzyński

,

Marek Jemielity