Key result
Transcatheter aortic valve implantation in elderly patients was associated with rare swallowing dysfunction and a 1.5% rate of postoperative pneumonia.
Why the study?
Does transcatheter aortic valve implantation (TAVI) cause swallowing dysfunction or postoperative pneumonia in elderly patients with severe aortic stenosis?
Observational (n=64)
Does transcatheter aortic valve implantation (TAVI) cause swallowing dysfunction or postoperative pneumonia in elderly patients with severe aortic stenosis?
Swallowing dysfunction and postoperative pneumonia are rare in elderly patients undergoing TAVI, suggesting the procedure is safe regarding these specific complications.
Answers are grounded in this paper and cite their sources.
TAVI swallowing and pneumonia risks appear low in elderly; leaves open confirmation in larger prospective cohorts.
Objectives: The aim of this study was to report the swallowing dysfunction and the prevalence of postoperative nosocomial pneumonia in elderly patients with severe aortic stenosis after transcatheter aortic valve implantation (TAVI). Methods and Results: Food Intake LEVEL Scales (FILS) were assessed in 64 patients (84.2 ± 4.0 years) undergoing TAVI beforehand and at discharge. FLIS scores before TAVI were 9.0 ± 0.46 (max 10, min 7) and 8.9 ± 0.55 (max 10, min 7) at discharge, not significantly different. Only 1 patient (1.5%) developed early postoperative pneumonia. Conclusions: Swallowing dysfunction and postoperative pneumonia in elderly patients undergoing TAVI are rare.
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Kawakami et al. (2016) conducted an observational in Severe aortic stenosis (n=64). Transcatheter aortic valve implantation (TAVI) vs. Baseline (before TAVI) was evaluated on Food Intake LEVEL Scales (FILS) score (p=not significantly different). Transcatheter aortic valve implantation in elderly patients was associated with rare swallowing dysfunction and a 1.5% rate of postoperative pneumonia.
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