February 24, 2009European Journal of Cardio-Thoracic Surgery
Results of percutaneous and transapical transcatheter aortic valve implantation performed by a surgical team☆
Why the study?
Does transcatheter aortic valve implantation performed by a surgical team provide acceptable clinical and hemodynamic outcomes in patients with aortic stenosis?
Population
137 patients with aortic stenosis, mean age 81+/-7 years, 78 female.
Design
Cohort
Follow-up
mean 97+/-82 days
Authors
Discussion
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Member takes
Implication
Supports surgical team-led TAVI feasibility in aortic stenosis; leaves open randomized confirmation versus established programs.
Structured PICO
Does transcatheter aortic valve implantation performed by a surgical team provide acceptable clinical and hemodynamic outcomes in patients with aortic stenosis?
P
Population
137 patients with aortic stenosis, mean age 81+/-7 years, 78 female.
I
Intervention
Transcatheter aortic valve implantation (TAVI) using CoreValve (n=114) or Edwards Sapien (n=23) prostheses via transfemoral, subclavian, ascending aorta, or transapical approaches, performed by a surgical team.
O
Outcome
30-day mortalityhard clinical
Transcatheter aortic valve implantation performed by a surgical team yields acceptable short- and mid-term mortality and significant symptomatic improvement in patients with aortic stenosis.
Cite This Study
Bleiziffer et al. (2009) studied this question.