January 15, 2011European Journal of Cardio-Thoracic Surgery
Apical-access-related complications associated with trans-catheter aortic valve implantation☆☆☆
Population
143 patients scheduled for trans-apical aortic valve implantation, mean age 80 ± 6 years, 116 females, mean…
Design
Cohort
Follow-up
30 days, 6 months, and then annually
Authors
Discussion
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Implication
Apical complications may warrant heightened post-procedural vigilance in transapical TAVI; this Level 3 cohort study leaves open whether prevention improves survival.
Structured PICO
P
Population
143 patients scheduled for trans-apical aortic valve implantation, mean age 80 ± 6 years, 116 females, mean logistic EuroSCORE 21 ± 13%
I
Intervention
Trans-apical trans-catheter aortic valve implantation
O
Outcome
Short- and long-term implications of apical-access-site-specific complications (including severe apical bleeding, pseudo-aneurysm, and survival)safety
Severe apical bleeding complications and aneurysm formation during trans-apical TAVI significantly impair short- and long-term survival in elderly patients.
Cite This Study
Bleiziffer et al. (2011) studied this question.