دورية أكاديمية
Impact of post-dilatation on the reduction of paravalvular leak and mortality after transcatheter aortic valve implantation.
| العنوان: | Impact of post-dilatation on the reduction of paravalvular leak and mortality after transcatheter aortic valve implantation. |
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| المؤلفون: | Kleczyński P; Institute of Cardiology, Jagiellonian University, Medical College, Krakow, Poland, Poland. kleczu@interia.pl., Dziewierz A, Daniec M, Bagieński M, Rzeszutko Ł, Sorysz D, Trębacz J, Sobczyński R, Tomala M, Dudek D |
| المصدر: | Kardiologia polska [Kardiol Pol] 2017; Vol. 75 (8), pp. 742-748. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Via Medica Country of Publication: Poland NLM ID: 0376352 Publication Model: Print Cited Medium: Internet ISSN: 1897-4279 (Electronic) Linking ISSN: 00229032 NLM ISO Abbreviation: Kardiol Pol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : Gdansk, Poland : Via Medica Original Publication: Warszawa, Poland : Polskie Towarzystwo Kardiologiczne |
| مواضيع طبية MeSH: | Aortic Valve Stenosis/*surgery , Transcatheter Aortic Valve Replacement/*methods, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Transcatheter Aortic Valve Replacement/adverse effects ; Transcatheter Aortic Valve Replacement/mortality ; Treatment Outcome |
| مستخلص: | Background: Post-implantation paravalvular leak (PVL) remains a significant complication of transcatheter aortic valve implantation (TAVI). More importantly, its occurrence may impact long-term mortality. Aim: We sought to evaluate the effects of balloon post-dilatation (PD) on the reduction of PVL and mortality in patients undergoing TAVI. Methods: A total of 101 consecutive patients undergoing TAVI were enrolled. Angiography, echocardiography, and the aortic regurgitation index (ARI) were used to assess the severity of PVL before and after balloon PD. Patients were divided into two groups based whether or not PD after TAVI was performed. Reduction of PVL, change of ARI, and clinical outcomes were assessed. Results: Balloon post-dilatation was performed in 23 (22.8%) patients. In 95.6%, PVL reduction was successful (no or mild PVL). PD increased the ARI from 23.4% (22.4-24.0) to 27.1% (26.1-28.3); p < 0.001. Thirty-day mortality rate was 14.1% in the PD (-) group vs. 0.0% in the PD (+) group; p = 0.07. One-year mortality (21.8% vs. 4.3%, p = 0.97) and procedural stroke rate (7.7% vs. 8.7%, p = 0.99) were not different between the groups. Conclusions: Balloon post-dilatation may be a safe and effective technique to reduce moderate to severe PVL after TAVI. |
| فهرسة مساهمة: | Keywords: aortic stenosis; paravalvular leak; post-dilatation; transcatheter aortic valve implantation |
| تواريخ الأحداث: | Date Created: 20170819 Date Completed: 20171204 Latest Revision: 20220317 |
| رمز التحديث: | 20221213 |
| DOI: | 10.5603/KP.2017.0152 |
| PMID: | 28819953 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1897-4279 |
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| DOI: | 10.5603/KP.2017.0152 |