التفاصيل البيبلوغرافية
| العنوان: |
The role of the vascular surgeon in transcatheter aortic valve implantation |
| المؤلفون: |
Gallitto, Enrico, Faggioli, Gianluca, Saia, Francesco, Palmerini, Tullio, Pini, Rodolfo, Bruno, Antonio Giulio, Feroldi, Francesca Maria, Alaidros, Moad, Ghetti, Gabriele, Taglieri, Nevio, Caputo, Stefania, Donati, Francesco, Marrozzini, Cinzia, Gargiulo, Mauro |
| المصدر: |
Vascular ; ISSN 1708-5381 1708-539X |
| بيانات النشر: |
SAGE Publications |
| سنة النشر: |
2024 |
| مصطلحات موضوعية: |
Cardiology and Cardiovascular Medicine, Radiology, Nuclear Medicine and imaging, General Medicine, Surgery |
| الوصف: |
Background Transcatheter aortic valve implantation (TAVI) has become the standard treatment for severe aortic valve stenosis in patients at increased surgical risk. Percutaneous transfemoral (TF) is the access of choice due to its reduced invasiveness and perioperative morbidity/mortality compared with the trans-axillary, aortic, and apical routes. On the other hand, vascular access complications (VACs) of the TF access are associated with prolonged hospitalization, 30-day, and 1-year mortality. In addition, the concomitance of peripheral arterial disease may require associated endovascular management. A multidisciplinary team with Interventional Cardiologists and Vascular Surgeons may minimize the rate of VACs in patients with challenging femoral-iliac access or concomitant disease of other vascular districts, thus optimizing the outcome of TF-TAVI. The aim of this study was to evaluate the role of Vascular Surgeons in TF TAVI procedures. Methods We conducted a retrospective single-center review of all TF-TAVI procedures assisted by Vascular Surgeons between January 2016 and December 2020 in a high-volume tertiary hospital. Pre, intra, and postoperative data were analyzed by a dedicated group of Interventional Cardiologists and Vascular Surgeons. VACs were defined according with the Valve Academic Research Consortium (VARC) three guidelines. The outcomes of TF-TAVI procedures with Vascular Surgeons involvement were assessed as study’s endpoints. Results Overall, 937 TAVI procedures were performed with a TF approach ranging between 78% (2016) and 98% (2020). Vascular Surgeons were involved in 67 (7%) procedures with the following indications: concomitant abdominal aortic aneurysm (EVAR + TAVI) - 3 (4%), carotid stenosis (TAVI + CAS) - 2 (3%), hostile femoral/iliac access, or VACs - 62 (93%). Balloon angioplasty of iliac artery pre-TAVI implantation was performed in 51 cases (conventional PTA: 38/51%–75%; conventional PTA + intravascular lithotripsy: 13/51%–25%; stenting: 5/51%–10%). TAVI procedure was ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1177/17085381241237844 |
| الإتاحة: |
https://doi.org/10.1177/17085381241237844Test |
| حقوق: |
https://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest |
| رقم الانضمام: |
edsbas.F1A227EE |
| قاعدة البيانات: |
BASE |
