Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Transcatheter aortic valve implantation in patients with large aortic annulus: a single centre experience
Session:
Posters (Sessão 4 - Écran 6) - Intervenção Valvular Aórtica Percutânea 1
Speaker:
Ana Rita Gomes
Congress:
CPC 2023
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
15. Valvular Heart Disease
Subtheme:
15.4 Valvular Heart Disease – Treatment
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Ana Rita M. Gomes; João Borges-Rosa; Gustavo Campos; Mariana Lima; Sofia Martinho; Ana Vera Marinho; Luís Leite; Elisabete Jorge; Joana Delgado Silva; Natália António; Marco Costa; Lino Gonçalves
Abstract
<p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Introduction</strong>: The growing number of patients eligible for transcatheter aortic valve implantation (TAVI) has created a need to make this procedure more widely accessible. As the criteria for TAVI continue to expand and more patients are selected for this minimally invasive procedure over surgical approach, the proportion of patients with large and extra-large annuli is increasing.</span></span></p> <p><strong><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif">A</span></span></strong><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>im: </strong>This study aims to characterize the population with large annuli submitted to TAVI in our centre and its short and long-term follow-up.</span></span></p> <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Methods: </strong>Retrospective analysis of patients consecutively admitted for TAVI with Edwards Sapiens 29®, EvolutR34® or EvolutPro34® valves in a single Cardiology Department between March 2020 and May 2022. Baseline characteristics, echocardiographic and computed tomography angiography (CTA) parameters were collected. Short-term follow-up included screening for procedural vascular complications and significant paravalvular or central leaks. Long-term follow-up included death for all causes.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Results: </strong>A total of 44 patients<strong> </strong>were included with a median age of 82.0 (7.0) years old and 88.6% males. About half (56.8%) of the patients had a body-mass index > 25kg/m2, 79.5% had hypertension, 75.0% had dyslipidaemia and 40.9% had diabetes. Concerning established cardiovascular disease, 25.0% had a history of percutaneous coronary intervention (PCI), 4.5% of coronary artery bypass grafting and 20.5% had known peripheral artery disease. Basal echocardiographic parameters revealed a mean of the mean gradient of 46.7+-13.0 mmHg and a median left ventricular ejection function of 51.0 (24.0)%. The median aortic annulus measured by CTA was 30.0 (2.75) mm. After the procedure, 6.8% had minor vascular complications and there were no major vascular complications. At short-term follow-up, 11.4% had mild central regurgitation, 65.9% had mild paravalvular leaks and 15.9% had moderate paravalvular leaks. At 1-year follow-up, all-cause mortality rate was 18.2%.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong>Conclusions: </strong>This study analysed the characteristics and outcomes of patients with large annuli undergoing transcatheter aortic valve implantation (TAVI) in a single Cardiology centre. TAVI was associated with minor vascular complications in 6.8% of patients and no major complications. At short-term follow-up, only 15.9% had significant paravalvular leaks. The all-cause mortality rate at 1-year follow-up was 18.2%. These findings provide valuable insights into the outcomes of TAVI in patients with large annuli.</span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site