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
Paravalvular leaks after TAVI: risk factors and prognostic impact - a high volume single centre experience
Session:
Posters (Sessão 6 - Écran 2) - Intervenção não coronária
Speaker:
Joana Guimarães
Congress:
CPC 2023
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
25. Interventional Cardiology
Subtheme:
25.3 Non-coronary Cardiac Intervention
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Joana Guimarães; Diogo Fernandes; Gonçalo Costa; Eric Monteiro; Gustavo Campos; João Rosa; Ana Rita Gomes; Rafaela Fernandes; Vanessa Lopes; Vera Marinho; Joana Silva; Elisabete Jorge; Marco Costa; Graça Castro; Lino Gonçalves
Abstract
<p>Background: Transcatheter aortic valve implantation (TAVI) has emerged as a standard treatment for severe aortic valve stenosis in high surgical risk or inoperable patients. Paravalvular leak (PVL) not only is a common complication after TAVI but it also has been linked to worse outcomes.</p> <p> </p> <p>Purpose: The aim of this study is to assess risk factors and prognostic impact of paravalvular leaks after transcatheter aortic valve implantation in a large single-center cohort.</p> <p> </p> <p>Methods: We retrospectively analyzed consecutive patients who underwent TAVI at a Portuguese tertiary center from March 2020 to October 2022. Clinical, anatomical and procedural data were collected at presentation and during follow up. Evaluation of PVL was made using aortography immediately after the procedure. Univariate and multivariate logistic regression tests were used.</p> <p> </p> <p>Results: A total of 336 patients were enrolled, 51.5% were male and mean age was 81.2 ± 6.2 years old. Mean follow-up time was 500 ± 150 days. The overall prevalence of mild-to-moderate PVL was 32.2% and only 0.8% of patients had moderate-to-severe PVL. No patient presented severe PVL. On multivariate logistic regression analysis, male sex (OR 1.80, 95% CI 1.12-2.89, p=0,016), higher calcium score of the aortic valve (OR 1.01, 95% CI 1.01-1.02, p=0,009) and self-expandable transcatheter heart valves (OR 2.3, 95% CI 1.02-5.18, p=0,044) were found to be associated with mild-to-moderate PVL. Age, aortic regurgitation at baseline and balloon post-dilation were not associated with PVL. Mild-to-moderate PVL did not have an impact in mortality during follow up (OR 1.95, 95% CI 0.88-4.31, p=0,1).</p> <p> </p> <p>Conclusion: In our cohort of patients, approximately one-third presented with mild-to-moderate PVL after TAVI. On multivariate analysis, male sex, higher calcium score of the aortic valve and self-expandable prosthesis were predictors of PVL. During follow-up, the presence of mild-to-moderate PVL was not correlated with a negative impact on survival.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site