Publications

Authors:

Galeone, Antonella; Perrone, Fabiola; Pesarini, Gabriele; Ribichini, Flavio Luciano; Di Gaetano, Renato; Luciani, GIOVANNI BATTISTA; Onorati, Francesco

Title:

Ten-year experience with a transapical approach for transcatheter aortic and mitral valve implantation

Year:

2024

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

Elettronico

Referee:

Sì

Name of journal:

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE

ISSN of journal:

2308-3425

N° Volume:

11

Number or Folder:

7

Page numbers:

1-13

Keyword:

transcatheter aortic valve implantation; transapical access; valve-in-valve

Short description of contents:

Background: The transfemoral approach represents the optimal access for TAVI due to its low invasiveness; however, up to 10–15% of TAVI candidates are considered unsuitable for femoral access because of significant peripheral vascular disease and need alternative access. Methods: This is a single-center retrospective observational study including all consecutive adult patients undergoing transcatheter procedures through a TA approach from March 2015 to April 2024. Results: 213 patients underwent transcatheter aortic or mitral valve implantation through a TA approach and were enrolled in this study. The mean age of the patients was 79.5 ± 5.7 years, and 54% of the patients were males. The mean Euroscore II was 7.9 ± 6.4%. One-third of the patients had previous cardiac surgery. The overall mean survival time was 5.3 ± 0.3 years. Nine (4%) patients developed infective endocarditis (IE) during the follow-up. Conclusions: The transapical approach for transcatheter procedures is a safe and effective procedure for patients unsuitable for TF access with low periprocedural mortality and a low rate of post-procedural complications when performed by experienced surgeons and cardiologists.

Product ID:

140366

Handle IRIS:

11562/1129986

Last Modified:

October 3, 2024

Bibliographic citation:

Galeone, Antonella; Perrone, Fabiola; Pesarini, Gabriele; Ribichini, Flavio Luciano; Di Gaetano, Renato; Luciani, GIOVANNI BATTISTA; Onorati, Francesco, Ten-year experience with a transapical approach for transcatheter aortic and mitral valve implantation «JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE» , vol. 11 , n. 7 , 2024 , pp. 1-13

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