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Single center TAVR experience with a focus on the prevention and management of catastrophic complications.

Kapadia SR, Svensson LG, Roselli E, Schoenhagen P, Popovic Z, Alfirevic A, Barzilai B, Krishnaswamy A, Stewart W, Mehta A, Lal Poddar K, Parashar A, Modi D, Ozkan A, Khot U, Lytle BW, Murat Tuzcu E - Catheter Cardiovasc Interv (2014)

Bottom Line: The procedure was successful in 244 (95.7%) patients.There were 24.4% patients with ≥2+ aortic regurgitation.TAVR can be accomplished with excellent safety in a tertiary center with a well-developed infrastructure for the management of serious complications.

View Article: PubMed Central - PubMed

Affiliation: Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

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Related in: MedlinePlus

(a) Kaplan Meier curve showing mortality in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. (b) Kaplan Meier curve showing mortality or stroke in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]
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fig02: (a) Kaplan Meier curve showing mortality in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. (b) Kaplan Meier curve showing mortality or stroke in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]

Mentions: One-year outcomes are listed in Table 2. Overall actuarial mortality at 1-year was 17.5% (17.3% among operable patients and 17.9% among inoperable patients) of the 171 patients with 1-year follow-up. In these patients, two additional strokes occurred between 30 days and 1 year. Most patients (76.6%) had NYHA class I or II symptoms, 19.9% had class III symptoms, and 3.5% had NYHA IV symptoms. Kaplan-Meier estimates revealed no significant difference in mortality or the combination of mortality and stroke between the operable and inoperable groups. Total outcomes for each year, along with number of patients at risk at the start of the year, are shown in Fig. 2.


Single center TAVR experience with a focus on the prevention and management of catastrophic complications.

Kapadia SR, Svensson LG, Roselli E, Schoenhagen P, Popovic Z, Alfirevic A, Barzilai B, Krishnaswamy A, Stewart W, Mehta A, Lal Poddar K, Parashar A, Modi D, Ozkan A, Khot U, Lytle BW, Murat Tuzcu E - Catheter Cardiovasc Interv (2014)

(a) Kaplan Meier curve showing mortality in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. (b) Kaplan Meier curve showing mortality or stroke in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4231228&req=5

fig02: (a) Kaplan Meier curve showing mortality in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. (b) Kaplan Meier curve showing mortality or stroke in patients undergoing TF-TAVR. X-axis denotes the time period, in years, since the procedure, whereas Y-axis denotes the cumulative survival. [Color figure can be viewed in the online issue, which is available at wileyonlinelibrary.com.]
Mentions: One-year outcomes are listed in Table 2. Overall actuarial mortality at 1-year was 17.5% (17.3% among operable patients and 17.9% among inoperable patients) of the 171 patients with 1-year follow-up. In these patients, two additional strokes occurred between 30 days and 1 year. Most patients (76.6%) had NYHA class I or II symptoms, 19.9% had class III symptoms, and 3.5% had NYHA IV symptoms. Kaplan-Meier estimates revealed no significant difference in mortality or the combination of mortality and stroke between the operable and inoperable groups. Total outcomes for each year, along with number of patients at risk at the start of the year, are shown in Fig. 2.

Bottom Line: The procedure was successful in 244 (95.7%) patients.There were 24.4% patients with ≥2+ aortic regurgitation.TAVR can be accomplished with excellent safety in a tertiary center with a well-developed infrastructure for the management of serious complications.

View Article: PubMed Central - PubMed

Affiliation: Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Show MeSH
Related in: MedlinePlus