Surgical cutdown versus percutaneous access in transfemoral transcatheter aortic valve implantation: Insights from the Brazilian TAVI registry
Catheter Cardiovasc Interv
; 86(3): 501-505, 2015.
Artigo
em Inglês
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1061846
Biblioteca responsável:
BR79.1
Localização: BR79.1
ABSTRACT
OBJECTIVE:
To compare the 1-year outcomes of complete percutaneous approach versus surgical vascular approach for transfemoral transcatheter aortic valve implantation (TAVI), among "real-world" patients from the multi-center Brazilian TAVI registry.BACKGROUND:
Vascular access still remains a major challenge for TAVI via transfemoral approach. Vascular accessthrough complete percutaneous approaches or through open surgical vascular techniques seems to be acutely similar. However, the long-term outcomes of both techniques remain poorly described.METHODS:
The study population comprised all patients treated via transfemoral route in the Brazilian TAVI registry, a "real-world", nation-based, multi-center study. Patients were divided according to the initial vascular access approach (percutaneous vs. surgical) and clinically followed-up for 1 year. The primary endpoint was the incidence of combined adverse events all-cause mortality, life-threatening bleeding, and/or major vascular complication at 1 year.RESULTS:
A total of 402 patients from 18 centers comprised the study population (percutaneous approach in 182 patients; surgical cutdown approach 220 patients). The incidence of combined adverse events was not different in thepercutaneous and the surgical groups at 30 days (17.6% vs. 16.3%; P = 0.8) and at 1 year (primary endpoint) (30.9% vs. 28.8%; P = 0.8). Also, the study groups overall were comparable regarding the incidence of each individual safety adverse events at 30 days and at 1 year.CONCLUSION:
Total percutaneous techniques or surgical cutdown and closure may provide similar safety and effectiveness during the first year of follow-up in patients undergoing transfemoral TAVI.
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Coleções:
Bases de dados nacionais
/
Brasil
Base de dados:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Assunto principal:
Aorta
/
Estenose da Valva Aórtica
/
Implante de Prótese de Valva Cardíaca
/
Estenose Coronária
/
Dispositivos de Acesso Vascular
Tipo de estudo:
Ensaio clínico controlado
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Catheter Cardiovasc Interv
Ano de publicação:
2015
Tipo de documento:
Artigo
Instituição/País de afiliação:
Heart Institute (InCor)/BR
/
Heart Institute of Rio Grande do Sul/BR
/
Hospital Beneficencia Portuguesa/BR
/
Hospital Israelita Albert Einstein/BR
/
Hospital Pilar/BR
/
Hospital Pro-Cardiaco/BR
/
Hospital São Vicente de Paulo/BR
/
Institute Dante Pazzanesede of Cardiology/BR