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EP25 OPTIMAL OPERATIVE PLANNING AND HIGH-EXPERIENCE ARE PREDICTORS OF GOOD OUTCOMES IN PATIENTS UNDERGOING TRANS-APICAL VALVE IMPLANTATION

Prestipino, F ; Manzan, E ; Miele, M ; D’Ascoli, R ; Luzi, G

Journal of cardiovascular medicine (Hagerstown, Md.), 2018-11, Vol.19 Suppl 2: Abstracts of the XIX Meeting of the Società Italiana di Chirurgia Cardiaca, Rome, November 23rd - 25th, 2018, p.e48-e48

Italian Federation of Cardiology. All rights reserved

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  • Título:
    EP25 OPTIMAL OPERATIVE PLANNING AND HIGH-EXPERIENCE ARE PREDICTORS OF GOOD OUTCOMES IN PATIENTS UNDERGOING TRANS-APICAL VALVE IMPLANTATION
  • Autor: Prestipino, F ; Manzan, E ; Miele, M ; D’Ascoli, R ; Luzi, G
  • Es parte de: Journal of cardiovascular medicine (Hagerstown, Md.), 2018-11, Vol.19 Suppl 2: Abstracts of the XIX Meeting of the Società Italiana di Chirurgia Cardiaca, Rome, November 23rd - 25th, 2018, p.e48-e48
  • Descripción: BACKGROUND AND AIM:With the improvement in surgical expertise and optimization of pre-operative cardiovascular imaging techniques, trans-apical (TA) valve implantation has become in expert hands a rapid and safe procedure, with low rates of complications and conversion to surgery. The aim of our study is to demonstrate that high experienced surgeon with > 500 procedures and optimal operative planning are predictors of good outcomes. METHODS:We included 45 patients who underwent TA aortic or mitral valve implantation from March 2017 to March 2018 in our Centre. We evaluated early clinical and echocardiographic outcomes according to Valve Academic Research Consortium (VARC-2) definitions. RESULTS:Median age was 80 year-old (IQR 77–82), median Logistic Euroscore was 5.8% (IQR 3.8–10). Three patients underwent TA mitral valve-in-valve implantation (TA-MVinV), 5 TA aortic valve-in-valve implantation (TA-AVinV) and 37 TA aortic valve implantation (TA-AVI), with 3 different prostheses (Figure1A). Device success was 100%. There were no intra-operative deaths nor conversions to conventional surgery. At 30-day follow up (FU), no deaths nor major cardiac/vascular complications occurred. We reported 1 stroke (2.2%) and 3 acute kidney injuries (6.7%), of which only 1 patient needed continuous veno-venous hemofiltration. Two patients (4.4%) presented transient conduction disturbances and 1 (2.2%) underwent permanent pacemaker implantation. Figure1B-C reports peak and mean gradients at 30-day FU. CONCLUSIONS:In heart valve Centers, experienced surgeons (>500 procedures) and optimal operative planning result in low mortality and complication rates after TA valve implantation.
  • Editor: Italian Federation of Cardiology. All rights reserved
  • Idioma: Inglés
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