Transcatheter aortic valve implantation : acute and 6-month outcomes of the first Lebanese experience and aliterature review

المؤلفون المشاركون

Hariri, Isa H.
Hashim, Ahmad A.
Chamun, Nibal R.
Haddad, Elie K.
Tamir, Dayana F.
Latif, Christelle M.
Sarkis, George A.
Ghanem, Georges Y.
Naja, Ahmad Salah al-Din

المصدر

Journal Médical Libanais

العدد

المجلد 65، العدد 1 (31 مارس/آذار 2017)، ص ص. 7-14، 8ص.

الناشر

نقابة أطباء لبنان

تاريخ النشر

2017-03-31

دولة النشر

لبنان

عدد الصفحات

8

التخصصات الرئيسية

الطب البشري

الموضوعات

الملخص EN

Background : Transcatheter aortic valve implantation (TAVI) has recently emerged as a therapeutic alternative for high-risk surgical patients with severe symptomatic aortic valve stenosis and has been shown to improve clinical outcomes and reduce all-cause mortality in the PARTNER Trial.

However, there is still no published data on similar outcomes in the Lebanon.

Objectives : The aim of the study is to evaluate the immediate and short-term results of transfemoral (TF) and transaortic (TAo) TAVI done in Lebanon with 6 months follow-up.

Methods: From July 2012 till March 2015, 10 consecutive high-risk and intermediate risk patients with severe symptomatic AS underwent TAVI using Edwards SAPIEN valve.

The mean age was 79.4 ± 6.9 years, logistic EuroSCORE 12.56 ± 11.78 and mean STS 5.71 ± 2.44.

Patients were equally distributed among genders (50%).

The mean ejection fraction (EF) was 50.0 ± 14.9% and mean AV area 0.61 ± 0.1 cm2; mean aortic valve gradient (mAVG) 45.6 ± 20.2 mmHg, and AV annulus size 21.8 ± 1.8 mm.

Results: TF approach was performed in 9 patients (90%) and TAo in 1 patient (10%).

All valves (17 size 26 mm and 25 size 23 mm) were implanted successfully.

The overall 6-month survival was 80%.

Grade I paravalvular aortic regurgitation (AR) was present in 60% of the patients; grade II in 10% while none of the patients developed AR with grade III or VI.

The post-procedural mean aortic valve gradient (mAVG) was 9.77 ± 3.31 mmHg; EF was 52.5 ± 11.9% and immediate postoperative complications included only one case of newonset arrhythmia (AV Block).

After 6 months, one patient died of cardiac arrest following a massive pulmonary embolism while another patient died from a fatal stroke following infective endocarditis affecting the valve prosthesis.

Conclusion : TAVI is a feasible technique for intermediate/high risk AS with high success rate and acceptable complications.-

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Hariri, Isa H.& Hashim, Ahmad A.& Chamun, Nibal R.& Haddad, Elie K.& Tamir, Dayana F.& Latif, Christelle M.…[et al.]. 2017. Transcatheter aortic valve implantation : acute and 6-month outcomes of the first Lebanese experience and aliterature review. Journal Médical Libanais،Vol. 65, no. 1, pp.7-14.
https://search.emarefa.net/detail/BIM-761156

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Hariri, Isa H.…[et al.]. Transcatheter aortic valve implantation : acute and 6-month outcomes of the first Lebanese experience and aliterature review. Journal Médical Libanais Vol. 65, no. 1 (2017), pp.7-14.
https://search.emarefa.net/detail/BIM-761156

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Hariri, Isa H.& Hashim, Ahmad A.& Chamun, Nibal R.& Haddad, Elie K.& Tamir, Dayana F.& Latif, Christelle M.…[et al.]. Transcatheter aortic valve implantation : acute and 6-month outcomes of the first Lebanese experience and aliterature review. Journal Médical Libanais. 2017. Vol. 65, no. 1, pp.7-14.
https://search.emarefa.net/detail/BIM-761156

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references : p. 13-14

رقم السجل

BIM-761156