[POL-TAVI First--Polish report on transcatheter aortic valve implantation (TAVI) of Edwards-Sapien prosthesis in the first 19 high risk patients with severe aortic stenosis and comorbidities].
Patients with severe symptomatic aortic stenosis, who from November 2008 to March 2009 were treated with Edwards-Sapien transcatheter aortic valve implantation (TAVI) within the POL-TAVI First Polish Registry, were included in the analysis. Nineteen patients aged 78+/-4.8 years with high operation risk and Logistic EuroSCORE 25+/-7.6% were reported (74% were females). In 15 (79%) patients the valve was implanted transapically (TA), in the other four (21%)--via the femoral arterial access (TF). The valve was successfully implanted in 16 (84%) patients, in one patient aortic valvuloplasty alone was performed. During in-hospital period two patients died (one during periprocedural period and another one--two months after the implantation). During the mean follow-up of 5+/-1.5 months (except for one patient who is still in hospital) all patients are in NYHA class I or II. Results of the initial series of 19 TAVI patients in Poland are satisfactory, and the trial will be continued with careful medical and economical analysis.
Slaskie Centrum Chorób Serca, Slaski Uniwersytet Medyczny, Zabrze. m.zembala@scchs.pl
Marian
M
Zembala
Krzysztof
K
Wilczek
Roman
R
Przybylski
Piotr
P
Chodór
Paweł
P
Nadziakiewicz
Marcin
M
Krasoń
Jerzy
J
Sadowski
Dariusz
D
Dudek
Bogusław
B
Kapelak
Danuta
D
Forysz
Adam
A
Witkowski
Marcin
M
Demkow
Zbigniew
Z
Chmielak
Krzysztof
K
Kuśmierski
Zbigniew
Z
Juraszyński
Andrzej
A
Bochenek
Marek
M
Cisowski
Maria
M
Trusz-Gluza
Paweł
P
Buszman
Stanisław
S
Woś
Zbigniew
Z
Kalarus
Lech
L
Poloński
Mariusz
M
Gasior
Grzegorz
G
Opolski
Witold
W
Ruzyłło
D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D011379:Prognosis; D011474:Prosthesis Design; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013348:Subclavian Artery / Q000601:surgery*; D016896:Treatment Outcome