[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.
Zembala
Marian
M
Slaskie Centrum Chorób Serca, Slaski Uniwersytet Medyczny, Zabrze. m.zembala@scchs.pl
Wilczek
Krzysztof
K
Przybylski
Roman
R
Chodór
Piotr
P
Nadziakiewicz
Paweł
P
Krasoń
Marcin
M
Sadowski
Jerzy
J
Dudek
Dariusz
D
Kapelak
Bogusław
B
Forysz
Danuta
D
Witkowski
Adam
A
Demkow
Marcin
M
Chmielak
Zbigniew
Z
Kuśmierski
Krzysztof
K
Juraszyński
Zbigniew
Z
Bochenek
Andrzej
A
Cisowski
Marek
M
Trusz-Gluza
Maria
M
Buszman
Paweł
P
Woś
Stanisław
S
Kalarus
Zbigniew
Z
Poloński
Lech
L
Gasior
Mariusz
M
Opolski
Grzegorz
G
Ruzyłło
Witold
W
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