[The first 200 transcatheter aortic valve implantations in the Gottsegen Gyorgy Institute of Cardiology, Hungary].
BACKGROUND
Transcatheter aortic valve implantation is a therapeutic alternative for contraindicated and high surgical risk patients with severe symptomatic aortic stenosis. This intervention is part of daily routine in the Institute of the authors.


OBJECTIVE
In the present work the results of the first 200 patients are discussed.


METHODS
Until January, 2016, 200 patients (female 55%, mean age 79.9 years, average EuroSCORE 19.3%, left ventricular ejection fraction 54%, peak gradient 81.2 mmHg, mean aortic gradient 50.9 mmHg) underwent transcatheter aortic valve implantation.


RESULTS
The procedure was performed with 99% success rate. Complications were evaluated according to VARC 2 definitions. Mortality was 5% at one month and 17.4% at one year. Cardiac mortality was 13.6 at one year. Cerebrovascular complications were 5% within one year, and 95% of patients were in NYHA I or II functional classes at one year.


CONCLUSIONS
These findings are consistent with worldwide results. Orv. Hetil., 2016, 157(45), 1786-1792.
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Géza
G
Fontos
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Gábor
G
Dékány
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Nikolett
N
Hegedüs
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Zsolt
Z
Piróth
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Chaurasia
C
Amit Kumar
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Mátyás
M
Pál
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Adrienn
A
Mandzák
Medtronic Hungaria Kft. Budapest.
Viktor
V
Takács
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Andrea
A
Varga
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Attila
A
Kovács
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
György
G
Szabó
Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Péter
P
Andréka
D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis / Q000706:statistics & numerical data*; D019918:Heart Valve Prosthesis Implantation / Q000706:statistics & numerical data*; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000706:statistics & numerical data; D016896:Treatment Outcome
aortastenosis; aortic stenosis; transcatheter aortic valve implantation; transzkatéteres billentyűimplantáció