[The first 200 transcatheter aortic valve implantations in the Gottsegen Gyorgy Institute of Cardiology, Hungary]

Orv Hetil. 2016 Nov;157(45):1786-1792. doi: 10.1556/650.2016.30584.
[Article in Hungarian]

Abstract

Introduction: 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.

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

Method: 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.

Conclusion: These findings are consistent with worldwide results. Orv. Hetil., 2016, 157(45), 1786-1792.

Keywords: aortastenosis; aortic stenosis; transcatheter aortic valve implantation; transzkatéteres billentyűimplantáció.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Female
  • Heart Valve Prosthesis / statistics & numerical data*
  • Heart Valve Prosthesis Implantation / statistics & numerical data*
  • Humans
  • Hungary
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / statistics & numerical data
  • Treatment Outcome