Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis
ghanem, M., frere, A., Elzaky, M., Mahmoud, H. (2022). Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis. EKB Journal Management System, 28(5), 991-998. doi: 10.21608/zumj.2020.19760.1626
mosaad ghanem; Abdelfattah Hassan frere; Manar Elzaky; Hamdy Mahmoud. "Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis". EKB Journal Management System, 28, 5, 2022, 991-998. doi: 10.21608/zumj.2020.19760.1626
ghanem, M., frere, A., Elzaky, M., Mahmoud, H. (2022). 'Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis', EKB Journal Management System, 28(5), pp. 991-998. doi: 10.21608/zumj.2020.19760.1626
ghanem, M., frere, A., Elzaky, M., Mahmoud, H. Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis. EKB Journal Management System, 2022; 28(5): 991-998. doi: 10.21608/zumj.2020.19760.1626

Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis

Zagazig University Medical Journal
Article 11, Volume 28, Issue 5, September 2022, Page 991-998  XML PDF (393.41 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.19760.1626
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Authors
mosaad ghanem email 1; Abdelfattah Hassan frere2; Manar Elzaky3; Hamdy Mahmoud4
1cardiology departement, national heart institute, giza,egypt
2zagazig university, faculty of medicine. cardiology department, egypt.
3zagazig university, faculty of medicine. cardiology department
4cardiology department, national heart institute, Giza, Egypt.
Abstract
Background: Transcatheter aortic valve implantation (TAVI) has emerged as a suitable alternative to surgical valve replacement for patients with severe, symptomatic, calcified aortic stenosis and a background of co-morbidities, which can make surgery a high-risk option. It has also evolved as an alternative for degenerative prosthetic heart valve disease.
Objective: To test the efficacy, early and after 6 months’ outcome of transcatheter aortic valve implantation in patients with severe aortic stenosis and at high operative risk for surgical valve replacement.
Methods: 36 Patients with severe symptomatic aortic stenosis and high risk for conventional surgical aortic valve replacement admitted to National Heart Institute during the period from February 2013 till February 2019 were included in the study.
Results: Out of 36, None to trace prosthetic aortic regurgitation was found and no patients had severe prosthetic aortic regurgitation. After six months, 4 patients died. 4 patients (11.1%) developed CHB need PPM and 5 patients (13.9%) developed new LBBB
Conclusion: TAVI is a safe and effective procedure and can be considered as a viable alternative to conventional open-heart surgery in selected high-risk patients with severe symptomatic aortic stenosis
Keywords
Transcatheter aortic valve Implantation; Aortic stenosis; aortic valve replacement
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