Another New Era for Cardiac Surgeons? Induction of TAVI Procedure to Japan

Tedoriya, Takeo

doi:10.5761/atcs.e.11.01665

Cited by 1 publication

(1 citation statement)

References 10 publications

(9 reference statements)

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“…3) Since Cribier et al performed the first TAVI in 2002, this method has been improved over the last decade and is performed at continuously increasing institutions all over the world. 4,5) According to a position statement of the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), patients should be evaluated for TAVI or SAVR by a multidisciplinary "heart team" consisting of interventional cardiologists and heart surgeons regarding anatomical feasibility and individual risk profile. 6) As a tool used for risk stratification in Europe over the last years the "European System for Cardiac Operative Risk Evaluation" logistic EuroSCORE (LES) was established and implementation of TAVI in patients with a LES of 20% or higher is recommended.…”

Section: Introductionmentioning

confidence: 99%

Risk and Outcome of Aortic Valve Surgery in the Transcatheter Valve Era: The Gender Aspect

Heinze

Christ

Leonards

et al. 2015

ATCS

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Results: Women in group II were significantly younger (71.6 ± 9.0 years; p = 0.004) and showed significantly lower risk profiles (logistic EuroSCORE: 9.6 ± 9.9%; p = 0.04) than women in group I (age: 75.6 ± 8.5 years, logistic EuroSCORE: 13.9 ± 15.9). Men's age and risk profiles remained similar in both groups. Observed survival at 30 days was 98.8% in group II and 95.8% in group I which represented a statistical trend (p = 0.09). Female survival in group I was 92.2% and significantly worse as compared to 99% male survival in group I (p = 0.03). This significant difference in gender ratio of mortality was not detected in group II (female survival 97%, male survival 100%; p = 0.2). Being female was a significant risk factor in group I (odds ratio; 8.4; p = 0.03) but not in group II any longer (odds ratio: 1.0; p = 0.2). Conclusions: The possibility of transcatheter aortic valve replacement for therapy of aortic stenosis has led to a lower risk and improved outcome of surgical aortic valve replacement especially for women.

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