Aortic Valve Replacement in Octogenarians: Utility of Risk Stratification With EuroSCORE

Leontyev, Sergey; Walther, Thomas; Borger, Michael A.; Lehmann, Sven; Funkat, Anne-Kathrin; Rastan, Ardawan; Kempfert, Jörg; Falk, Volkmar; Mohr, Friedrich W.

doi:10.1016/j.athoracsur.2009.01.057

Cited by 186 publications

(109 citation statements)

References 26 publications

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“…Operative risk of all patients was calculated based on Logistic European System for Cardiac Operative Risk Evaluation (EuroSCORE) [7] and the Society of Thoracic Surgeon (STS) score [8], and/or clinical judgement. Written informed consent of each patient was obtained and the Ethics Committee of our hospital approved the study.…”

Section: Patientsmentioning

confidence: 99%

Immediate recovery of the left atrial and left ventricular diastolic function after transcatheter aortic valve implantation: A transesophageal echocardiography study

Sarı

Aslan²,

Baştuğ³

et al. 2016

Cardiol J.

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LV diastolic function was also explored by pulsed tissue Doppler imaging (TDI). Early (E') and late (A') diastolic annular velocities, E'/A' ratio and E/E' ratio were obtained. In addition, during the procedure before and minutes after the valve implantation, the left atrial appendage-peak antegrade flow velocity (LAA-PAFV) was measured and recorded with TEE.Results: Compared with baseline, the mean mitral E, septal E' and E'/A' ratio increased significantly after TAVI. In addition, the LAA-PAFV increased significantly within minutes of TAVI (32.45 ± 10.7 cm/s vs. 47.6 ± 12.6 cm/s, p < 0.001

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Section: Patientsmentioning

confidence: 99%

Immediate recovery of the left atrial and left ventricular diastolic function after transcatheter aortic valve implantation: A transesophageal echocardiography study

Sarı

Aslan²,

Baştuğ³

et al. 2016

Cardiol J.

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“…In 2003, the Euro Heart Survey on Valvular Heart Disease reported that approximately one third of patients with severe, symptomatic AS are denied potentially life-saving surgery because of concerns over age, comorbidities and likely longevity (Iung et al, 2003(Iung et al, , 2005. This is in spite of some recent series demonstrating promising safe and efficacious outcomes for AVR in octogenarians (Melby et al, 2007;Florath et al, 2010;Leontyev et al, 2009). T A V I i s a n o v e l a p p r o a c h t o A S i n h i g h -r isk patients and provides an alternative management option that negates invasive surgery.…”

Section: Patient Selectionmentioning

confidence: 47%

Transcatheter Aortic Valve Implantation

Vohra¹,

Whistance²,

Ohri³

2011

Aortic Valve

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“…Previous studies, in the mid-1990s and earlier, analyzing results of isolated AVR or AVR + CABG reported operative mortality between 9% and 28% in patients aged over 80 years [7][8][9]. However, studies in the last decade have demonstrated improvement in operative mortality between 5% and 10% [10][11][12][13][14][15] (Table 5).…”

Section: Operative Mortalitymentioning

confidence: 92%

Results of aortic valve replacement for aortic stenosis in patients aged 80 years and older

Kuwaki¹,

Amano²,

Inaba³

et al. 2012

WJCD

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Purpose: The aim of this study was to investigate our clinical experience in a contemporary series of aortic valve replacement (AVR) for aortic stenosis (AS) with or without coronary artery bypass grafting (CABG), and compare the early and mid-term results between patients aged more than 80 years and those aged less than 80 years. Methods: A retrospective review was performed of 258 consecutive patients with aortic stenosis (AS) who underwent AVR between August 2002 and December 2010 at Juntendo University Hospital. Results: Operative mortality was 7.3% in patients aged 80 years and older, compared with 3.6% in younger patients. Thus, operative mortality was higher in the older patients compared with the younger patients, but was not statistically significant between the two groups. Age more than 80 years was not a predictor of operative mortality. Advanced NYHA class (p = 0.03; odds ratio [OR], 9.5) was found to be a multivariate independent predictor of operative mortality. Patients aged 80 years and older were significantly more likely to suffer from respiratory failure after surgery than younger patients, but there were no significant differences in any other complications between the two age groups. Non-home discharge rate was significantly higher in the patients aged 80 years and older (21.9%) than in the younger patients (5.5%). Three-year survival was 84% in patients aged more than 80 years, and 83% of these elderly patients were living at home at the last follow-up. Conclusions: Patients aged 80 years and older have acceptable results of AVR with slightly increased risk of early mortality and morbidity compared with younger patients.

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Aortic Valve Replacement in Octogenarians: Utility of Risk Stratification With EuroSCORE

Cited by 186 publications

References 26 publications

Immediate recovery of the left atrial and left ventricular diastolic function after transcatheter aortic valve implantation: A transesophageal echocardiography study

Immediate recovery of the left atrial and left ventricular diastolic function after transcatheter aortic valve implantation: A transesophageal echocardiography study

Transcatheter Aortic Valve Implantation

Results of aortic valve replacement for aortic stenosis in patients aged 80 years and older

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