Clinical outcomes with transcatheter aortic valve implantation at a single cardiac center in Saudi Arabia

Alatawi, Faisal O; Abuelatta, Reda; AlAhmedi, Ahmed B.; Alharbi, Ibraheem; Alghamdi, Saleh S.; Sakrana, Amal Abdelsattar; Alamodi, Osama; Naeim, Hesham Abdo

doi:10.5144/0256-4947.2018.167

Cited by 8 publications

(4 citation statements)

References 39 publications

(69 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study, albeit the small sample size, has demonstrated excellent outcomes with TAVI by using an expandable aortic valve prosthesis for patients with severe symptomatic AS in an intermediate-sized center. The study confirms what was reported by Alatawi et al [13], a similarly sized study that showed favorable results of the procedure. Our patients had a lower STS risk score when compared to local and international studies although they were found to be at high risk by the heart team members.…”

Section: Discussionsupporting

confidence: 92%

“…Acute kidney injury was encountered in 15.4% of the cases, which is consistent with what was reported in other local studies (17.3%), and, similar to what was reported by Alatawi et al [13], none of those patients required new renal replacement therapy. The rate of mild and trivial paravalvular leak was 51.9%, while non-developed moderate or severe paravalvular leak required intervention during the follow-up.…”

Section: Discussionsupporting

confidence: 91%

“…TAVI delivery was successful in all except one patient in whom we were unable to cross the native aortic valve due to extreme aneurysmal dilatation of the aortic root (attempted valve in valve). The procedural complications were comparable to what was published previously in local and international studies [13,14]. The in-hospital mortality of 3.8% was in line with that of other local centers [13].…”

Section: Discussionsupporting

confidence: 89%

“…The procedural complications were comparable to what was published previously in local and international studies [13,14]. The in-hospital mortality of 3.8% was in line with that of other local centers [13]. The reported in-hospital mortality from German registries is inversely related to the hospital case volume as reported by Bestehorn et al [15] who reported an average in-hospital mortality of 5.6 ±5.0% (range: 0-16.7%) in the lowest volume group of hospitals performing <50 transfemoral (TF)-TAVI annually, compared to 2.4 ±1.0% (range: 0.5-3.7%) in the highest volume hospitals with ≥200 TF-TAVI procedures per year.…”

Section: Discussionsupporting

confidence: 86%

See 3 more Smart Citations

Self-Expandable Transcatheter Aortic Valve Implantation Outcomes: Findings From the Western Region of Saudi Arabia

Albugami¹,

Al-Husayni²,

Alfouti³

et al. 2021

Cureus

View full text Add to dashboard Cite

Background and objectiveThe prevalence of aortic stenosis in Saudi Arabia is expected to increase owing to the rise in the life expectancy of the population. Such increase is expected to be met with higher demand for interventions including transcatheter aortic valve implantation (TAVI). In this study, we aimed to identify the outcomes of this procedure among the population of the Western region of Saudi Arabia. MethodsThis was a retrospective observational study involving patients who underwent TAVI at the King Faisal Cardiac Center (KFCC), Jeddah, Saudi Arabia from June 2018 to January 2020. All patients who had undergone TAVI were included, and patients who were lost to follow-up for more than 90 days were excluded. The collected data included sociodemographic characteristics, peri-procedural assessment, and outcomes within 90 days. ResultsThe study included a total of 52 patients. There were 28 males (53.8%) and 24 females (46.2%). The mean age of the cohort was 78 years. Type two diabetes mellitus was present in 67.3%, and hypertension and dyslipidemia were seen in 80.8% of patients. Coronary diseases were seen in 55.8%. The majority had prior percutaneous coronary intervention (PCI) (53.8%) and 3.8% had coronary artery bypass grafting (CABG). Twenty patients (38.5%) had heart failure. Atrial fibrillation was encountered in 13 patients (25%). Chronic kidney disease was described in nine (17.3%) patients, and four (7.7%) were on regular hemodialysis. The median Society of Thoracic Surgery (STS) risk score was 2.4 (IQR: 1.97-5). High STS scores (>8) were only seen in 9% of the patients. The success rate was 98%, and the in-hospital mortality rate was 3.8%. Vascular complications were seen in eight patients (15.4%), and the majority of them were minor. One patient (1.9%) had a major vascular complication. There was a tendency toward high blood transfusions (19.2%). Clinically manifest stroke was seen in three patients (5.8%). Eight patients (15.4%) had post-procedure complete heart block (CHB). Endocarditis was seen in two patients (3.8%). Thirty-day cardiac readmission was observed in 17.3% of patients, and acute kidney injury was seen in eight patients (15.4%). Mild aortic regurgitation was seen in 51.9% of the patients, but moderate or severe aortic insufficiency (AI) was not encountered. ConclusionTransfemoral TAVI using a self-expandable valve is a safe and feasible procedure at KFCC, an intermediatesized center. Our data is comparable to local and international centers of similar size. Program sustainability depends on the development of robust referral networks and implementing regulatory quality and patient safety standards.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%