UNIVERSI
TÄ
TS-
BIBLIOTHEK
P
ADERBORN
Anmelden
Menü
Menü
Start
Hilfe
Blog
Weitere Dienste
Neuerwerbungslisten
Fachsystematik Bücher
Erwerbungsvorschlag
Bestellung aus dem Magazin
Fernleihe
Einstellungen
Sprache
Deutsch
Deutsch
Englisch
Farbschema
Hell
Dunkel
Automatisch
Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist
gegebenenfalls
nur via VPN oder Shibboleth (DFN-AAI) möglich.
mehr Informationen...
Universitätsbibliothek
Katalog
Suche
Details
Zur Ergebnisliste
Ergebnis 16 von 134
Datensatz exportieren als...
BibTeX
Transcatheter aortic valve implantation in patients of small body size
Catheterization and cardiovascular interventions, 2014-08, Vol.84 (2), p.272-280
Watanabe, Yusuke
Hayashida, Kentaro
Lefèvre, Thierry
Chevalier, Bernard
Hovasse, Thomas
Romano, Mauro
Garot, Philippe
Farge, Arnaud
Donzeau-Gouge, Patrick
Bouvier, Erik
Cormier, Bertrand
Morice, Marie-Claude
2014
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Watanabe, Yusuke
Hayashida, Kentaro
Lefèvre, Thierry
Chevalier, Bernard
Hovasse, Thomas
Romano, Mauro
Garot, Philippe
Farge, Arnaud
Donzeau-Gouge, Patrick
Bouvier, Erik
Cormier, Bertrand
Morice, Marie-Claude
Titel
Transcatheter aortic valve implantation in patients of small body size
Ist Teil von
Catheterization and cardiovascular interventions, 2014-08, Vol.84 (2), p.272-280
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2014
Quelle
MEDLINE
Beschreibungen/Notizen
Aims The aim of this study was to evaluate the efficacy and safety of transcatheter aortic valve implantation (TAVI) in patients of small body size (SB). Methods and Results Between October 2006 and November 2011, 424 patients undergoing TAVI were evaluated. Patients with a small body surface area (BSA; <1.75 m2) were defined as the “SB group” (n = 215) and the remaining large BSA patients as the “LB group” (n = 209). In the SB group, mean annulus diameter measured by CT and minimal femoral artery diameter were significantly smaller (23.1 ± 1.92 vs. 24.3 ± 1.91 mm, P < 0.01; 7.59 ± 1.06 vs. 8.29 ± 1.34 mm, P < 0.01, respectively). The logistic EuroSCORE was similar between groups (22.5 ± 10.4 vs. 23.4 ± 12.0; P = 0.43). Equivalent device success (91.2% vs. 91.4%; P = 0.94) and 30‐day survival rates (85.1% vs. 87.6%; P = 0.46) were achieved in both groups. Vascular complications and the 30‐day combined safety end point rate were significantly higher in the SB group (13.0% vs. 4.3%, P < 0.01; 27.4% vs. 18.3%, P = 0.03, respectively). Similar post‐procedural mean pressure gradient was achieved in both groups (10.2 ± 4.3 vs. 11.0 ± 4.6 mmHg; P = 0.12). Multivariate analysis showed that BSA was one of the independent predictors of 30‐day combined safety end point (Odds ratio: 0.20; 95% confidence interval (CI): 0.05–0.88; P = 0.03). However, Kaplan–Meier analysis revealed no significant difference in mid‐term survival rate between groups (log‐rank P = 0.64). Conclusions TAVI in SB patients resulted in similar clinical outcomes with effective post‐procedural hemodynamics compared with LB patients. Care should be taken to avoid vascular complications in SB patients. © 2013 Wiley Periodicals, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 1522-1946
eISSN: 1522-726X
DOI: 10.1002/ccd.24970
Titel-ID: cdi_proquest_miscellaneous_1547542581
Format
–
Schlagworte
Aged
,
Aged, 80 and over
,
aortic valve
,
Aortic Valve - diagnostic imaging
,
Aortic Valve - physiopathology
,
Aortic Valve Stenosis - diagnosis
,
Aortic Valve Stenosis - mortality
,
Aortic Valve Stenosis - physiopathology
,
Aortic Valve Stenosis - therapy
,
Body Mass Index
,
Body Size
,
Body Surface Area
,
Cardiac Catheterization - adverse effects
,
Cardiac Catheterization - instrumentation
,
Cardiac Catheterization - methods
,
Cardiac Catheterization - mortality
,
Femoral Artery - diagnostic imaging
,
Heart Valve Prosthesis
,
Heart Valve Prosthesis Implantation - adverse effects
,
Heart Valve Prosthesis Implantation - instrumentation
,
Heart Valve Prosthesis Implantation - methods
,
Heart Valve Prosthesis Implantation - mortality
,
Hemodynamics
,
Humans
,
Kaplan-Meier Estimate
,
Logistic Models
,
Male
,
Multivariate Analysis
,
Odds Ratio
,
Prosthesis Design
,
Risk Factors
,
Severity of Illness Index
,
small body size
,
Time Factors
,
Tomography, X-Ray Computed
,
transcatheter aortic valve implantation
,
Treatment Outcome
,
vascular complication
Weiterführende Literatur
Empfehlungen zum selben Thema automatisch vorgeschlagen von
bX