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

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Cardiology

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

DOI

10.21608/zumj.2020.19760.1626

Keywords

Transcatheter aortic valve Implantation, Aortic stenosis, aortic valve replacement

Authors

First Name

mosaad

Last Name

ghanem

MiddleName

-

Affiliation

cardiology departement, national heart institute, giza,egypt

Email

drmosaadghanem@gmail.com

City

giza

Orcid

-

First Name

Abdelfattah Hassan

Last Name

frere

MiddleName

-

Affiliation

zagazig university, faculty of medicine. cardiology department, egypt.

Email

drfrer@yahoo.com

City

zagazig

Orcid

-

First Name

Manar

Last Name

Elzaky

MiddleName

-

Affiliation

zagazig university, faculty of medicine. cardiology department

Email

dr_mnar2010@yahoo.com

City

zagazig

Orcid

-

First Name

Hamdy

Last Name

Mahmoud

MiddleName

-

Affiliation

cardiology department, national heart institute, Giza, Egypt.

Email

helliwa717@gmail.com

City

-

Orcid

-

Volume

28

Article Issue

5

Related Issue

36360

Issue Date

2022-09-01

Receive Date

2019-12-13

Publish Date

2022-09-01

Page Start

991

Page End

998

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_67711.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=67711

Order

11

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023