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- W2901731570 abstract "Abstract Background and Aim: Compare morbidity and mortality (M&M) of different surgical TAVI access alternative to the surgical femoral. Methods: 2,863 pts underwent surgical TAVI from Jan 2007 to Jan 2017 in the 33 UK TAVI Centers. Primary outcome is long-term survival up to Jul 2017. Secondary outcomes are procedural/in-hospital (in-H) complications, in-H, 30-day, and 1-year mortality. Statistical analysis by SPSS 20.0 and Stata 12.1. Results: 2,863 pts, Surgical Femoral (SF) = 1,150 + Trans Apical (TA) = 1,216 + Direct Aortic (DA) = 207 + Subclavian (SC) = 290. In-H mortality lowest in SF. Among no-SF, only SC not significantly different from SF, whereas TA and DA associated with higher mortality. Unadjusted Kaplan-Meier survival chart shows long-term survival significantly greater in SC than DA and TA. No difference in survival between TA and DA, both of which with significantly lower long-term survival than SF. Unadjusted survival rate of surgical SC cohort not significantly different from SF. Hemofiltration and long length hospitalization most common in AD and TA compared to SC and SF. Permanent PMK greater in SC and SF than in TA and DA. A comparison of M&M in the two quarters 2007–2011 vs. 2012–2016 also carried out. Conclusions: This is the largest study of survival in surgical TAVI access routes from UK National dataset. SC is the only non-SF approach for which survival is not significantly different from SF. SC may represent the safest non-femoral access route for TAVI and it is the safest surgical route until now experienced." @default.
- W2901731570 created "2018-11-29" @default.
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- W2901731570 date "2018-11-01" @default.
- W2901731570 modified "2023-10-18" @default.
- W2901731570 title "RF82 TEN YEARS UNITED KINGDOM EXPERIENCE IN SURVIVAL FOR SURGICAL TAVI APPROACHES" @default.
- W2901731570 doi "https://doi.org/10.2459/01.jcm.0000549970.90657.83" @default.
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