Single center experience of transcatheter aortic valve replacement with a simplified operative protocol.
10.3760/cma.j.cn112148-20210728-00626
- Author:
Guang Yuan SONG
1
;
Yue Wu ZHAO
1
;
Guo Yong DU
1
;
Yang CHEN
1
;
Mo Yang WANG
1
;
Si Yong TENG
1
;
Tong LUO
1
;
Zheng ZHOU
1
;
Guan Nan NIU
1
;
Zhen Yan ZHAO
1
;
Zhi Nan LU
1
;
Yong Jian WU
1
Author Information
1. Coronary Artery Disease Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
- Publication Type:Journal Article
- MeSH:
Aortic Valve;
Aortic Valve Stenosis/surgery*;
Femoral Artery/surgery*;
Humans;
Retrospective Studies;
Risk Factors;
Time Factors;
Transcatheter Aortic Valve Replacement/methods*;
Treatment Outcome
- From:
Chinese Journal of Cardiology
2022;50(6):563-569
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To summarize the single center experience of transcatheter aortic valve replacement (TAVR) with a simplified operative protocol. Methods: Consecutive patients who underwent transfemoral TAVR (TF-TAVR) from July 2020 to December 2020 in Fuwai Hospital were retrospectively analyzed. We compared the baseline characteristic, procedure information, 30-day follow-up outcomes of the patients who underwent TF-TAVR without the simplified operative protocol (routine group) or with the simplified operative protocol (simplified protocol group). Results: 93 patients were collected, 42 patients belonging to routine group, 51 patients belonging to simplified protocol group. In simplified protocol group, there were 51 patients planned to use ultrasound-guided femoral access puncture, procedure was successful in all 51 patients (100%). There were 49 patients planned to use the radial artery as the secondary access, procedure was successful in 45 patients (92%). There were 48 patients planned to use the strategy of avoidance of urinary catheter, this strategy was achieved in 35 patients (73%). There were 12 patients planned to use the left ventricular guidewire to pace, procedure was successful in 11 patients (92%). There were no differences in baseline characteristics, major clinical endpoints and 30-day follow-up outcomes between the two groups. Meanwhile, the procedure time ((62.5±17.9)min vs. (78.3±16.7)min, P<0.001), operation room time ((133.7±25.1)min vs. (159.2±42.6)min, P<0.001), X-ray exposure time ((17.2±6.5)min vs. (20.2±7.7)min, P=0.027) were significantly shorten in simplified protocol group compared with the routine group. Conclusion: Our study results indicate that the simplified operative protocol of TF-TAVR is as effective and safe as the routine operative protocol, meanwhile using the simplified operative protocol can significantly increase the operative efficiency of TF-TAVR.
