Early outcome of transapical transcatheter aortic valve replacement for aortic insufficiency
- VernacularTitle:经心尖途径经导管主动脉瓣置换术治疗主动脉瓣关闭不全的早期疗效分析
- Author:
Yinglu SHI
1
;
Chengxin ZHANG
1
;
Zhixiang GUO
1
;
Wenhui GONG
1
;
Shenglin GE
1
Author Information
1. Department of Cardiac and Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, P. R. China
- Publication Type:Journal Article
- Keywords:
Transcatheter aortic valve replacement;
aortic insufficiency;
aortic stenosis;
transapical approach
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(08):1116-1120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the early outcome of transapical transcatheter aortic valve replacement (TAVR) for patients with aortic insufficiency. Methods The patients with aortic valvular disease who underwent transapical TAVR from October 2020 to October 2022 in the Department of Cardiac and Vascular Surgery, the First Affiliated Hospital of Anhui Medical University were enrolled in the current retrospective study. The patients with aortic stenosis were assembled in a group A, and the patients with aortic insufficiency were assembled in a group B. The improvements of heart function and complications were assessed for the two groups. Results A total of 56 patients were enrolled, including 32 males and 24 females with an average age of 73.34±5.10 years. There were 31 patients in the group A and 25 patients in the group B. There was no statistical difference between the two groups in the age, gender, height, weight, hypertension, coronary artery disease, peripheral vascular disease, chronic obstructive pulmonary disease, renal disorder or classification of heart function (P>0.05). Also, there was still no statistical difference in the rate of permanent peacemaker implants, emergent open surgery, valve re-implants, or perivalvular leakage (P>0.05). After TAVR, the left ventricular diastolic diameter, left ventricular ejection fraction, complicated moderated mitral and tricuspid regurgitation were significantly improved in both groups compared with preoperative findings (P<0.05); however, there was no statistical difference in these parameters between groups (P>0.05). Conclusion Interventional valve (J-Valve) in the treatment of patients with aortic insufficiency through transapical TAVR significantly improves cardiac function and reduces functional valve regurgitation.
