Clinical outcomes with transcatheter aortic valve implantation at a single cardiac center in Saudi Arabia

Annals of Saudi Medicine
Faisal Owdah AlatawiHesham A Naeim

Abstract

Transcatheter aortic valve implantation (TAVI) has been recognized as a valid alternative to surgery for severe aortic valve stenosis (AS) in high-risk surgical patients. Determine first-year clinical outcomes for TAVI at Madinah Cardiac Center (MMC) in Saudi Arabia. Retrospective, analytical cross-sectional. Tertiary cardiac care center. All patients who underwent TAVI for severe AS between February 2013 and December 2016 were included. Clinical, imaging, and laboratory information at baseline and at one year follow-up were analyzed. Clinical and echocardiography out.comes at discharge, at 1-month, and at end of follow-up; one-year mortality, complications and clinical response to TAVI procedure. N=80, mean (SD) age 79.5 (10.6) years, with severe AS and high-surgical risk. Fifty-five (69.2%) patients received Core valves, and 25 (30.8%) received Edward valves. Peri-procedure mortality was 3.8% and 1-year post-operative mortality was 13.8%. Ten patients (12.5%) had life-threatening or major bleeding. Nineteen (23.8%) patients had vascular complications, which were mostly minor. Fourteen patients (17.5%) developed acute kidney injury and 86% of these patients recovered. Five patients (6.25%) had pericardial effusion. Two patient...Continue Reading

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Citations

Jun 11, 2020·Journal of Cardiovascular Medicine·Narut PrasitlumkumJonathan Dworkin
Aug 25, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Fares Tofailahmed RajahHaitham Ahmed Alanazi

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