Immediate and mid-term results of transfemoral aortic valve implantation using either the Edwards Sapien transcatheter heart valve or the Medtronic CoreValve System in high-risk patients with aortic stenosis

Archives of Cardiovascular Diseases
David AttiasAlec Vahanian

Abstract

We sought to describe the results of transfemoral aortic valve implantation using either the Sapien prosthesis or the CoreValve System. Results of transfemoral aortic valve implantation using both commercially available prostheses have rarely been studied. Of 236 patients at high-risk or with contraindications to surgery, consecutively referred for transcatheter aortic valve implantation between October 2006 and June 2009, 83 were treated with transfemoral aortic valve implantation. The Sapien was the only prosthesis available until May 2008 and, since then, was used as the first option, while the CoreValve System was used when contraindications to the Sapien prosthesis were present. Patients were aged 81+/-9 years, 98% in New York Heart Association classes III/IV, with predicted surgical mortalities of 26+/-14% using the EuroSCORE and 15+/-8% using the Society of Thoracic Surgeons Predicted Risk of Mortality score. Seventy-two patients were treated with the Sapien prosthesis and 11 with the CoreValve System. The valve was implanted in 94% of the cases. Thirty-day mortality was 7%. Overall, 1- and 2-year survival rates were 78+/-5% and 71+/-7%, respectively. Among patients treated with the Sapien, the 1-year survival rate was 6...Continue Reading

References

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Citations

May 10, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Carl SchultzPatrick W Serruys
Mar 7, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Holger EggebrechtRajendra H Mehta
Nov 9, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Holger EggebrechtRajendra H Mehta
Jul 3, 2015·Expert Review of Medical Devices·Jakub SulzenkoPetr Widimsky
Jan 1, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Hemang B PanchalTimir Paul
Nov 19, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Giuseppe TarantiniSabino Iliceto
Jul 12, 2014·Journal of the American College of Cardiology·George C M SiontisStephan Windecker
Dec 27, 2011·International Journal of Cardiology·Alexander W LeberEllen Hoffmann
Sep 24, 2015·Journal of the American Heart Association·Tian-Yuan XiongMao Chen
Oct 5, 2013·Journal of the Chinese Medical Association : JCMA·Yu-Ting YuanHsiao-Huang Chang
Apr 18, 2019·Journal of Cardiac Surgery·Sarah SirajuddinDominique Shum-Tim
Jul 16, 2011·The Journal of Cardiovascular Nursing·Marion E McRae, Marnie Rodger

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