Minimalist transcatheter aortic valve replacement: The new standard for surgeons and cardiologists using transfemoral access?

The Journal of Thoracic and Cardiovascular Surgery
Hanna A JensenVinod H Thourani

Abstract

A minimalist approach for transcatheter aortic valve replacement (MA-TAVR) utilizing transfemoral access under conscious sedation and transthoracic echocardiography is increasing in popularity. This relatively novel technique may necessitate a learning period to achieve proficiency in performing a successful and safe procedure. This report evaluates our MA-TAVR cohort with specific characterization between our early, midterm, and recent experience. We retrospectively reviewed 151 consecutive patients who underwent MA-TAVR with surgeons and interventionists equally as primary operator at Emory University between May 2012 and July 2014. Our institution had performed 300 TAVR procedures before implementation of MA-TAVR. Patient characteristics and early outcomes were compared using Valve Academic Research Consortium 2 definitions among 3 groups: group 1 included the first 50 patients, group 2 included patients 51 to 100, and group 3 included patients 101 to 151. Median age for all patients was 84 years and similar among groups. The majority of patients were men (56%) and the median ejection fraction for all patients was 55% (interquartile range, 38.0%-60.0%). The majority of patients were high-risk surgical candidates with a media...Continue Reading

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Feb 13, 2016·Journal of Interventional Cardiology·Kishore J HarjaiMartin B Leon
Feb 3, 2016·The Journal of Thoracic and Cardiovascular Surgery·Amalia WintersVinod H Thourani
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