Transcatheter aortic valve implantation and off-pump coronary artery bypass surgery: an effective hybrid procedure in selected patients

Interactive Cardiovascular and Thoracic Surgery
Benedikt MayrMarcus-André Deutsch

Abstract

Simultaneous surgical off-pump coronary revascularization and transcatheter aortic valve implantation (TAVI) as a hybrid procedure may be a therapeutic option for patients with a TAVI indication who are not suitable for percutaneous coronary intervention and for patients who have an indication for combined surgical aortic valve implantation and coronary artery bypass grafting but present with a porcelain aorta. Early outcomes of these patients are analysed in this study. From February 2011 to April 2017, hybrid TAVI/off-pump coronary artery bypass (OPCAB) was performed in 12 (60%) patients, hybrid TAVI/minimally invasive direct coronary artery bypass in 6 (30%) patients and staged TAVI/OPCAB in 2 (10%) patients. Endpoints of this study were 30-day mortality, device success and postoperative adverse events as defined by the updated Valve Academic Research Consortium (VARC-2). The median age at the time of surgery was 77 years [interquartile range (IQR), 70-81] with a median logistic EuroSCORE and Society of Thoracic Surgeons' Predicted Risk score of 16.1% (IQR, 9.3-28.1) and 3.9% (IQR, 2.2-5.6), respectively. The median Synergy between PCI with Taxus and Cardiac Surgery score was 16.5 (IQR, 9.8-22.8). TAVI implantation routes we...Continue Reading

References

Feb 24, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sabine BleizifferRuediger Lange
Mar 31, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Valeria GasparettoMassimo Napodano
Aug 28, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alec VahanianUNKNOWN European Association for Cardio-Thoracic Surgery (EACTS)
Oct 23, 2012·The Journal of Thoracic and Cardiovascular Surgery·A Pieter KappeteinUNKNOWN Valve Academic Research Consortium-2
Feb 27, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kentaro HayashidaMarie-Claude Morice
Jul 23, 2013·JACC. Cardiovascular Interventions·Nicolas M Van MieghemPeter P de Jaegere
Dec 10, 2013·Current Cardiology Reviews·S BleizifferR Lange
Sep 27, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Giulio G StefaniniStephan Windecker
Feb 13, 2016·Nature Reviews. Cardiology·Edward DansonRavinay Bhindi
May 20, 2016·Journal of Cardiac Surgery·Sophia L DellisLewis W Britton
Jul 13, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Imthiaz ManolyDouglas Fraser
Aug 9, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Junjiro KobayashiAtsushi Okada
Dec 10, 2016·JACC. Cardiovascular Interventions·Stephen RameeUNKNOWN Interventional Section of the Leadership Council of the American College of Cardiology
Feb 22, 2017·Journal of the American Heart Association·Jean-Michel ParadisSusheel Kodali
Mar 23, 2017·Interactive Cardiovascular and Thoracic Surgery·Samir AhadHardy Baumbach

❮ Previous
Next ❯

Citations

Dec 18, 2020·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·R N Komarov, P V Kleshchev

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.