Mini-Aortic Valve Replacement versus Transcatheter Aortic Valve Implantation: A Propensity-Matched Study

نویسندگان

چکیده

Background. Total sternotomy for aortic valve replacement has been superseded by less invasive approaches such as mini-sternotomy or transcatheter procedures. There an exponential uptake in implantation (TAVI) younger and lower risk patients following recent randomized trials. This study aims to compare the outcomes of with stenosis treated minimally approaches: (mini-AVR) TAVI implantation. Methods. Between January 2015 December 2021, a total 1437 176 mini-AVR from 2 tertiary centers fulfilled criteria were included propensity matching model. Results. A 256 TAVIs 146 matched cohort. was no significant difference 30-day mortality two groups (TAVI vs. 2.7% 2.8%, p = 0.935 ). confers slightly gradients follow-up echo when compared (peak gradient 20 ± 8.7 mmHg 24.5 10 mmHg, id="M2"> < 0.001 ; mean 10.9 5.6 13.2 5.7 id="M3"> On other hand, exhibits remarkably rates paravalvular leak (mild 8% 41.5%, id="M4"> moderate 2.8% 0%, id="M5"> ) need permanent pacemaker (2% 12.2%, id="M6"> Unsurprisingly, in-hospital stay 3 (2 6) days (8 13) days, id="M7"> Conclusions. For eligible 7th decade life, remains excellent therapeutic option.

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ژورنال

عنوان ژورنال: Journal of Cardiac Surgery

سال: 2023

ISSN: ['1540-8191', '0886-0440']

DOI: https://doi.org/10.1155/2023/9501508