Transcatheter aortic-valve implantation. A ten years clinical experienceResultados del implante percutáneo de válvula aórtica (TAVI). Experiencia después de la primera década desde la introducción de la técnica

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dc.article.numbere59494
dc.contributor.authorMartinez G.
dc.contributor.authorFuensalida A.
dc.contributor.authorSepulveda P.
dc.contributor.authorBulnes J.F.
dc.contributor.authorQuitral J.
dc.contributor.authorPacheco F.
dc.contributor.authorValenzuela E.
dc.contributor.authorLazen R.
dc.contributor.authorFlores A.
dc.contributor.authorZalaquett R.
dc.contributor.authorMartinez A.
dc.contributor.otherCEDEUS (Chile)
dc.date.accessioned2025-05-01T10:33:09Z
dc.date.available2025-05-01T10:33:09Z
dc.date.issued2022
dc.description.abstract© 2022 Sociedad Medica de Santiago. All rights reserved.Background: Transcatheter aortic-valve implantation (TAVI) was introduced in 2002 and the first implants in our country were performed in 2010. Aim: To review the TAVI experience in our hospital, considering the technology improvements and gained experience throughout this period. Material and Methods: All patients undergoing TAVI in our center were included. Results and complications were adjudicated according to the Valve Academic Research Consortium-2 (VARC-2) criteria. Patients were divided in 3 groups, according to procedural year: Period 1: 2010-2015 (n = 35); Period 2: 2016-2018 (n = 35); Period 3: 2019-2021 (n = 41). Mortality up to one year after the procedure was recorded. Results: Between 2010 and 2021, 111 TAVI procedures were performed. The mean age of patients was 82 years and 47% were women. Risk scores for in-hospital mortality were STS 6.7%, EUROSCORE II 8.0% and ACC/STS TAVR Score 4.9%. The trans-femoral route was used in 88% and a balloon-expandable valve was chosen in 82% of patients. A successful implant was achieved in 96%, with an in-hospital mortality of 1.8%. Mortality at 30 days and 1-year were 2.7 and 9.0%, respectively. During period 3, 100% of implants were successful, with no in-hospital mortality, less vascular complications (p < 0.01), less stroke (p = 0.04), less severe paravalvular leak (p = 0.01) and significantly lower rate of acute complications (p < 0.01). Conclusions: TAVI achieves excellent results. With greater experience and better available technologies, these results are even more favorable.
dc.description.funderFederal University of Minas Gerais - Veterinary School
dc.description.funderFederal University of Minas Gerais-Veterinary School
dc.description.funderFederal University of Tocantins
dc.description.funderPAPEMIG
dc.description.funderCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.description.funderConselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.funderFundação de Ámparo a Pesquisa do Estado de Minas Gerais
dc.format.extent11 páginas
dc.fuente.origenScopus
dc.identifier.doi10.4067/S0034-98872022001101422
dc.identifier.eisbn9780128194706
dc.identifier.eissn1549-7828
dc.identifier.isbn9783031764011
dc.identifier.issn07176163 00349887
dc.identifier.pubmedid40156360
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85161648138
dc.identifier.urihttps://doi.org/10.4067/S0034-98872022001101422
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103960
dc.identifier.wosidWOS:001038055100013
dc.information.autorucEscuela de Medicina; Martinez Aguayo Alejandro Gregorio; 0000-0002-1677-3513; 1003862
dc.information.autorucEscuela de Medicina; Martinez Rodriguez Gonzalo Javier; S/I; 190229
dc.information.autorucEscuela de Medicina; Sepulveda Varela Pablo Andres; 0000-0001-7027-6473; 1095919
dc.issue.numero2
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final1430
dc.pagina.inicio1422
dc.publisherSpringer
dc.relation.ispartofIntersections Interdisciplinary Research on Architecture, Design, City and Territory
dc.revistaRevista Medica de Chile
dc.rightsacceso abierto
dc.subjectAortic Valve Stenosis
dc.subjectHeart Valve Prosthesis
dc.subjectHospital Mortality
dc.subjectTranscatheter Aortic Valve Replacement
dc.subject.ddc620
dc.subject.deweyIngenieríaes_ES
dc.subject.ods11 Sustainable cities and communities
dc.subject.odspa11 Ciudades y comunidades sostenibles
dc.titleTranscatheter aortic-valve implantation. A ten years clinical experienceResultados del implante percutáneo de válvula aórtica (TAVI). Experiencia después de la primera década desde la introducción de la técnica
dc.typeartículo
dc.volumen150
sipa.codpersvinculados1003862
sipa.codpersvinculados190229
sipa.codpersvinculados1095919
sipa.indexScopus
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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