AI Summary & Key Takeaways
AI InsightConclusion: In severe aortic stenosis patients with moderate surgical risk in our clinic, transcatheter aortic valve implantation has been found to be at least as applicable and useful as surgery, transcatheter aortic valve implantation and surgical aortic valve replacement are successfully implemented in our center.
📌 3 Key Takeaways
Abstract
Objective: The aim of the study was to compare early and late clinical outcomes of patients with moderate surgical risk with advanced aortic stenosis who underwent transcatheter aortic valve implantation or surgical aortic valve replacement. Material and Method: As a retrospective study, patients in the moderate surgical risk group have been included from the patients with advanced aortic stenosis who underwent transcatheter aortic valve implantation or surgical aortic valve replacement at Ataturk University, Faculty of Medicine, University Hospital between the years 2012‐2018. Results: The mean age of the transcatheter aortic valve implantation group was 76.4±8.79 and the surgical aortic valve replacement group was 70.72± 5.08 in our study. There was no statistically significant difference in mortality, survival rates and periods during the total follow‐up of both groups. Ischemic and hemorrhagic stroke, acute renal failure, major cardiovascular and noncardiac outcomes have been observed with similar frequency in both groups in the early and late period. Conclusion: In severe aortic stenosis patients with moderate surgical risk in our clinic, transcatheter aortic valve implantation has been found to be at least as applicable and useful as surgery, transcatheter aortic valve implantation and surgical aortic valve replacement are successfully implemented in our center.
Özet
Amaç: Çalışmamızda transkateter aort kapak implantasyonu veya cerrahi aort kapak replasmanı geçiren ileri aort stenozlu orta cerahi riskli hastaların erken ve geç dönem klinik sonuçlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmamız retrospektif bir çalışma olup, 2012‐2018 yılları arasında Atatürk Üniversitesi Tıp Fakültesi Hastanesi’nde transkatater aort kapak implantasyonu veya cerrahi aort kapak replasmanı uygulanan ileri aort stenozlu hastalardan orta riskli cerrahi gruba giren hastalar alındı. Bulgular: Çalışmamızda transkatater aort kapak implantasyonu gurubunun yaş ortalaması 76,4±8,79 cerrahi aort kapak replasmanı grubunun ise 70,72±5,08 olarak görüldü. Her iki grupta da toplam takip süresince mortalite, sağ kalım oranlarında ve sürelerinde an‐lamlı istatistiksel fark bulunmadı. Erken ve geç dönemde iskemik ve hemorajik inme, akut renal yetersizlik, majör kardiyovasküler ve nonkardiyak sonlanımlar her iki grupta da benzer sıklıkta görüldü. Sonuç: Kliniğimizde orta derece cerrahi riskli ciddi aort darlığı hastalarında transkateter aort kapak implantasyonu en az cerrahi girişim kadar uygulanabilir ve yararlı bulunmuş olup, transkateter aort kapak implantasyonu ve cerrahi aort kapak replasmanı merkezimizde başarılı bir şekilde uygulanmaktadır.