Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement

Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwe...
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Autor*in:	Lu, Henri [verfasserIn] Monney, Pierre [verfasserIn] Fournier, Stephane [verfasserIn] Pavon, Anna Giulia [verfasserIn] Roguelov, Christan [verfasserIn] Eeckhout, Eric [verfasserIn] Muller, Olivier [verfasserIn] Kirsch, Matthias [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical

Übergeordnetes Werk:	Enthalten in: International journal of cardiology - Amsterdam [u.a.] : Elsevier Science, 1981, 327
Übergeordnetes Werk:	volume:327

DOI / URN:	10.1016/j.ijcard.2020.11.026

Katalog-ID:	ELV00555473X

Internformat


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245	1	0	\|a Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
264		1	\|c 2020
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520			\|a Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated.
650		4	\|a Aortic valve stenosis
650		4	\|a Transcatheter aortic valve replacement
650		4	\|a Transfemoral
650		4	\|a Transcervical
700	1		\|a Monney, Pierre \|e verfasserin \|4 aut
700	1		\|a Fournier, Stephane \|e verfasserin \|4 aut
700	1		\|a Pavon, Anna Giulia \|e verfasserin \|4 aut
700	1		\|a Roguelov, Christan \|e verfasserin \|4 aut
700	1		\|a Eeckhout, Eric \|e verfasserin \|4 aut
700	1		\|a Muller, Olivier \|e verfasserin \|4 aut
700	1		\|a Kirsch, Matthias \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t International journal of cardiology \|d Amsterdam [u.a.] : Elsevier Science, 1981 \|g 327 \|h Online-Ressource \|w (DE-627)306659581 \|w (DE-600)1500478-8 \|w (DE-576)081986270 \|x 1874-1754 \|7 nnns
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936	b	k	\|a 44.85 \|j Kardiologie \|j Angiologie
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author_variant	h l hl p m pm s f sf a g p ag agp c r cr e e ee o m om m k mk
matchkey_str	article:18741754:2020----::rncriaapocvrutaseoaapocfrrnctee
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bklnumber	44.85
publishDate	2020
allfields	10.1016/j.ijcard.2020.11.026 doi (DE-627)ELV00555473X (ELSEVIER)S0167-5273(20)34149-8 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl Lu, Henri verfasserin aut Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated. Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical Monney, Pierre verfasserin aut Fournier, Stephane verfasserin aut Pavon, Anna Giulia verfasserin aut Roguelov, Christan verfasserin aut Eeckhout, Eric verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Enthalten in International journal of cardiology Amsterdam [u.a.] : Elsevier Science, 1981 327 Online-Ressource (DE-627)306659581 (DE-600)1500478-8 (DE-576)081986270 1874-1754 nnns volume:327 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie AR 327
spelling	10.1016/j.ijcard.2020.11.026 doi (DE-627)ELV00555473X (ELSEVIER)S0167-5273(20)34149-8 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl Lu, Henri verfasserin aut Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated. Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical Monney, Pierre verfasserin aut Fournier, Stephane verfasserin aut Pavon, Anna Giulia verfasserin aut Roguelov, Christan verfasserin aut Eeckhout, Eric verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Enthalten in International journal of cardiology Amsterdam [u.a.] : Elsevier Science, 1981 327 Online-Ressource (DE-627)306659581 (DE-600)1500478-8 (DE-576)081986270 1874-1754 nnns volume:327 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie AR 327
allfields_unstemmed	10.1016/j.ijcard.2020.11.026 doi (DE-627)ELV00555473X (ELSEVIER)S0167-5273(20)34149-8 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl Lu, Henri verfasserin aut Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated. Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical Monney, Pierre verfasserin aut Fournier, Stephane verfasserin aut Pavon, Anna Giulia verfasserin aut Roguelov, Christan verfasserin aut Eeckhout, Eric verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Enthalten in International journal of cardiology Amsterdam [u.a.] : Elsevier Science, 1981 327 Online-Ressource (DE-627)306659581 (DE-600)1500478-8 (DE-576)081986270 1874-1754 nnns volume:327 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie AR 327
allfieldsGer	10.1016/j.ijcard.2020.11.026 doi (DE-627)ELV00555473X (ELSEVIER)S0167-5273(20)34149-8 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl Lu, Henri verfasserin aut Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated. Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical Monney, Pierre verfasserin aut Fournier, Stephane verfasserin aut Pavon, Anna Giulia verfasserin aut Roguelov, Christan verfasserin aut Eeckhout, Eric verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Enthalten in International journal of cardiology Amsterdam [u.a.] : Elsevier Science, 1981 327 Online-Ressource (DE-627)306659581 (DE-600)1500478-8 (DE-576)081986270 1874-1754 nnns volume:327 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie AR 327
allfieldsSound	10.1016/j.ijcard.2020.11.026 doi (DE-627)ELV00555473X (ELSEVIER)S0167-5273(20)34149-8 DE-627 ger DE-627 rda eng 610 DE-600 44.85 bkl Lu, Henri verfasserin aut Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated. Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical Monney, Pierre verfasserin aut Fournier, Stephane verfasserin aut Pavon, Anna Giulia verfasserin aut Roguelov, Christan verfasserin aut Eeckhout, Eric verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Enthalten in International journal of cardiology Amsterdam [u.a.] : Elsevier Science, 1981 327 Online-Ressource (DE-627)306659581 (DE-600)1500478-8 (DE-576)081986270 1874-1754 nnns volume:327 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.85 Kardiologie Angiologie AR 327
language	English
source	Enthalten in International journal of cardiology 327 volume:327
sourceStr	Enthalten in International journal of cardiology 327 volume:327
format_phy_str_mv	Article
bklname	Kardiologie Angiologie
institution	findex.gbv.de
topic_facet	Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical
dewey-raw	610
isfreeaccess_bool	false
container_title	International journal of cardiology
authorswithroles_txt_mv	Lu, Henri @@aut@@ Monney, Pierre @@aut@@ Fournier, Stephane @@aut@@ Pavon, Anna Giulia @@aut@@ Roguelov, Christan @@aut@@ Eeckhout, Eric @@aut@@ Muller, Olivier @@aut@@ Kirsch, Matthias @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	306659581
dewey-sort	3610
id	ELV00555473X
language_de	englisch
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author	Lu, Henri
spellingShingle	Lu, Henri ddc 610 bkl 44.85 misc Aortic valve stenosis misc Transcatheter aortic valve replacement misc Transfemoral misc Transcervical Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
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topic_title	610 DE-600 44.85 bkl Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement Aortic valve stenosis Transcatheter aortic valve replacement Transfemoral Transcervical
topic	ddc 610 bkl 44.85 misc Aortic valve stenosis misc Transcatheter aortic valve replacement misc Transfemoral misc Transcervical
topic_unstemmed	ddc 610 bkl 44.85 misc Aortic valve stenosis misc Transcatheter aortic valve replacement misc Transfemoral misc Transcervical
topic_browse	ddc 610 bkl 44.85 misc Aortic valve stenosis misc Transcatheter aortic valve replacement misc Transfemoral misc Transcervical
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title	Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
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title_full	Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
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author_browse	Lu, Henri Monney, Pierre Fournier, Stephane Pavon, Anna Giulia Roguelov, Christan Eeckhout, Eric Muller, Olivier Kirsch, Matthias
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author-letter	Lu, Henri
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dewey-full	610
author2-role	verfasserin
title_sort	transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
title_auth	Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
abstract	Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated.
abstractGer	Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated.
abstract_unstemmed	Objectives: The transfemoral (TF) approach is the gold-standard access route for transcatheter aortic valve replacement (TAVR). Alternative approaches, among which the transcervical (TC) approach, are needed in some patients. We aimed to compare TC-TAVR with TF-TAVR.Methods: All patients who underwent TAVR in our institution between 2016 and 2020, using Edwards SAPIEN family balloon-expandable transcatheter heart valves, were retrospectively included. Endpoints included 30-day all-cause mortality, procedural complications (according to the VARC-2 criteria), procedure duration, hospital length of stay (LOS) and echocardiographic outcomes. For 30-day all-cause mortality, we furthermore used a Cox proportional-hazards model to adjust for significant between-group differences in baseline characteristics as well as anesthesia modality.Results: TAVR was performed in 306 patients, using a TF approach (n = 255) or a TC approach (n = 51).Conclusion: Despite a higher cardiovascular disease burden in TC patients, TC-TAVR and TF-TAVR yielded similar outcomes. TC-TAVR may be a safe alternative when TF-TAVR is contraindicated.
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title_short	Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement
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author2	Monney, Pierre Fournier, Stephane Pavon, Anna Giulia Roguelov, Christan Eeckhout, Eric Muller, Olivier Kirsch, Matthias
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up_date	2024-07-06T18:21:54.520Z
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Transcervical approach versus transfemoral approach for transcatheter aortic valve replacement

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