Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation
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| Publication Date: | 2017 |
| Other Authors: | , , , , , , , , , , , , , , , , , |
| Format: | Article |
| Language: | eng |
| Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| Download full: | http://hdl.handle.net/10362/148256 |
Summary: | Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved. |
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Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantationEight years of experienceSurgical aortic valve replacementTranscatheter aortic valve implantationVálvula aórtica percutâneaEstenose aórtica graveHeart TeamSevere aortic stenosisStandardizationStandardizaçãoSubstituição valvular aórtica cirúrgicaCopyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.INTRODUCTION: Aortic stenosis is the most prevalent type of valvular disease in Europe. Surgical aortic valve replacement (SAVR) is the standard therapy, while transcatheter aortic valve implantation (TAVI) is an alternative in patients at unacceptably high surgical risk. Assessment by a heart team is recommended by the guidelines but there is little published evidence on this subject. The purpose of this paper is to describe the experience of a multidisciplinary TAVI program that began in 2008. METHODS: The heart team prospectively assessed 473 patients using a standardized approach. A total of 214 patients were selected for TAVI and 80 for SAVR. Demographic, clinical and procedural characteristics and long-term success rates were compared between the groups. RESULTS: TAVI patients were older than the SAVR group (median 83 vs. 81 years), and had higher surgical risk scores (median EuroSCORE II 5.3 vs. 3.6% and Society of Thoracic Surgeons score 5.1 vs. 3.1%), as did the patients under medical treatment only. These scores were unable to assess multiple comorbidities. Patients' outcomes were different between the three groups (mortality with SAVR 25% vs. TAVI 37.6% vs. conservative therapy 57.6%, p=0.001). CONCLUSIONS: The heart team program was able to select candidates appropriately for TAVI, SAVR and conservative treatment, taking into account the risk of both invasive treatments. The use of a prospective standardized heart team approach is recommended, but requires continuous monitoring to ensure effectiveness in a timely manner.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCosta, CátiaCampante Teles, RuiBrito, JoãoNeves, José PedroGabriel, Henrique MesquitaAbecassis, MiguelRibeiras, ReginaAbecasis, JoãoNolasco, TiagoFurstenau, Maria da ConceiçãoVale, NélsonTralhão, AntónioMadeira, SérgioMesquita, JoãoSaraiva, CarlaCalé, RitaAlmeida, ManuelAleixo, AnaMendes, Miguel2023-01-27T22:09:40Z2017-112017-11-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/148256eng0870-2551PURE: 3335095https://doi.org/10.1016/j.repc.2016.11.015info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-10-21T01:36:33Zoai:run.unl.pt:10362/148256Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:38:58.291013Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
| dc.title.none.fl_str_mv |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation Eight years of experience |
| title |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation |
| spellingShingle |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation Costa, Cátia Surgical aortic valve replacement Transcatheter aortic valve implantation Válvula aórtica percutânea Estenose aórtica grave Heart Team Severe aortic stenosis Standardization Standardização Substituição valvular aórtica cirúrgica |
| title_short |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation |
| title_full |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation |
| title_fullStr |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation |
| title_full_unstemmed |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation |
| title_sort |
Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation |
| author |
Costa, Cátia |
| author_facet |
Costa, Cátia Campante Teles, Rui Brito, João Neves, José Pedro Gabriel, Henrique Mesquita Abecassis, Miguel Ribeiras, Regina Abecasis, João Nolasco, Tiago Furstenau, Maria da Conceição Vale, Nélson Tralhão, António Madeira, Sérgio Mesquita, João Saraiva, Carla Calé, Rita Almeida, Manuel Aleixo, Ana Mendes, Miguel |
| author_role |
author |
| author2 |
Campante Teles, Rui Brito, João Neves, José Pedro Gabriel, Henrique Mesquita Abecassis, Miguel Ribeiras, Regina Abecasis, João Nolasco, Tiago Furstenau, Maria da Conceição Vale, Nélson Tralhão, António Madeira, Sérgio Mesquita, João Saraiva, Carla Calé, Rita Almeida, Manuel Aleixo, Ana Mendes, Miguel |
| author2_role |
author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Centro de Estudos de Doenças Crónicas (CEDOC) NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
| dc.contributor.author.fl_str_mv |
Costa, Cátia Campante Teles, Rui Brito, João Neves, José Pedro Gabriel, Henrique Mesquita Abecassis, Miguel Ribeiras, Regina Abecasis, João Nolasco, Tiago Furstenau, Maria da Conceição Vale, Nélson Tralhão, António Madeira, Sérgio Mesquita, João Saraiva, Carla Calé, Rita Almeida, Manuel Aleixo, Ana Mendes, Miguel |
| dc.subject.por.fl_str_mv |
Surgical aortic valve replacement Transcatheter aortic valve implantation Válvula aórtica percutânea Estenose aórtica grave Heart Team Severe aortic stenosis Standardization Standardização Substituição valvular aórtica cirúrgica |
| topic |
Surgical aortic valve replacement Transcatheter aortic valve implantation Válvula aórtica percutânea Estenose aórtica grave Heart Team Severe aortic stenosis Standardization Standardização Substituição valvular aórtica cirúrgica |
| description |
Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved. |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017-11 2017-11-01T00:00:00Z 2023-01-27T22:09:40Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/10362/148256 |
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http://hdl.handle.net/10362/148256 |
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eng |
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eng |
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0870-2551 PURE: 3335095 https://doi.org/10.1016/j.repc.2016.11.015 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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