1. Az első 200 transzkatéteres aortabillentyű-implantáció a Gottsegen György Országos Kardiológiai Intézetben
- Author
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Attila Kovács, Viktor Takács, Péter Andréka, Matyas Pal, Géza Fontos, Zsolt Piroth, Adrienn Mandzak, Chaurasia Amit Kumar, Andrea Varga, Nikolett Hegedüs, Gabor Dekany, and György Szabó
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03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,Transcatheter aortic ,business.industry ,medicine ,030212 general & internal medicine ,General Medicine ,030204 cardiovascular system & hematology ,business ,Nuclear medicine ,Surgery - Abstract
Introduction: Transcatheter aortic valve implantation is a therapeutic alternative for contraindicated and high surgical risk patients with severe symptomatic aortic stenosis. This intervention is part of daily routine in the Institute of the authors. Aim: In the present work the results of the first 200 patients are discussed. Method: Until January, 2016, 200 patients (female 55%, mean age 79.9 years, average EuroSCORE 19.3%, left ventricular ejection fraction 54%, peak gradient 81.2 mmHg, mean aortic gradient 50.9 mmHg) underwent transcatheter aortic valve implantation. Results: The procedure was performed with 99% success rate. Complications were evaluated according to VARC 2 definitions. Mortality was 5% at one month and 17.4% at one year. Cardiac mortality was 13.6 at one year. Cerebrovascular complications were 5% within one year, and 95% of patients were in NYHA I or II functional classes at one year. Conclusion: These findings are consistent with worldwide results. Orv. Hetil., 2016, 157(45), 1786–1792.
- Published
- 2016
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