A new trend to reduce adverse events in patients undergoing transcatheter aortic valve implantation: cusp overlap technique: a cross sectional study

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dc.contributor.authorGuzel, Tuncay
dc.contributor.authorDemir, Muhammed
dc.contributor.authorAktan, Adem
dc.contributor.authorArik, Baran
dc.contributor.authorArgun, Lokman
dc.contributor.authorIldirimli, Kamran
dc.contributor.authorSutcu, Mihriban
dc.date.accessioned2024-04-24T16:10:39Z
dc.date.available2024-04-24T16:10:39Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackgroundTranscatheter aortic valve implantation (TAVI) is currently the treatment of choice for the majority of patients at moderate or high surgical risk. However, some complications occur frequently with this procedure. In this study, we aimed to assess whether the cusp-overlap view (COP) technique may be associated with a reduced incidence of some of these complications compared with the classical three-cusp view (TCV) technique. MethodsIn this single-center, retrospective study we investigated; technical success, postprocedural permanent pacemaker implantation (PPMI), new-onset stroke, pericardial tamponade, arrhythmia development, acute renal failure, major bleeding, major vascular complications, procedure-related coronary obstruction, new-onset left bundle branch block (LBBB), paravalvular leak, peri-procedural myocardial infarction (MI), day of hospitalization, death, and major adverse cardiac and cerebrovascular events (MACCE) were determined as the clinical endpoints. ResultsA total of 281 consecutive patients who met the study criteria and underwent elective or emergency transfemoral TAVI using the self-expandable CoreValve Evolut valve were included. 176 consecutive patients implanted with the classical TCV technique and 105 consecutive patients implanted with the COP technique were compared. Compared with the TCV group, patients in the COP group had lower PPMI (3.8% vs. 10.8%, p = 0.039), in-hospital mortality (1.9% vs. 8.5%, p = 0.018), and 1-year death (4.8% versus 18.8%, p = 0.001), and MACCE rates (12.4% vs 31.3%, p < 0.001). ConclusionThe COP technique may help to reduce the conduction disturbances, PPMI requirement and complication rates that may develop following TAVI. In addition, it is an interesting result that it reduces mortality and MACCE rates in long-term follow-ups.en_US
dc.identifier.doi10.1007/s40520-022-02307-5
dc.identifier.endpage385en_US
dc.identifier.issn1594-0667
dc.identifier.issn1720-8319
dc.identifier.issue2en_US
dc.identifier.pmid36460902
dc.identifier.scopus2-s2.0-85143224236
dc.identifier.scopusqualityQ1
dc.identifier.startpage375en_US
dc.identifier.urihttps://doi.org/10.1007/s40520-022-02307-5
dc.identifier.urihttps://hdl.handle.net/11468/14997
dc.identifier.volume35en_US
dc.identifier.wosWOS:000912585100001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAging Clinical and Experimental Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCusp-Overlap Viewen_US
dc.subjectThree-Cusp Viewen_US
dc.subjectTranscatheter Aortic Valve Implantationen_US
dc.subjectPermanent Pacemaker Implantationen_US
dc.subjectSelf-Expandable Valveen_US
dc.titleA new trend to reduce adverse events in patients undergoing transcatheter aortic valve implantation: cusp overlap technique: a cross sectional studyen_US
dc.titleA new trend to reduce adverse events in patients undergoing transcatheter aortic valve implantation: cusp overlap technique: a cross sectional study
dc.typeArticleen_US

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