Advantages of a prospective multidisciplinary approach in transcatheter aortic valve implantation

Detalhes bibliográficos
Autor(a) principal: Costa, Cátia
Data de Publicação: 2017
Outros Autores: Teles, Rui Campante, 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
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/148256
Resumo: Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.
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spelling 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, CátiaTeles, Rui CampanteBrito, 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:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:29:40Zoai:run.unl.pt:10362/148256Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:18.094648Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
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
Teles, Rui Campante
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 Teles, Rui Campante
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
Teles, Rui Campante
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
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/148256
url http://hdl.handle.net/10362/148256
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0870-2551
PURE: 3335095
https://doi.org/10.1016/j.repc.2016.11.015
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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