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Aortic and innominate routes for transcatheter aortic valve implantation  Jean Porterie, MD, Nicolas Mayeur, MD, PhD, Thibaut Lhermusier, MD, PhD, Nicolas.

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Presentation on theme: "Aortic and innominate routes for transcatheter aortic valve implantation  Jean Porterie, MD, Nicolas Mayeur, MD, PhD, Thibaut Lhermusier, MD, PhD, Nicolas."— Presentation transcript:

1 Aortic and innominate routes for transcatheter aortic valve implantation 
Jean Porterie, MD, Nicolas Mayeur, MD, PhD, Thibaut Lhermusier, MD, PhD, Nicolas Dumonteil, MD, Thomas Chollet, MD, Olivier Lairez, MD, PhD, Bertrand Marcheix, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 157, Issue 4, Pages e7 (April 2019) DOI: /j.jtcvs Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Institutional TAVR volume and access route strategies. TAVI, Transcatheter aortic valve implantation; TF, transfemoral; TA, transapical; AA, ascending aorta; IA, innominate artery access; LVEF, left ventricular ejection fraction; COPD, chronic obstructive pulmonary disease; ITA, internal thoracic artery; SC, subclavian. The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

3 Figure E1 NYHA functional status. Proportions of patients in each NYHA functional class based on their symptoms. Percentages expressed are related to the number of patients alive for whom status was known at each time point. NYHA, New York Heart Association. The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

4 Figure E2 Valve hemodynamics during the follow-up period. Mean transvalvular gradient and indexed effective orifice area over time. Baseline versus follow-up *P <  No significant changes in valve hemodynamics were observed during the follow-up period. Analyses of variance were done with Kruskal–Wallis test for patients (n = 107) in whom the data of the echocardiographic assessment at each time point were available. The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

5 Figure E3 Kaplan–Meier analysis of freedom from all-cause mortality. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

6 Figure E4 Kaplan–Meier analysis of freedom from cardiovascular mortality. Deaths from unknown cause were assumed to be of cardiovascular cause. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

7 After TAo-TAVI, 30-day mortality and stroke rates were 5. 3% and 1
After TAo-TAVI, 30-day mortality and stroke rates were 5.3% and 1.0%, respectively. The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

8 Video 1 All the procedures were performed in a hybrid operating room by a multidisciplinary team composed of interventional cardiologists, cardiac surgeons, and cardiac anesthesiologists. All patients underwent a J-shaped manubriotomy down to the second right intercostal space. A safe entry site was exposed on the IA in most patients. The procedures were performed with a balloon-expandable or self-expanding prosthesis. Video available at: The Journal of Thoracic and Cardiovascular Surgery  , e7DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

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