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A Decade of Transapical Aortic Valve Implantation

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Presentation on theme: "A Decade of Transapical Aortic Valve Implantation"— Presentation transcript:

1 A Decade of Transapical Aortic Valve Implantation
Nestoras Papadopoulos, MD, Rainer Wenzel, MD, Marlene Thudt, MD, Mirko Doss, MD, PhD, Gerhard Wimmer-Greinecker, MD, PhD, Florian Seeger, MD, Ali El-Sayed Ahmad, MD, Stephan Fichtlscherer, MD, Anton Moritz, MD, PhD, Andreas Zierer, MD, PhD  The Annals of Thoracic Surgery  Volume 102, Issue 3, Pages (September 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Time-to-event curve for cumulative survival. Events were calculated with Kaplan-Meier methods. (Pat. = patients.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A and B) Echocardiographic and (C) computed tomographic evaluation of balloon-expandable aortic valves in 11 patients with a mean follow-up time beyond 8 years. Improvement of (A) effective aortic orifice area (EOA) and (B) mean transvalvular aortic gradient (AV Mean PG) after transapical transcatheter aortic valve implantation (TA-TAVI) and stable values over 8-year follow-up are shown. (C) Stent reconstruction of a balloon-expandable valve shows stable structural behavior of the stent beyond 8 years. (Preop = preoperative.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Assessment of our learning curve by evaluation of the rate of perioperative complications defined as Valve Academic Research Consortium-2 (VARC-2) clinical endpoints. The number of transapical transcatheter aortic valve implantations (TAVI) performed per year is shown in blue, and the number of perioperative complications defined as VARC-2 clinical endpoints per year is shown in red. VARC-2 clinical endpoints are death, stroke, myocardial infarction, bleeding and vascular complications, acute kidney injury, conduction disturbances, and valve-related complications. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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