ISMICS 16
ISMICS 15
Home Final Program Past & Future Meetings  

Back to 2016 Annual Meeting Posters


Transapical aortic valve implantation in dialysis-dependent patients
Sergey Leontyev, Philip Kiefer, Norman Mangner, Axel Linke, Gerhard Schuler, Friedrich W. Mohr, David Holzhey.
Heart centre Leipzig, Leipzig, Germany.

OBJECTIVE: The treatment of dialysis-dependent patients is associated with increased postoperative morbidity and in-hospital mortality. The purpose of the presented study was to evaluate outcome in those patients who underwent transapical aortic valve implantation (TA AVI) for severe aortic valve stenosis.
METHODS: A total of 47 dialysis-dependent patients underwent TA AVI between 2008 and 2015. The mean age was 75 ± 8 years and 66% were male. The mean STS score and EUROScore logistic II score were 14.5 ± 10.6 (range 30.4 - 2.1) and 8.4 ±6 (range 48.5 - 2.8), respectively. The most common comorbidities were diabetes (38.3%), COPD (39.1%), peripheral vascular disease (40.4%), pulmonary hypertension (36.2%).
RESULTS: In-hospital mortality was 25.5% (n=12) for all patients. Sternotomy and conventional aortic valve replacement was necessary in one patient (2.1 %) because of annulus rupture. The most common reasons for death were sepsis, heart insufficiency and multi organ failure. Other postoperative complications were pneumonia (15.2 %), low cardiac output (10.9%), bleeding (6.5%), AV Block with pacemaker implantation (17.4%), stroke (6.3 %) and sepsis (8.7 %). Wound healing complication was observed in one patient (2.2 %). One year survival was 44±1% with estimated mean survival time 2.5±0.5 years.
CONCLUSIONS: Transapical aortic valve implantation in dialysis-dependent patients was associated with low rate of intraoperative complication. However the early and mid-term mortality were significantly increased because of high risk profile of the patient. The most common postoperative complications were pneumonia and low cardiac output.


Back to 2016 Annual Meeting Posters
Copyright© 2019. International Society for Minimally Invasive Cardiothoracic Surgery.
Contact Us | Privacy Policy | All Rights Reserved.