[POL-TAVI First—Polish report on transcatheter aortic valve implantation (TAVI) of Edwards-Sapien prosthesis in the first 19 high risk patients with severe aortic stenosis and comorbidities]

Marian Zembala, Krzysztof Wilczek, Roman Przybylski, Piotr Chodór, Paweł Nadziakiewicz, Marcin Krasoń, Jerzy Sadowski, Dariusz Dudek, Bogusław Kapelak, Danuta Forysz, Adam Witkowski, Marcin Demkow, Zbigniew Chmielak, Krzysztof Kuśmierski, Zbigniew Juraszyński, Andrzej Bochenek, Marek Cisowski, Maria Trusz-Gluza, Paweł Buszman, Stanisław Woś, Zbigniew Kalarus, Lech Poloński, Mariusz Gasior, Grzegorz Opolski, Witold Ruzyłło
Kardiologia Polska 2009, 67 (8): 936-40
Patients with severe symptomatic aortic stenosis, who from November 2008 to March 2009 were treated with Edwards-Sapien transcatheter aortic valve implantation (TAVI) within the POL-TAVI First Polish Registry, were included in the analysis. Nineteen patients aged 78+/-4.8 years with high operation risk and Logistic EuroSCORE 25+/-7.6% were reported (74% were females). In 15 (79%) patients the valve was implanted transapically (TA), in the other four (21%)--via the femoral arterial access (TF). The valve was successfully implanted in 16 (84%) patients, in one patient aortic valvuloplasty alone was performed. During in-hospital period two patients died (one during periprocedural period and another one--two months after the implantation). During the mean follow-up of 5+/-1.5 months (except for one patient who is still in hospital) all patients are in NYHA class I or II. Results of the initial series of 19 TAVI patients in Poland are satisfactory, and the trial will be continued with careful medical and economical analysis.

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