TSUCHIYA Ken
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor (Fixed Term)
Article types Original article
Language English
Peer review Non peer reviewed
Title Minimum-incision transsubclavian transcatheter aortic valve replacement with balloon-expandable valve for dialysis patients
Journal Formal name:Journal of cardiology
Abbreviation:J Cardiol
ISSN code:18764738/09145087
Domestic / ForeginForegin
Volume, Issue, Page 84(2),pp.93-98
Author and coauthor Domoto Satoru, Yamaguchi Junichi, Tsuchiya Ken, Inagaki Yusuke, Nakamae Kosuke, Hirota Masataka, Arashi Hiroyuki, Hanafusa Norio, Hoshino Junichi, Niinami Hiroshi
Publication date 2024/08
Summary BACKGROUND:Dialysis patients undergoing transcatheter aortic valve replacement (TAVR) face increased risk and have poorer outcomes than non-dialysis patients. Moreover, TAVR in dialysis patients using an alternative approach is considered extremely risky and little is known about the outcomes. We routinely perform minimum-incision transsubclavian TAVR (MITS-TAVR), which is contraindicated for transfemoral (TF) TAVR. This study aimed to evaluate the outcomes of MITS-TAVR compared with those of TF-TAVR in dialysis patients.
METHODS:This single-center, observational study included 79 consecutive dialysis patients who underwent MITS-TAVR (MITS group, n = 22) or TF-TAVR (TF group, n = 57) under regional anesthesia.
CONCLUSION:The outcome of MITS-TAVR was comparable to that of TF-TAVR in dialysis patients, despite the higher risk of patient characteristics.
DOI 10.1016/j.jjcc.2024.01.001
PMID 38215966