Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap. / Nielsen, Hans Henrik Møller; Andersen, Henning Rud; Hjortdal, Vibeke Elisabeth; Klaaborg, Kaj-Erik; Jakobsen, Carl-Johan; Egeblad, Henrik; Terp, Kim; Lindskov, Christian; Sloth, Erik; Poulsen, Steen Hvidtfeldt; Bøing, Ingeborg; Thuesen, Leif.

In: Ugeskrift for Laeger, Vol. 171, No. 33, 10.08.2009, p. 2277-81.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Nielsen, HHM, Andersen, HR, Hjortdal, VE, Klaaborg, K-E, Jakobsen, C-J, Egeblad, H, Terp, K, Lindskov, C, Sloth, E, Poulsen, SH, Bøing, I & Thuesen, L 2009, 'Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap', Ugeskrift for Laeger, vol. 171, no. 33, pp. 2277-81.

APA

Nielsen, H. H. M., Andersen, H. R., Hjortdal, V. E., Klaaborg, K-E., Jakobsen, C-J., Egeblad, H., Terp, K., Lindskov, C., Sloth, E., Poulsen, S. H., Bøing, I., & Thuesen, L. (2009). Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap. Ugeskrift for Laeger, 171(33), 2277-81.

Vancouver

Nielsen HHM, Andersen HR, Hjortdal VE, Klaaborg K-E, Jakobsen C-J, Egeblad H et al. Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap. Ugeskrift for Laeger. 2009 Aug 10;171(33):2277-81.

Author

Nielsen, Hans Henrik Møller ; Andersen, Henning Rud ; Hjortdal, Vibeke Elisabeth ; Klaaborg, Kaj-Erik ; Jakobsen, Carl-Johan ; Egeblad, Henrik ; Terp, Kim ; Lindskov, Christian ; Sloth, Erik ; Poulsen, Steen Hvidtfeldt ; Bøing, Ingeborg ; Thuesen, Leif. / Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap. In: Ugeskrift for Laeger. 2009 ; Vol. 171, No. 33. pp. 2277-81.

Bibtex

@article{7439cea7576c432b971af5a76fc0322e,
title = "Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap",
abstract = "INTRODUCTION: Recent years have seen the introduction of catheter-based aortic valve substitution with stent valves to treat aortic valve stenosis in patients who were deemed inoperable via conventional open heart surgery. We here report our initial experience.MATERIAL AND METHODS: Register-based study with prospective registration of prespecified parameters. A total of 26 patients were treated with an aortic stent valve, 12 via transfemoral (TFA-AVI) and 14 via transapical (TAP-AVI) access. In the TFA-AVI group, 75% were women and the average age was 85 4.5 years; in the TAP-AVI group, 71% were women and the average age was 79 8.4 years.RESULTS: In the TFA-AVI group, successful stent valve implantation was performed in 9/12 (75%) and TAP-AVI in 13/14 (93%) patients. Mortality after 30 days was 25% in the TFA-AVI and 7% in the TAP-AVI group. The aortic valve area increased from 0.6 0.13 cm(2) to 1.6 0.39 (2) in the TFA-AVI group and from 0.7 0.2 (2) to 1.6 0.37 (2) in the TAP-AVI group. 91% of patients showed clinical improvement after treatment.CONCLUSION: Transcatheter aortic valve implantation of conventional unresectable patients requires close cooperation between different specialities. The treatment seems to be a realistic alternative to medical treatment for inoperable patients and may even be used in operable high-risk patients.",
keywords = "Aged, Aged, 80 and over, Aortic Valve/surgery, Bioprosthesis, Cardiac Catheterization/methods, Female, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation/instrumentation, Humans, Male, Prospective Studies, Registries, Stents, Treatment Outcome",
author = "Nielsen, {Hans Henrik M{\o}ller} and Andersen, {Henning Rud} and Hjortdal, {Vibeke Elisabeth} and Kaj-Erik Klaaborg and Carl-Johan Jakobsen and Henrik Egeblad and Kim Terp and Christian Lindskov and Erik Sloth and Poulsen, {Steen Hvidtfeldt} and Ingeborg B{\o}ing and Leif Thuesen",
year = "2009",
month = aug,
day = "10",
language = "Dansk",
volume = "171",
pages = "2277--81",
journal = "Ugeskrift for Laeger",
issn = "0041-5782",
publisher = "Almindelige Danske Laegeforening",
number = "33",

}

RIS

TY - JOUR

T1 - Kateterbaseret aortaklapsubstitution. Initiale erfaringer med implantation af stentklap

AU - Nielsen, Hans Henrik Møller

AU - Andersen, Henning Rud

AU - Hjortdal, Vibeke Elisabeth

AU - Klaaborg, Kaj-Erik

AU - Jakobsen, Carl-Johan

AU - Egeblad, Henrik

AU - Terp, Kim

AU - Lindskov, Christian

AU - Sloth, Erik

AU - Poulsen, Steen Hvidtfeldt

AU - Bøing, Ingeborg

AU - Thuesen, Leif

PY - 2009/8/10

Y1 - 2009/8/10

N2 - INTRODUCTION: Recent years have seen the introduction of catheter-based aortic valve substitution with stent valves to treat aortic valve stenosis in patients who were deemed inoperable via conventional open heart surgery. We here report our initial experience.MATERIAL AND METHODS: Register-based study with prospective registration of prespecified parameters. A total of 26 patients were treated with an aortic stent valve, 12 via transfemoral (TFA-AVI) and 14 via transapical (TAP-AVI) access. In the TFA-AVI group, 75% were women and the average age was 85 4.5 years; in the TAP-AVI group, 71% were women and the average age was 79 8.4 years.RESULTS: In the TFA-AVI group, successful stent valve implantation was performed in 9/12 (75%) and TAP-AVI in 13/14 (93%) patients. Mortality after 30 days was 25% in the TFA-AVI and 7% in the TAP-AVI group. The aortic valve area increased from 0.6 0.13 cm(2) to 1.6 0.39 (2) in the TFA-AVI group and from 0.7 0.2 (2) to 1.6 0.37 (2) in the TAP-AVI group. 91% of patients showed clinical improvement after treatment.CONCLUSION: Transcatheter aortic valve implantation of conventional unresectable patients requires close cooperation between different specialities. The treatment seems to be a realistic alternative to medical treatment for inoperable patients and may even be used in operable high-risk patients.

AB - INTRODUCTION: Recent years have seen the introduction of catheter-based aortic valve substitution with stent valves to treat aortic valve stenosis in patients who were deemed inoperable via conventional open heart surgery. We here report our initial experience.MATERIAL AND METHODS: Register-based study with prospective registration of prespecified parameters. A total of 26 patients were treated with an aortic stent valve, 12 via transfemoral (TFA-AVI) and 14 via transapical (TAP-AVI) access. In the TFA-AVI group, 75% were women and the average age was 85 4.5 years; in the TAP-AVI group, 71% were women and the average age was 79 8.4 years.RESULTS: In the TFA-AVI group, successful stent valve implantation was performed in 9/12 (75%) and TAP-AVI in 13/14 (93%) patients. Mortality after 30 days was 25% in the TFA-AVI and 7% in the TAP-AVI group. The aortic valve area increased from 0.6 0.13 cm(2) to 1.6 0.39 (2) in the TFA-AVI group and from 0.7 0.2 (2) to 1.6 0.37 (2) in the TAP-AVI group. 91% of patients showed clinical improvement after treatment.CONCLUSION: Transcatheter aortic valve implantation of conventional unresectable patients requires close cooperation between different specialities. The treatment seems to be a realistic alternative to medical treatment for inoperable patients and may even be used in operable high-risk patients.

KW - Aged

KW - Aged, 80 and over

KW - Aortic Valve/surgery

KW - Bioprosthesis

KW - Cardiac Catheterization/methods

KW - Female

KW - Heart Valve Prosthesis

KW - Heart Valve Prosthesis Implantation/instrumentation

KW - Humans

KW - Male

KW - Prospective Studies

KW - Registries

KW - Stents

KW - Treatment Outcome

M3 - Tidsskriftartikel

C2 - 19732506

VL - 171

SP - 2277

EP - 2281

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 33

ER -

ID: 242714387