First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa

Background: Transcatheter aortic valve implantation (TAVI) is an exciting new technology that was launched in South Africa in October 2009 for the treatment of aortic stenosis in patients at high risk for conventional surgery. We report our initial experience with TAVI in the Western Cape, South Afr...

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Autores principales:	Hellmuth Weich, Tom Mabin, Jacques van Wyk, Wynand van Zyl, Rocco Vivier, Andre Phillips, Ronel van Gruene
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2017
Materias:	transcatheter aortic valve implantation (tavi) edwards sapien Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/d82b0b200793470d9112c7400f7fe132
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spelling	oai:doaj.org-article:d82b0b200793470d9112c7400f7fe1322021-11-29T12:54:19ZFirst experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa10.24170/9-1-18671996-67412071-4602https://doaj.org/article/d82b0b200793470d9112c7400f7fe1322017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1867https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Background: Transcatheter aortic valve implantation (TAVI) is an exciting new technology that was launched in South Africa in October 2009 for the treatment of aortic stenosis in patients at high risk for conventional surgery. We report our initial experience with TAVI in the Western Cape, South Africa. Methods: 70 patients with severe symptomatic aortic stenosis underwent TAVI with the Edwards SAPIEN device (26 via transapical approach and 44 via transfemoral) at Panorama and Vergelegen Mediclinic hospitals in the Western Cape. All implants were performed by a team consisting of 2 cardiothoracic anaesthesiologists, 2 cardiothoracicsurgeons, 2 cardiologists and an echo expert. Results: Patients were at high risk with a mean age of 80 years and a mean logistic EuroSCORE of 26. The acute procedural success rate was 97% with two acute deaths. At 30 days, there were a total of 5 deaths. Major vascular complications were seen in 6 cases (9%). Only one stroke was seen during the follow-up period. Conclusions: With a multidisciplinary team approach and careful patient selection, TAVI can be performed by a high volume centre in South Africa with results comparable to international published outcomes.Hellmuth WeichTom MabinJacques van WykWynand van ZylRocco VivierAndre PhillipsRonel van GrueneSouth African Heart Associationarticletranscatheter aortic valve implantation (tavi)edwards sapienDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 8, Iss 4, Pp 6-13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	transcatheter aortic valve implantation (tavi) edwards sapien Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	transcatheter aortic valve implantation (tavi) edwards sapien Diseases of the circulatory (Cardiovascular) system RC666-701 Hellmuth Weich Tom Mabin Jacques van Wyk Wynand van Zyl Rocco Vivier Andre Phillips Ronel van Gruene First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa
description	Background: Transcatheter aortic valve implantation (TAVI) is an exciting new technology that was launched in South Africa in October 2009 for the treatment of aortic stenosis in patients at high risk for conventional surgery. We report our initial experience with TAVI in the Western Cape, South Africa. Methods: 70 patients with severe symptomatic aortic stenosis underwent TAVI with the Edwards SAPIEN device (26 via transapical approach and 44 via transfemoral) at Panorama and Vergelegen Mediclinic hospitals in the Western Cape. All implants were performed by a team consisting of 2 cardiothoracic anaesthesiologists, 2 cardiothoracicsurgeons, 2 cardiologists and an echo expert. Results: Patients were at high risk with a mean age of 80 years and a mean logistic EuroSCORE of 26. The acute procedural success rate was 97% with two acute deaths. At 30 days, there were a total of 5 deaths. Major vascular complications were seen in 6 cases (9%). Only one stroke was seen during the follow-up period. Conclusions: With a multidisciplinary team approach and careful patient selection, TAVI can be performed by a high volume centre in South Africa with results comparable to international published outcomes.
format	article
author	Hellmuth Weich Tom Mabin Jacques van Wyk Wynand van Zyl Rocco Vivier Andre Phillips Ronel van Gruene
author_facet	Hellmuth Weich Tom Mabin Jacques van Wyk Wynand van Zyl Rocco Vivier Andre Phillips Ronel van Gruene
author_sort	Hellmuth Weich
title	First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa
title_short	First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa
title_full	First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa
title_fullStr	First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa
title_full_unstemmed	First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa
title_sort	first experience with the edwards sapien transcatheter aortic valve implantation (tavi). data from the western cape, south africa
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/d82b0b200793470d9112c7400f7fe132
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First experience with the Edwards SAPIEN transcatheter aortic valve implantation (TAVI). Data from the Western Cape, South Africa

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