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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Incidence, management, and outcomes of cardiac tamponade during transcatheter aortic valve implantation: A single-center study
JACC: Cardiovascular Interventions, Volume 5, No. 12, Year 2012
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Description
Objectives: The aim of this study was to explore the incidence, causes, and outcomes of cardiac tamponade in patients undergoing transcatheter aortic valve implantation (TAVI). Background: Use of TAVI is increasing, but the procedure is vulnerable to complications, given the cohort of patients. Cardiac tamponade is a possible complication, and there is a scarcity of data on the incidence and outcomes of cardiac tamponade during TAVI. Methods: All patients who sustained cardiac tamponade during or post-TAVI between 2007 and 2012 were included in the study. Results: Of 389 patients who underwent TAVI, 17 (4.3%) had cardiac tamponade. The mean age was 82.3 ± 3.7 years, and most were women (n = 12, 70.6%). Causes of cardiac tamponade were right ventricular perforation by temporary pacemaker (9 patients, 52.9%), annular rupture or aortic dissection (4 patients, 23.5%), and tear in the left ventricular free wall caused by Amplatz stiff wire or catheters (4 patients, 23.5%). Mortality occurred in 4 patients (23.5%), and all had tamponade caused by injury to the high-pressured left-sided circulation (left ventricle and aorta). Most patients (n = 14, 82.4%) sustained cardiac tamponade during the procedure - 2 patients (11.7%) within 24 h, and 1 patient after 24 h. Conclusions: Cardiac tamponade during TAVI is not frequent but is associated with high mortality rates especially when left-sided structures are involved. Meticulous handling of the equipment and improvements in the safety of currently used devices could further reduce the occurrence of this complication. © 2012 American College of Cardiology Foundation.
Authors & Co-Authors
Rezq, Ahmed
Italy, Milan
Emo Centro Cuore Columbus
Egypt, Cairo
Ain Shams University
Basavarajaiah, Sandeep
Italy, Milan
Emo Centro Cuore Columbus
Latib, Azeem M.
Italy, Milan
Emo Centro Cuore Columbus
Takagi, Kensuke
Italy, Milan
Emo Centro Cuore Columbus
Japan, Matsudo
New Tokyo Hospital
Hasegawa, Tasuku
Italy, Milan
Emo Centro Cuore Columbus
Figini, Filippo
Italy, Milan
Emo Centro Cuore Columbus
Cioni, Micaela
Italy, Milan
Irccs Ospedale San Raffaele
Franco, Annalisa
Italy, Milan
Irccs Ospedale San Raffaele
Montorfano, Matteo
Italy, Milan
Emo Centro Cuore Columbus
Chieffo, Alaide
Italy, Milan
Emo Centro Cuore Columbus
Maisano, Francesco
Italy, Milan
Irccs Ospedale San Raffaele
Corvaja, Nicola
United States, New York
Columbia University Irving Medical Center
Alfieri, Ottavio R.
Italy, Milan
Irccs Ospedale San Raffaele
Colombo, Antonio
Italy, Milan
Emo Centro Cuore Columbus
Statistics
Citations: 95
Authors: 14
Affiliations: 5
Identifiers
Doi:
10.1016/j.jcin.2012.08.012
ISSN:
19368798
e-ISSN:
18767605
Research Areas
Health System And Policy
Noncommunicable Diseases
Violence And Injury
Study Design
Cohort Study
Participants Gender
Female