Publication details

Quality of life after transcatheter aortic valve implantation and surgical replacement in high-risk elderly patients

Authors

KALA Petr TRETINA Martin POLOCZEK Martin ONDRASEK Jiri MALIK Petr POKORNY Petr PAŘENICA Jiří ŠPINAR Jindřich JARKOVSKÝ Jiří LITTNEROVÁ Simona NEMEC Petr

Year of publication 2013
Type Article in Periodical
Magazine / Source Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Czech Republic
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.5507/bp.2012.062
Field Cardiovascular diseases incl. cardiosurgery
Keywords quality of life; EQ-5D; aortic replacement; aortic valve implantation; TAVI; bioprosthesis
Description Aim. The aim of this study was to compare the quality of life after transcatheter aortic valve implantation (TAVI) and surgical replacement (SAVR) at one year. Methods. The study included 45 consecutive high-risk patients (average age 82.0 years; logistic Euroscore 22.3%) with symptomatic severe aortic stenosis allocated to TAVI transfemoral, TAVI transapical using the Edwards-Sapien valve or SAVR with the Edwards Perimount bioprosthesis (n= 15 in each). The pre-operative characteristics were similar except for more myocardial infarctions in TAVI. The quality of life was assessed using the standardized EQ-5D questionnaire at baseline and on days 30, 90 and 360. The protocol was approved by the local ethics committee and an informed consent was signed. A total of 7 patients (15.5%) died during follow-up. Results. At baseline no significant differences in any of the quality-of-life parameters were found except for usual activities described as "best" (46.7% in SAVR vs. 10.0% in TAVI; P=0.002). At 30 and 90 days surviving patients were similar and at 360 days only the anxiety/depression score was "best" in 83.3% SAVR vs. 59.1% (P=0.046). Functional status improved in all patients (NYHA class I-II in 13.3% at baseline vs. 78.9% at 360-days) and the general health median significantly improved in TAVI patients (from 50 to 67; P=0.001) with a positive trend in SAVR patients (P=0.060). Conclusions. At one year, the general quality of life of high-risk patients had significantly improved after transcatheter aortic valve implantation with a positive trend in surgically treated patients.

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