Vascular complications after transcatheter transfemoral aortic valve implantation: Modified sheath-to-femoral artery ratio as a new predictor

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dc.authorid0000-0003-2714-4584
dc.authorid0000-0003-0230-6575
dc.authorid0000-0002-4281-0867
dc.authorid0000-0003-1516-1811
dc.authorid0000-0001-5825-8627
dc.authorid0000-0003-1919-3183
dc.authorid0000-0002-4951-6716
dc.contributor.authorÇakal, Sinem
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorKaraca, Oğuz
dc.contributor.authorGüler, Yeliz
dc.contributor.authorÖzcan, Özgür Ulaş
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorKızılırmak Yılmaz, Filiz
dc.contributor.authorYıldırım, Arzu
dc.contributor.authorBoztosun, Bilal
dc.date.accessioned2022-03-04T11:36:27Z
dc.date.available2022-03-04T11:36:27Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractOBJECTIVE: Vascular complications (VCs) contribute to increased morbidity and mortality in patients who have undergone transcatheter aortic valve implantation (TAVI); however, studies on their incidence and predictors show conflicting results. In this study, we sought to assess the incidence, impact, and predictors of VCs in transfemoral (TF) TAVI and also investigated the predictive role of manufacturer's size charts and a new predictor modified sheath-to-femoral artery ratio. METHODS: A total of 223 patients undergoing TF-TAVI were categorized into 2 groups. The patients were divided as eligible and ineligible according to the manufacturer's guidelines (MG), and the same patient cohort was dichotomized into eligible and ineligible on the basis of sheath-to-femoral artery ratio (SFAR) value of less than or greater than or equal to modified SFAR (md-SFAR). VCs (defined according to the Valve Academic Research Consortium II criteria) were retrospectively compared. RESULTS: According to the manufacturer's size charts, 65 patients were unsuitable; however, 35 patients were ineligible for TF-TAVI per the md-SFAR criteria. Although VCs occurred in 42 (18.8%) patients, 17 (27.7%) of those patients were classified as ineligible according to MG, whereas 14 (41.2%) were classified as ineligible in the md-SFAR group. In a multiple logistic regression analysis that included md-SFAR, MG, SFAR ?1.05, peripheral artery disease, and minimum iliofemoral artery diameter, only md-SFAR was the independent predictor of VCs (odds ratio=3.71, 95% confidence interval=1.13-12.53, p=0.031). CONCLUSION: According to our results, md-SFAR might provide better patient selection to prevent VCs and improve outcomes in TF-TAVI procedures.
dc.identifier.citationÇakal, S., Çakal, B., Karaca, O., Güler, Y., Özcan, Ö. U., Güneş, H. M. ... Boztosun, B. (2022). Vascular complications after transcatheter transfemoral aortic valve implantation: Modified sheath-to-femoral artery ratio as a new predictor. Anatolian Journal of Cardiology, 26(1), 49-56. https://doi.org/10.5152/AnatolJCardiol.2021.147
dc.identifier.doi10.5152/AnatolJCardiol.2021.147
dc.identifier.endpage56
dc.identifier.issn2149-2271
dc.identifier.issn2149-2263
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85125154741
dc.identifier.scopusqualityQ3
dc.identifier.startpage49
dc.identifier.urihttps://doi.org/10.5152/AnatolJCardiol.2021.147
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9101
dc.identifier.volume26
dc.identifier.wos000760056600008en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorÇakal, Sinem
dc.institutionauthorÇakal, Beytullah
dc.institutionauthorKaraca, Oğuz
dc.institutionauthorGüler, Yeliz
dc.institutionauthorÖzcan, Özgür Ulaş
dc.institutionauthorGüneş, Hacı Murat
dc.institutionauthorKızılırmak Yılmaz, Filiz
dc.institutionauthorYıldırım, Arzu
dc.institutionauthorBoztosun, Bilal
dc.language.isoen
dc.publisherNLM (Medline)
dc.relation.ispartofAnatolian Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectAortic Valve Stenosis
dc.subjectAortic Valve Replacement
dc.subjectComplications
dc.subjectHeart Valve Disease
dc.subjectTranscatheter Aortic Valve Replacement
dc.titleVascular complications after transcatheter transfemoral aortic valve implantation: Modified sheath-to-femoral artery ratio as a new predictor
dc.typeArticle

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