The First 10 Balloon Dilated Aortic Valve Replacement Patients in China_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LUQing-sheng ,  PEIYi-fei , WUHong , WANGZhi-nong , LIWei-ping , SONGChao , JINXiu-cai , CHENHui , HONGYi , LIHai-yan , QINYong-wen , JINGZai-ping

Department of Vascular Surgery, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai 200433, P. R. China;

Corresponding author：

PEIYi-fei, Email: luqs@xueguan.net

Keywords：

Tansfemoral; Aortic valve implantation; Aortic valve stenosis; Transcatheter

DOI：

10.7507/1007-4848.20150258

Video：

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Objective To discuss the feasibility about the using of transcatheter aortic valve implantation (TAVI) in severe aortic valve stenosis chinese patients, then to make more exploration and accumulate enough experience. Methods We selected 10 out-patients with severe aortic valve stenosis and calcified with 9 males and 1 females at age of 76.4 (65-81) years in our hospital from January 2011 to March 2014. All the patients can't tolerate traditional open surgery through preoperative evaluation. So we chose the Sepian TX system, balloon dilated transcatheter aortic valve, to treat them via transfemoral approach. Results Ten patients accomplished TAVI successfully. One patient was assisted by the left-ventricular puncture. No complication occurred. The function of aortic valve after TAVI improved significantly. The hospital stay time was 3-5 days. The patients were followed up for 3-34 months. One patient died of pulmonary cancer during the following-up. Conclusion Transcatheter balloon dilated aortic valve replacement can be used in chinese severe aortic valve stenosis patient, but more accurate preoperative preparation, evaluation, and operation are needed.

Citation： LUQing-sheng, PEIYi-fei, WUHong, WANGZhi-nong, LIWei-ping, SONGChao, JINXiu-cai, CHENHui, HONGYi, LIHai-yan, QINYong-wen, JINGZai-ping. The First 10 Balloon Dilated Aortic Valve Replacement Patients in China. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(11): 1039-1043. doi: 10.7507/1007-4848.20150258 Copy

1.	Osnabrugge,RL,Mylotte D,head SJ,et al.Aortic stenosis in the elderly:disease prevalence and number of candidates for transcatheter aortic valve replacement:a meta-analysis and modeling study.J Am coll cardiol,2013,62(11):2-12.
2.	cribier A,Eltchaninoff h,Tron c,et al.Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end-stage inoperable patients with calcific aortic stenosis.J Am coll cardiol,2004,43(4):698-703.
3.	Tanawuttiwat T,O'Neill BP,cohen MG,et al.New-onset atrial fibrillation after aortic valve replacement:comparison of transfemoral,transapical,transaortic,and surgical approaches.J Am coll cardiol,2014,63(15):1510-1519.
4.	Takagi h,Umemoto T,Grou A.A meta-analysis of adjusted observational studies for mortality in transapical versus transfemoral aortic valve implantation.Int J cardiol,2014,174(1):165-170.
5.	陆清声,洪毅,吴宏,等.球扩式主动脉瓣腔内置换术治疗五例主动脉瓣狭窄经验.介入放射学杂志,2013,22(4):274-278.
6.	Nishimura RA,Otto cM,Bonow RO,et al.2014 AhA/Acc guideline for the management of patients with valvular heart disease:a report of the American college of cardiology/American heart Association Task force on Practice Guidelines.J Am coll cardiol,2014,63(22):e57-185.
7.	Webb JG,chandavimol M,Thompson cR,et al.Percutaneous aortic valve implantation retrograde from the femoral artery.circulation,2006,113(6):842-850.
8.	Lung B,Laouenan c,himbert D,et al.Predictive factors of early mortality after transcatheter aortic valve implantation:individual risk assessment using a simple score.heart,2014,100(13):1016-1023.
9.	Blackstone Eh,Suri RM,Rajeswaran J,et al.Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement:a placement of aortic transcatheter valves(PARTNER)-I trial substudy.circulation,2015,131(22):1989-2000.
10.	Martin BL,on behalf of the PARTNER trial investigators.A Randomized Evaluation of the SAPIEN XT Transcatheter valve system in patients with aortic stenosis who are not candidates for surgery:PARTNER Ⅱ,inoperable cohort.San francisco:cA:Americancollege of cardiology,2013.URL:http://clinicaltrialresults.org/Slides/Acc%202013/Leon_PARTNER%20IIAcc%202013.pdf.
11.	Ye J,cheung A,Lichtenstein SV,et al.Six-month outcome of transapical transcatheter aortic valve implantation in the initial seven patients.Eur J cardiothorac Surg,2007,31(1):16-21.
12.	Lardizabal JA,O'Neill BP,Desai hV,et al.The transaortic approach for transcatheter aortic valve replacement:initial clinical experience in the United States.J Am coll cardiol,2013,61(23):2341-2345.
13.	Mesa Rubio D,Suárez de Lezo cruz conde J,Alvarez-Osorio MP,et al.Measurement of aortic valve annulus using different cardiac imaging techniques in transcatheter aortic valve implantation:agreement with finally implanted prosthesis size.Echocardiography,2011,28(4):388-396.
14.	Dashkevich A,Blanke P,Siepe M,et al.Preoperative assessment of aortic annulus dimensions:comparison of noninvasive and intraoperative measurement.Ann Thorac Surg,2011,91(3):709-714.
15.	Bagur R,Rodes-cabau J,Doyle D,et al.Usefulness of TEE as the primary imaging technique to guide transcatheter transapical aortic valve implantation.JAcc cardiovasc Imaging,2011,4(2):115-124.
16.	Abdel-Wahab M,Mostafa AE,Geist V,et al.comparison of outcomes in patients having isolated transcatheter aortic valve implantation versus combined with preprocedural percutaneous coronary intervention.Am J cardiol,2012,109(4):581-586.
17.	Rezq A,Godino c,Montorfano M,et al.comprehensive multidisciplinary patient assessment and selection before TAVI procedure.Minerva cardioangiol,2014,62(2):177-191.
18.	Rodes-cabau J,Gutierrez M,Bagur R,et al.Incidence,predictive factors,and prognostic value of myocardial injury following uncomplicated transcatheter aortic valve implantation.J Am coll cardiol,2011,57(20):1988-1999.
19.	Jilaihawi h,chin D,Vasa-Nicotera M,et al.Predictors for permanent pacemaker requirement after transcatheter aortic valve implantation with the coreValve bioprosthesis.Am heart J,2009,157(5):860-866.
20.	Thaden JJ,Nkomo VT,Enriquez-Sarano M.The global burden of aortic stenosis.Prog cardiovasc Dis,2014,56(6):565-571.

1. Osnabrugge,RL,Mylotte D,head SJ,et al.Aortic stenosis in the elderly:disease prevalence and number of candidates for transcatheter aortic valve replacement:a meta-analysis and modeling study.J Am coll cardiol,2013,62(11):2-12.
2. cribier A,Eltchaninoff h,Tron c,et al.Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end-stage inoperable patients with calcific aortic stenosis.J Am coll cardiol,2004,43(4):698-703.
3. Tanawuttiwat T,O'Neill BP,cohen MG,et al.New-onset atrial fibrillation after aortic valve replacement:comparison of transfemoral,transapical,transaortic,and surgical approaches.J Am coll cardiol,2014,63(15):1510-1519.
4. Takagi h,Umemoto T,Grou A.A meta-analysis of adjusted observational studies for mortality in transapical versus transfemoral aortic valve implantation.Int J cardiol,2014,174(1):165-170.
5. 陆清声,洪毅,吴宏,等.球扩式主动脉瓣腔内置换术治疗五例主动脉瓣狭窄经验.介入放射学杂志,2013,22(4):274-278.
6. Nishimura RA,Otto cM,Bonow RO,et al.2014 AhA/Acc guideline for the management of patients with valvular heart disease:a report of the American college of cardiology/American heart Association Task force on Practice Guidelines.J Am coll cardiol,2014,63(22):e57-185.
7. Webb JG,chandavimol M,Thompson cR,et al.Percutaneous aortic valve implantation retrograde from the femoral artery.circulation,2006,113(6):842-850.
8. Lung B,Laouenan c,himbert D,et al.Predictive factors of early mortality after transcatheter aortic valve implantation:individual risk assessment using a simple score.heart,2014,100(13):1016-1023.
9. Blackstone Eh,Suri RM,Rajeswaran J,et al.Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement:a placement of aortic transcatheter valves(PARTNER)-I trial substudy.circulation,2015,131(22):1989-2000.
10. Martin BL,on behalf of the PARTNER trial investigators.A Randomized Evaluation of the SAPIEN XT Transcatheter valve system in patients with aortic stenosis who are not candidates for surgery:PARTNER Ⅱ,inoperable cohort.San francisco:cA:Americancollege of cardiology,2013.URL:http://clinicaltrialresults.org/Slides/Acc%202013/Leon_PARTNER%20IIAcc%202013.pdf.
11. Ye J,cheung A,Lichtenstein SV,et al.Six-month outcome of transapical transcatheter aortic valve implantation in the initial seven patients.Eur J cardiothorac Surg,2007,31(1):16-21.
12. Lardizabal JA,O'Neill BP,Desai hV,et al.The transaortic approach for transcatheter aortic valve replacement:initial clinical experience in the United States.J Am coll cardiol,2013,61(23):2341-2345.
13. Mesa Rubio D,Suárez de Lezo cruz conde J,Alvarez-Osorio MP,et al.Measurement of aortic valve annulus using different cardiac imaging techniques in transcatheter aortic valve implantation:agreement with finally implanted prosthesis size.Echocardiography,2011,28(4):388-396.
14. Dashkevich A,Blanke P,Siepe M,et al.Preoperative assessment of aortic annulus dimensions:comparison of noninvasive and intraoperative measurement.Ann Thorac Surg,2011,91(3):709-714.
15. Bagur R,Rodes-cabau J,Doyle D,et al.Usefulness of TEE as the primary imaging technique to guide transcatheter transapical aortic valve implantation.JAcc cardiovasc Imaging,2011,4(2):115-124.
16. Abdel-Wahab M,Mostafa AE,Geist V,et al.comparison of outcomes in patients having isolated transcatheter aortic valve implantation versus combined with preprocedural percutaneous coronary intervention.Am J cardiol,2012,109(4):581-586.
17. Rezq A,Godino c,Montorfano M,et al.comprehensive multidisciplinary patient assessment and selection before TAVI procedure.Minerva cardioangiol,2014,62(2):177-191.
18. Rodes-cabau J,Gutierrez M,Bagur R,et al.Incidence,predictive factors,and prognostic value of myocardial injury following uncomplicated transcatheter aortic valve implantation.J Am coll cardiol,2011,57(20):1988-1999.
19. Jilaihawi h,chin D,Vasa-Nicotera M,et al.Predictors for permanent pacemaker requirement after transcatheter aortic valve implantation with the coreValve bioprosthesis.Am heart J,2009,157(5):860-866.
20. Thaden JJ,Nkomo VT,Enriquez-Sarano M.The global burden of aortic stenosis.Prog cardiovasc Dis,2014,56(6):565-571.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The First 10 Balloon Dilated Aortic Valve Replacement Patients in China

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