Transcatheter aortic valve implantation. First experience of minimally invasive treatment in the Republic of Moldova
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Pathology of the circulatory system, blood vessels. Cardiovascular complaints (975)
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ABRAŞ, Marcel, SUREV, Artiom, VASA-NICOTERA, Mariuca, MOSCALU, Vitalie, GRIB, Andrei, POPOVICI, Ion, BEIU, Catalina. Transcatheter aortic valve implantation. First experience of minimally invasive treatment in the Republic of Moldova. In: Moldovan Medical Journal, 2020, nr. 3(63), pp. 58-65. ISSN 2537-6373. DOI: https://doi.org/10.5281/zenodo.3958567
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Moldovan Medical Journal
Numărul 3(63) / 2020 / ISSN 2537-6373 /ISSNe 2537-6381

Transcatheter aortic valve implantation. First experience of minimally invasive treatment in the Republic of Moldova

DOI:https://doi.org/10.5281/zenodo.3958567
CZU: 616.126.52-007.271-089.843(478)

Pag. 58-65

Abraş Marcel12, Surev Artiom21, Vasa-Nicotera Mariuca3, Moscalu Vitalie2, Grib Andrei21, Popovici Ion1, Beiu Catalina1
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Institute of Cardiology,
3 University Hospital Frankfurt
 
 
Disponibil în IBN: 4 septembrie 2020


Rezumat

Background: Aortic stenosis (AS) is the most prevalent primary heart valve disease and the third most prevalent cardiovascular disease in the world, having a severe and slowly progressive evolution. The implementation of Transcatheter Aortic Valve Implantation (TAVI) is necessary because the population is constantly ageing, and most elderly people have various comorbidities, which places them among patients with high surgical risk. The aim was to report immediate and 9 months follow-up results of first TAVI implantations in the Republic of Moldova. Material and methods: Three patients with severe symptomatic AS and high surgical risk underwent TAVI implantation using Portico valves. Results: The mean age was 76.7 ± 1.2 years, 2 women and 1 man. The mean Logistic EuroSCORE II was 5.68 ± 0.67%. Procedural success was achieved in all (100%) patients. After the intervention, it was shown that the GP mean decreased by an average of 20.27±1.61 mmHg, the Vmax of the jet through AoV decreased on average by 2.05±0.19 m/s, and they were maintained all over the nine months follow-up period. Quality of life, using the TASQ (Toronto Aortic Stenosis Quality of Life) questionnaire, was improved by 62.3 ± 2.2 points. Conclusions: TAVI, as a new minimally invasive method of treatment for aortic valve stenosis appears to be safe, with a low rate of early and late complications in elderly patients at high surgical risk, with good clinical outcomes at 9 months. Its implementation in the Republic of Moldova is welcome in the conditions of continuously ageing population and the prevalence of associated comorbidities.

Cuvinte-cheie
aortic stenosis, high surgical risk, transcatheter aortic valve implantation, elderly patients