5-year experience with transcatheter aortic bioprosthetic valve implantation in Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation

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Abstract

Aortic valve (AV) stenosis is a disease with steadily progressive course and associated with poor prognosis. The development of new technologies helps to develop new methods of AV prostheses; in particular, we use transcatheter aortic valve implantation (TAVI) especially in high-risk surgical patients, nowadays. TAVI was performed in 152 patients with critical aortic stenosis in the Department of cardiovascular surgery of Russian Cardiological Scientific-Industrial Complex, from February 2010 till June 2015. The comparative characteristics of primary TAVI outcomes, received in RCSIC, were similar to the results of the other studies. Hospital mortality during the observation period was 7.8%; these data were appropriate to various international registers. Thus, the TAVI procedure was a good alternative to surgical AV prosthesis in elderly patients with concomitant diseases. Important aspect of TAVI success was coordinated action of multidisciplinary team consisting of cardio-vascular surgeon, cardiologist, and specialists of the various research methods, the anesthesiologist, as well as paramedics, which was specifically emphasized in the recommendations. Currently, researchers are trying to get answers to questions concerning the reduction of stroke rate and transient ischemic attacks after TAVI, the application of TAVI in young patients and in patients with lower risk.

About the authors

T. E Imaev

Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation

Email: imaev.timur@mail.ru
канд. мед. наук, вед. науч. сотр. лаб. гибридных методов лечения отд. сердечно-сосудистой хирургии ФГБУ РКНПК 121552, Russian Federation, Moscow, 3-ia Cherepkovskaia, d. 15a

A. E Komlev

Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation

врач-кардиолог отд. сердечно-сосудистой хирургии ФГБУ РКНПК 121552, Russian Federation, Moscow, 3-ia Cherepkovskaia, d. 15a

M. A Saidova

Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation

проф., д-р мед. наук, рук. лаб. ультразвуковой диагностики отд. новых методов исследования ФГБУ РКНПК 121552, Russian Federation, Moscow, 3-ia Cherepkovskaia, d. 15a

A. A Margolina

Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation

канд. мед. наук, ст. науч. сотр. лаб. анестезиологии и защиты миокарда отд. сердечно-сосудистой хирургии ФГБУ РКНПК 121552, Russian Federation, Moscow, 3-ia Cherepkovskaia, d. 15a

R. S Akchurin

Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation

121552, Russian Federation, Moscow, 3-ia Cherepkovskaia, d. 15a

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