7-Year experience of transcatheter aortic valve implants (TAVI) in a Western Cape private healthcare setting

Simple item page
dc.contributor.authorWeich, Hellmuthen_ZA
dc.contributor.authorLiebenberg, Jacquesen_ZA
dc.contributor.authorVan Wyk, Jacquesen_ZA
dc.contributor.authorVivier, Roccoen_ZA
dc.contributor.authorBarnard, Barryen_ZA
dc.contributor.authorAbelson, Marken_ZA
dc.contributor.authorPhillips, Andreen_ZA
dc.contributor.authorMabin, Tomen_ZA
dc.date.accessioned2019-03-27T06:40:55Z
dc.date.available2019-03-27T06:40:55Z
dc.date.issued2019
dc.descriptionCITATION: Weich, H., et al. 2019. 7-Year experience of transcatheter aortic valve implants (TAVI) in a Western Cape private healthcare setting. SA Heart, 16(1):6-12, doi:10.24170/16-1-3406.
dc.descriptionThe original publication is available at http://www.journals.ac.za/index.php/SAHJ
dc.description.abstractIntroduction: We describe the largest South African transcatheter aortic valve implantation (TAVI) outcome report of a single team in the Western Cape, over a 7-year period from 2009 - 2016. Methods: All patients who received TAVI at Mediclinic Vergelegen and Mediclinic Panorama were prospectively entered into a database. A total of 244 implants (61 CoreValve and 183 Edwards valves) were performed. Results: Patients were high risk with a mean STS score of 7.89 (standard deviation (SD) 5.7) and mean logistic EuroSCORE of 26.5 (SD 12.5). There was a trend toward lower risk over time. Procedures were initially performed mainly via a transapical approach, but this changed to mostly transfemoral with the introduction of smaller delivery systems. Procedural success rate was 91.8% for CoreValve and 88.5% for Edwards cases. Mean length of hospital stay following TAVI was 9 days initially, but this declined to 4 days for the latter part of our experience. One year mortality was 19% and one year stroke rate was 10%. Conclusion: Despite the limitations of a study of this nature, our group could document outcomes similar to international studies, with improvements over time and illustrating successful cooperation between different hospitals to expand exposure and experience in a resource-constrained environment.en_ZA
dc.description.urihttp://www.journals.ac.za/index.php/SAHJ/article/view/3406
dc.description.versionPublisher's version
dc.format.extent7 pagesen_ZA
dc.identifier.citationWeich, H., et al. 2019. 7-Year experience of transcatheter aortic valve implants (TAVI) in a Western Cape private healthcare setting. SA Heart, 16(1):6-12, doi:10.24170/16-1-3406
dc.identifier.issn2071-4602 (online)
dc.identifier.issn1996-6741 (print)
dc.identifier.otherdoi:10.24170/16-1-3406
dc.identifier.urihttp://hdl.handle.net/10019.1/105554
dc.language.isoen_ZAen_ZA
dc.publisherSouth African Heart Associationen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectCathetersen_ZA
dc.subjectAortic valve -- Implantsen_ZA
dc.title7-Year experience of transcatheter aortic valve implants (TAVI) in a Western Cape private healthcare settingen_ZA
dc.typeArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
weich_year_2019.pdf
Size:
80.58 KB
Format:
Adobe Portable Document Format
Description:
Download article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Research Articles (Cardiology)