Vol - 25, Issue - 6
About the Journal
[This article belongs to Volume - 25, Issue - 6]
International Medical Journal
Journal ID : IMJ-26-05-2020-482
Total View : 297

Abstract : The present paper aims to evaluate immediate and short term complications of trans-catheter aortic valve implantation for four years’ period in Al-Najaf Cardiac Center, Iraq. A 53 patients with symptomatic severe aortic stenosis, mean age of (72.9 ± 5.6) years and (54.72%) males, they had high Society of Thoracic Surgeon (STS) score, Underwent trans-catheter aortic valve implantation procedure in Al-Najaf Cardiac Center from January 2015 to August 2019. The procedure was done under local anesthesia and conscious sedation via femoral approach, using both balloon expandable and self-expandable valves. All patients followed immediately post procedure and during period of hospitalization and thereafter periodically for procedure and valve related complications. Immediate and short term mortality was 5.66%, with majority occurs immediately after procedure due to severe paravalvular leak, rupture annulus and cholesterol embolization. Major vascular complications, moderate-severe paravalvular leak and conduction abnormalities were 5.88%, 15.45% and 37.73% respectively. Permanent pacemaker need for only two patients. We observed increase risk of pericardial effusion with balloon expandable valve (p value=0.019). Occurrence of other complications not significantly differs regarding type of valve. This study showed favorable rate of survival with procedural complication rates similar to international registered results

Our Certificates
Certificates
Certificates
Certificates
Certificates
Certificates
Certificates
Certificates
Certificates
Certificates
Certificates
Certificates