Comparison of Transcatheter Aortic Valve Implantationversus Surgical Aortic Valve Replacement to Improve Quality of Life in Patients >70 Years of Age with Severe Aortic Stenosis

• Published in: Revista brasileira de cirurgia cardiovascular 2016-02, Vol.31 (1), p.1-6
• Main Authors: Kocaaslan, Cemal, Ketenci, Bulend, Yilmaz, Mehmet, Kehlibar, Tamer, Mehmet Erdem Memetoglu, Erta?, Gokhan, Eren, Mehmet, Demirta?, Mahmut Murat
• Format: Article
• Language: English
• Subjects: Aortic Valve Stenosis; Aortic Valve, Surgery; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiology; Coronary vessels; Heart surgery; Heart Valve Prosthesis Implantation; Older people; Quality of Life; SURGERY; Transplants & implants
• ISSN: 0102-7638; 1678-9741; 1678-9741
• DOI: 10.5935/1678-9741.20150092

Objective: Transcatheter aortic valve implantation has recently been used in the treatment of severe aortic valve stenosis, particularly in patients with high mortality and morbidity rates for open surgery. The purpose of this study was to compare quality of life in patients over 70 years of age undergoing surgical or transcatheter aortic valve implantation, before the procedure and in the early post-procedural period. Methods: Seventy-nine patients were included in the study, 38 (48.1%) male and 41 (51.9%) female. Mean age of patients was 74.3±5.2 (70-91) years. The surgical aortic valve replacement group consisted of 51 (64.6%) patients and the transcatheter aortic valve replacement group of 28 (35.4%). Quality of life data before the procedure and at the 3rd month postoperatively in patients aged 70 years and older undergoing surgical or transcatheter aortic valve implantation were assessed using the 36-item Short Form Health Survey form. Results: Positive increases in physical task difficulty (13.2±9.8vs. 5.1±7.3) (P=0.001), emotional task difficulty (14.4±11.9 vs.8.5±6.4) (P=0.035), and mental health (0.4±10.4 vs. 9.6±15.1) (P=0.001; P