Transcatheter Aortic Valve Implantation in Patients With “Porcelain” Aorta (from a Multicenter Real World Registry)

The presence of severe atherosclerosis of the ascending aorta, and its extreme form the “porcelain” aorta, is associated with a worse clinical outcome in patients undergoing surgical aortic valve replacement. Percutaneous transcatheter aortic valve implantation (TAVI) for severe symptomatic aortic s...

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Bibliographic Details
Published in:The American journal of cardiology 2013-02, Vol.111 (4), p.602-608
Main Authors: Zahn, Ralf, MD, Schiele, Rudolf, MD, Gerckens, Ulrich, MD, Linke, Axel, MD, Sievert, Horst, MD, Kahlert, Philipp, MD, Hambrecht, Rainer, MD, Sack, Stefan, MD, Abdel-Wahab, Mohamed, MD, Hoffmann, Ellen, MD, Senges, Jochen, MD
Format: Article
Language:English
Subjects:
Age
Aged, 80 and over
Aorta, Thoracic
Aortic Diseases - complications
Aortic Diseases - diagnosis
Aortic Diseases - surgery
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - surgery
Atherosclerosis
Atherosclerosis - complications
Atherosclerosis - diagnosis
Atherosclerosis - surgery
Cardiac Catheterization
Cardiology
Cardiovascular
Cardiovascular disease
Clinical medicine
Confidence intervals
Coronary vessels
Female
Follow-Up Studies
Gender
Germany - epidemiology
Heart Valve Prosthesis Implantation - methods
Hemodialysis
Hospital Mortality - trends
Hospitals
Humans
Kaplan-Meier Estimate
Liver cirrhosis
Logistics
Male
Medical imaging
Multivariate analysis
Odds Ratio
Patients
Porcelain
Prospective Studies
Prostheses
Registries
Risk Assessment - methods
Risk Factors
Severity of Illness Index
Stroke
Survival analysis
Survival Rate - trends
Tomography
Treatment Outcome
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Description
Summary:The presence of severe atherosclerosis of the ascending aorta, and its extreme form the “porcelain” aorta, is associated with a worse clinical outcome in patients undergoing surgical aortic valve replacement. Percutaneous transcatheter aortic valve implantation (TAVI) for severe symptomatic aortic stenosis can overcome this problem: 1,374 TAVI procedures were performed at 27 hospitals in 147 patients (10.7%) with and 1,227 (89.3%) without a porcelain aorta. The mean reported prevalence of a porcelain aorta at the hospitals was 7.8% ± 14.8% (range 0% to 70%). Diabetes mellitus (46.3% vs 33.2%, p = 0.00018), chronic obstructive pulmonary disease (43.5% vs 22.2%, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2012.11.004