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
Abstract 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...
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Sociedade Brasileira de Cirurgia Cardiovascular
2016-02-01
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doaj-59790655dcba45138562f4cec3b4ef9a2020-11-25T00:53:52ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412016-02-013111610.5935/1678-9741.20150092S0102-76382016000100003Comparison of Transcatheter Aortic Valve Implantationversus Surgical Aortic Valve Replacement to Improve Quality of Life in Patients >70 Years of Age with Severe Aortic StenosisCemal KocaaslanBülend KetenciMehmet YılmazTamer KehlibarMehmet Erdem MemetoğluGökhan ErtaşMehmet ErenMahmut Murat DemirtaşAbstract 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<0.01) scores in patients undergoing transcatheter aortic valve replacement were significantly higher compared to the surgical aortic valve replacement group. No statistically significant difference was determined between the groups in terms of pain, vitality, social function, physical function or general health scores in the preoperative and postoperative periods. Conclusion: The positive increase in quality of life parameters in the transcatheter aortic valve implantation group at the 3rd month postoperatively was significantly higher compared to the surgical aortic valve replacement group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000100003&lng=en&tlng=enAortic Valve, SurgeryAortic Valve StenosisQuality of LifeHeart Valve Prosthesis Implantation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cemal Kocaaslan Bülend Ketenci Mehmet Yılmaz Tamer Kehlibar Mehmet Erdem Memetoğlu Gökhan Ertaş Mehmet Eren Mahmut Murat Demirtaş |
spellingShingle |
Cemal Kocaaslan Bülend Ketenci Mehmet Yılmaz Tamer Kehlibar Mehmet Erdem Memetoğlu Gökhan Ertaş Mehmet Eren Mahmut Murat Demirtaş 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 Brazilian Journal of Cardiovascular Surgery Aortic Valve, Surgery Aortic Valve Stenosis Quality of Life Heart Valve Prosthesis Implantation |
author_facet |
Cemal Kocaaslan Bülend Ketenci Mehmet Yılmaz Tamer Kehlibar Mehmet Erdem Memetoğlu Gökhan Ertaş Mehmet Eren Mahmut Murat Demirtaş |
author_sort |
Cemal Kocaaslan |
title |
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 |
title_short |
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 |
title_full |
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 |
title_fullStr |
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 |
title_full_unstemmed |
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 |
title_sort |
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 |
publisher |
Sociedade Brasileira de Cirurgia Cardiovascular |
series |
Brazilian Journal of Cardiovascular Surgery |
issn |
1678-9741 |
publishDate |
2016-02-01 |
description |
Abstract 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<0.01) scores in patients undergoing transcatheter aortic valve replacement were significantly higher compared to the surgical aortic valve replacement group. No statistically significant difference was determined between the groups in terms of pain, vitality, social function, physical function or general health scores in the preoperative and postoperative periods. Conclusion: The positive increase in quality of life parameters in the transcatheter aortic valve implantation group at the 3rd month postoperatively was significantly higher compared to the surgical aortic valve replacement group. |
topic |
Aortic Valve, Surgery Aortic Valve Stenosis Quality of Life Heart Valve Prosthesis Implantation |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000100003&lng=en&tlng=en |
work_keys_str_mv |
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