Evolution of Biological Parameters in Patients with Severe Aortic Stenosis Undergoing TAVI - Results at One Month

Luiza Cristina Dumitrof; Igor Nedelciuc; Mihai Roca; Daniela Boișteanu; Radu Crișan-Dabija; Traian Mihăescu; Grigore Tinică; Florin Mitu

doi:10.2478/inmed-2022-0228

.blurhash-client-img { display: none !important; }

Evolution of Biological Parameters in Patients with Severe Aortic Stenosis Undergoing TAVI - Results at One Month

Internal Medicine

Volume 19 (2022): Issue 4 (December 2022)

By: Luiza Cristina Dumitrof, Igor Nedelciuc, Mihai Roca, Daniela Boișteanu, Radu Crișan-Dabija, Traian Mihăescu, Grigore Tinică and Florin Mitu

Open Access

|Jan 2023

Abstract

Aortic stenosis is one of the most common valve diseases in patients over 60 years of age. Lack of prompt surgical correction by conventional valve replacement or interventional transcatheter aortic valve implantation (TAVI) increases the risk of morbidity and mortality, in the context of worsening clinical picture. Since the first interventional transcatheter valve implantation procedure in 2012 and to date, the evolution of technology and refinement of medical techniques has led to the refinement of the treatment method and thus to the improvement of the prognosis of patients with aortic stenosis undergoing TAVI after only one month.

References

1. Otto CM, Prendergast B. Aortic-Valve Stenosis - From Patients at Risk to Severe Valve Obstruction [Internet]. https://doi.org/10.1056/NEJMra1313875. Massachusetts Medical Society; 2014 [cited 2022 Jul 24]. Available from: https://www.nejm.org/doi/pdf/10.1056/NEJMra1313875
Search in Google Scholar Back to article
2. Khanji MY, Ricci F, Galusko V, Sekar B, Chahal CAA, Ceriello L, et al. Management of aortic stenosis: a systematic review of clinical practice guidelines and recommendations. Eur Heart J - Qual Care Clin Outcomes. 2021 Oct 1;7(4):34053.10.1093/ehjqcco/qcab016829469233751049
Search in Google Scholar Back to article
3. Osnabrugge RLJ, Mylotte D, Head SJ, Van Mieghem NM, Nkomo VT, LeReun CM, et al. Aortic stenosis in the elderly: disease prevalence and number of candidates for transcatheter aortic valve replacement: a meta-analysis and modeling study. J Am Coll Cardiol. 2013 Sep 10;62(11):100212.10.1016/j.jacc.2013.05.01523727214
Search in Google Scholar Back to article
4. Brecker S, Mealing S, Padhiar A, Eaton J, Sculpher M, Busca R, et al. Cost-utility of transcatheter aortic valve implantation for inoperable patients with severe aortic stenosis treated by medical management: a UK cost- utility analysis based on patient-level data from the ADVANCE study. Open Heart. 2014 Oct 1;1(1):e000155.10.1136/openhrt-2014-000155420793825349700
Search in Google Scholar Back to article
5. Wald DS, Williams S, Bangash F, Bestwick JP. Watchful Waiting in Aortic Stenosis: The Problem of Acute Decompensation. Am J Med. 2018 Feb 1;131(2):1737.10.1016/j.amjmed.2017.08.02728916422
Search in Google Scholar Back to article
6. Monin JL, Lancellotti P, Monchi M, Lim P, Weiss E, Piérard L, et al. Risk Score for Predicting Outcome in Patients With Asymptomatic Aortic Stenosis. Circulation. 2009 Jul 7;120(1):6975.10.1161/CIRCULATIONAHA.108.80885719546391
Search in Google Scholar Back to article
7. Kalavrouziotis D, Li D, Buth KJ, Légaré JF. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is not appropriate for withholding surgery in high-risk patients with aortic stenosis: a retrospective cohort study. J Cardiothorac Surg. 2009 Jul 14;4:32.10.1186/1749-8090-4-32271706319602289
Search in Google Scholar Back to article
8. Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, et al. Transcatheter versus Surgical Aortic- Valve Replacement in High-Risk Patients. N Engl J Med. 2011 Jun 9;364(23):218798.10.1056/NEJMoa110351021639811
Search in Google Scholar Back to article
9. Mack MJ, Leon MB, Thourani VH, Makkar R, Kodali SK, Russo M, et al. Transcatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients. N Engl J Med. 2019 May 2;380(18):1695705.10.1056/NEJMoa181405230883058
Search in Google Scholar Back to article
10. Swift SL, Puehler T, Misso K, Lang SH, Forbes C, Kleijnen J, et al. Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients with severe aortic stenosis: a systematic review and meta- analysis. BMJ Open. 2021 Dec 6;11(12):e054222.10.1136/bmjopen-2021-054222865046834873012
Search in Google Scholar Back to article
11. Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561632.10.1093/ejcts/ezac20935352803
Search in Google Scholar Back to article
12. The UK TAVI Trial Investigators. Effect of Transcatheter Aortic Valve Implantation vs Surgical Aortic Valve Replacement on All-Cause Mortality in Patients With Aortic Stenosis: A Randomized Clinical Trial. JAMA. 2022 May 17;327(19):187587.
Search in Google Scholar Back to article
13. Onorati F, D’Errigo P, Barbanti M, Rosato S, Covello RD, Maraschini A, et al. Different impact of sex on baseline characteristics and major periprocedural outcomes of transcatheter and surgical aortic valve interventions: Results of the multicenter Italian OBSERVANT Registry. J Thorac Cardiovasc Surg. 2014 May;147(5):152939.10.1016/j.jtcvs.2013.05.03923856202
Search in Google Scholar Back to article
14. D’Ascenzo F, Gonella A, Moretti C, Omedè P, Salizzoni S, La Torre M, et al. Gender differences in patients undergoing TAVI: a multicentre study. EuroIntervention J Eur Collab Work Group Interv Cardiol Eur Soc Cardiol. 2013 Jul;9(3):36772.10.4244/EIJV9I3A5923872650
Search in Google Scholar Back to article
15. Mangieri A, Montalto C, Pagnesi M, Lanzillo G, Demir O, Testa L, et al. TAVI and Post Procedural Cardiac Conduction Abnormalities. Front Cardiovasc Med [Internet]. 2018 [cited 2022 Mar 22];5. Available from: https://www.frontiersin.org/article/10.3389/fcvm.2018.0008510.3389/fcvm.2018.00085603872930018969
Search in Google Scholar Back to article
16. Cracana I, Vasilcu TF, Mardare A, Alexa ID, Marcu DTM. SEVERE AMIODARONE-INDUCED BRADICARDIA CONCEALES SICK SINUS SYNDROME: CASE REPORT. Med-Surg J. 2016 Mar 31;120(1):1103.
Search in Google Scholar Back to article
17. Marcu DTM, Arsenescu-Georgescu C. Adverse Drug Reactions and Atrioventricular Conduction Disorders-A Female Gender Related Aproach. Intern Med. 2021;18(5):1529.10.2478/inmed-2021-0179
Search in Google Scholar Back to article
18. Lawrie GM. Role of Transcatheter Aortic Valve Implantation (TAVI) Versus Conventional Aortic Valve Replacement in the Treatment of Aortic Valve Disease. Methodist DeBakey Cardiovasc J. 2012;8(2):48.10.14797/mdcj-8-2-4340580622891120
Search in Google Scholar Back to article
19. Clayton B, Morgan-Hughes G, Roobottom C. Transcatheter aortic valve insertion (TAVI): a review. Br J Radiol. 2014 Jan;87(1033):20130595.10.1259/bjr.20130595389897824258463
Search in Google Scholar Back to article
20. Kan T, Gu L, Lu H, Cao J, Zhu Z, Wu D, et al. Improved Transcatheter aortic valve implantation for aortic regurgitation using a new-type stent: the first preclinical experience. J Cardiothorac Surg. 2020 Sep 29;15(1):276.10.1186/s13019-020-01327-4752593432993717
Search in Google Scholar Back to article
21. Guyton RA. The Placement of Aortic Transcatheter Valve (PARTNER) trial: the surgeon’s perspective: celebration and concern. Circulation. 2012 Jun 1;125(25):32379.10.1161/CIRCULATIONAHA.112.09309622733339
Search in Google Scholar Back to article
22. Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter Aortic-Valve Implantation for Aortic Stenosis in Patients Who Cannot Undergo Surgery. N Engl J Med. 2010 Oct 21;363(17):1597607.10.1056/NEJMoa100823220961243
Search in Google Scholar Back to article
23. Rougé A, Huttin O, Aslam R, Vaugrenard T, Jouve T, Angioi M, et al. Mid-term results of 150 TAVI comparing apical versus femoral approaches. J Cardiothorac Surg. 2015 Nov 3;10:147.10.1186/s13019-015-0360-4463283726530142
Search in Google Scholar Back to article
24. Guinot PG, Depoix JP, Tini L, Vahanian A, Desmonts JM, Montravers P, et al. [Transcutaneous aortic valve implantation: Anesthetic and perioperative management]. Ann Fr Anesth Reanim. 2011 Oct;30(10):73442.10.1016/j.annfar.2011.05.00421723077
Search in Google Scholar Back to article
25. Barth A, Yücel S, Ince H, Doblhammer G. Impact of transcatheter aortic valve implantation on the risk of mortality in patients with severe aortic valve diseases: a health insurance-based analysis. Open Heart. 2018 Apr 21;5(1):e000756.10.1136/openhrt-2017-000756592257029713484
Search in Google Scholar Back to article
26. Anghel R, Adam CA, Marcu DTM, Mitu O, Roca M, Tinica G, et al. Cardiac Rehabilitation in Peripheral Artery Disease in a Tertiary CenterImpact on Arterial Stiffness and Functional Status after 6 Months. Life. 2022 Apr;12(4):601.10.3390/life12040601902456235455092
Search in Google Scholar Back to article
27. Anghel R, Adam CA, Marcu DTM, Mitu O, Mitu F. Cardiac Rehabilitation in Patients with Peripheral Artery DiseaseA Literature Review in COVID-19 Era. J Clin Med. 2022 Jan;11(2):416.10.3390/jcm11020416877800935054109
Search in Google Scholar Back to article
28. Anghel R, Adam CA, Mitu O, Marcu DTM, Onofrei V, Roca M, et al. Cardiac Rehabilitation and Mortality Risk Reduction in Peripheral Artery Disease at 6-Month Outcome. Diagnostics. 2022 Jun;12(6):1500.10.3390/diagnostics12061500922216635741309
Search in Google Scholar Back to article
29. Anghel R, Adam C, Marcu D, Mitu O, Mitu F. IMPACT OF COMORBIDITIES ON THE LONG-TERM PROGNOSIS OF PATIENTS WITH INTERMITTENT CLAUDICATION. Intern Med Interna. 2021;18(6).10.2478/inmed-2021-0186
Search in Google Scholar Back to article
30. Nilsson K, Buccheri S, Christersson C, Koul S, Nilsson J, Pétursson P, et al. Causes, pattern, predictors, and prognostic implications of new hospitalizations after transcatheter aortic valve implantation: a long-term nationwide observational study. Eur Heart J - Qual Care Clin Outcomes. 2022 Mar 1;8(2):15060.10.1093/ehjqcco/qcab026888812833831187
Search in Google Scholar Back to article
31. De Backer O, Arnous S, Lønborg J, Brooks M, Biasco L, Jönsson A, et al. Recovery from Anemia in Patients with Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation Prevalence, Predictors and Clinical Outcome. PLoS ONE. 2014 Dec 1;9(12):e114038.10.1371/journal.pone.0114038425019525437191
Search in Google Scholar Back to article
32. Van Mieghem NM, Schultz CJ, van der Boon RMA, Nuis RJ, Tzikas A, Geleijnse ML, et al. Incidence, timing, and predictors of valve dislodgment during TAVI with the Medtronic Corevalve System. Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2012 Apr 1;79(5):72632.10.1002/ccd.2327521805601
Search in Google Scholar Back to article
33. Nuis RJ, Sinning JM, Rodés-Cabau J, Gotzmann M, van Garsse L, Kefer J, et al. Prevalence, factors associated with, and prognostic effects of preoperative anemia on short- and long-term mortality in patients undergoing transcatheter aortic valve implantation. Circ Cardiovasc Interv. 2013 Dec;6(6):62534.10.1161/CIRCINTERVENTIONS.113.000409
Search in Google Scholar Back to article
34. Lv Z, Zhou B, Yang C, Wang H. Preoperative Anemia and Postoperative Mortality in Patients with Aortic Stenosis Treated with Transcatheter Aortic Valve Implantation (TAVI): A Systematic Review and Meta- Analysis. Med Sci Monit Int Med J Exp Clin Res. 2019 Sep 27;25:72517.10.12659/MSM.916185677841331559972
Search in Google Scholar Back to article
35. Gul M, Uyarel H, Akgul O, Uslu N, Yildirim A, Eksik A, et al. Hematologic and clinical parameters after transcatheter aortic valve implantation (TAVI) in patients with severe aortic stenosis. Clin Appl Thromb Off J Int Acad Clin Appl Thromb. 2014 Apr;20(3):30410.10.1177/107602961246276223076777
Search in Google Scholar Back to article
36. Takagi H, Hari Y, Kawai N, Ando T. Meta-Analysis of Impact of Anemia and Hemoglobin Level on Survival After Transcatheter Aortic Valve Implantation. Am J Cardiol. 2019 Jan 15;123(2):30614.10.1016/j.amjcard.2018.09.04230401487
Search in Google Scholar Back to article
37. Abu Khadija H, Gandelman G, Ayyad O, Poles L, Jonas M, Paz O, et al. Trends in Transfemoral Aortic Valve Implantation Related Thrombocytopenia. J Clin Med. 2022 Jan 29;11(3):726.10.3390/jcm11030726883683735160176
Search in Google Scholar Back to article
38. Yelgeç NS, Emre A. Prognostic value of lipid levels in short-term outcome after TAVI. Herz. 2020 Jun;45(4): 3828.10.1007/s00059-019-4826-331209519
Search in Google Scholar Back to article
39. Abu Khadija H, Gandelman G, Ayyad O, Jaber M, Poles L, Jonas M, et al. Differential systemic inflammatory responses after TAVI: The role of self versus balloon expandable devices. PLoS ONE. 2021 Oct 26;16(10):e0258963.10.1371/journal.pone.0258963854764134699535
Search in Google Scholar Back to article
40. Calça R, Teles RC, Branco P, Gaspar A, Brito J, Nolasco T, et al. Impact of Transcatheter Aortic Valve Implantation on Kidney Function. Arq Bras Cardiol. 2019 Dec;113(6):110411.
Search in Google Scholar Back to article
41. Keleş T, Ayhan H, Durmaz T, Sarı C, Aslan AN, Erdoğan KE, et al. Improvement in renal functions with transcatheter aortic valve implantation. J Geriatr Cardiol JGC. 2013 Dec;10(4):31722.
Search in Google Scholar Back to article
42. Witberg G, Steinmetz T, Landes U, Pistiner Hanit R, Green H, Goldman S, et al. Change in Kidney Function and 2-Year Mortality After Transcatheter Aortic Valve Replacement. JAMA Netw Open. 2021 Mar 26;4(3): e213296.10.1001/jamanetworkopen.2021.3296799807933769507
Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.2478/inmed-2022-0228 | Journal eISSN: 1220-5818 | Journal ISSN: 1220-5818

Journal RSS Feed

Language: English

Page range: 47 - 58

Published on: Jan 14, 2023

Published by: Romanian Society of Internal Medicine

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

aortic stenosis,

TAVI,

prognosis,

biological assessment

Related subjects:

Medicine,

Clinical medicine,

Internal medicine,

Internal medicine, other,

Cardiology,

Gastroenterology,

Pneumology

© 2023 Luiza Cristina Dumitrof, Igor Nedelciuc, Mihai Roca, Daniela Boișteanu, Radu Crișan-Dabija, Traian Mihăescu, Grigore Tinică, Florin Mitu, published by Romanian Society of Internal Medicine
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 19 (2022): Issue 4 (December 2022)