Comparing planned surgical versus percutaneous access vascular outcomes and complications in patients undergoing transcatheter aortic valve implantation

Abstract

In the present study we aimed at comparing the vascular complications of percutaneous vascular approach followed by closure via closure device (Proglide) vs. surgical cut-down approach determining the predictors of VCs in patients undergoing TAVI. This study included 68 patients; their age ranged from 65-97 years old. They were assessed for base line characteristics, admission data, past history, ECG (pre &post-procedural), conventional echocardiographic parameters, pre-procedural CBC They were classified into 2 groups, group I representing patients who did the procedure with percutaneous vascular approach, they were 29 patients (42.6 %) of the patients included in the study. and group II representing patients who did the procedure with surgical cutdown vascular approach; they were 39 patients (57.4 %) of the patients included in the study. Patients who developed VCs were mostly males but age, diabetes, hypertension, CKD, IHD did not show significant difference between the 2 groups. Conventional echocardiographic data didn't show any significant difference between the two groups. Minimal luminal diameter of CFA (MLD) didn't show any significant difference in the incidence of complications.