TY  - JOUR
A1  - Abras, Marcel
A1  - Surev, Artiom
A1  - Vasa-Nicotera, Mariuca
A1  - Moscalu, Vitalie
A1  - Grib, Andrei
A1  - Popovici, Ion
A1  - Beiu, Cătălina
T1  - Transcatheter aortic valve implantation. First experience of minimally invasive treatment in the Republic of Moldova
T2  - Moldovan medical journal
N2  - Background: Aortic stenosis (AS) is the most prevalent primary heart valve disease and the third most prevalent cardiovascular disease in the world, having a severe and slowly progressive evolution. The implementation of Transcatheter Aortic Valve Implantation (TAVI) is necessary because the population is constantly ageing, and most elderly people have various comorbidities, which places them among patients with high surgical risk. The aim was to report immediate and 9 months follow-up results of first TAVI implantations in the Republic of Moldova.
Material and methods: Three patients with severe symptomatic AS and high surgical risk underwent TAVI implantation using Portico valves.
Results: The mean age was 76.7 ± 1.2 years, 2 women and 1 man. The mean Logistic EuroSCORE II was 5.68 ± 0.67%. Procedural success was achieved in all (100%) patients. After the intervention, it was shown that the GP mean decreased by an average of 20.27±1.61 mmHg, the Vmax of the jet through AoV decreased on average by 2.05±0.19 m/s, and they were maintained all over the nine months follow-up period. Quality of life, using the TASQ (Toronto Aortic Stenosis Quality of Life) questionnaire, was improved by 62.3 ± 2.2 points.
Conclusions: TAVI, as a new minimally invasive method of treatment for aortic valve stenosis appears to be safe, with a low rate of early and late complications in elderly patients at high surgical risk, with good clinical outcomes at 9 months. Its implementation in the Republic of Moldova is welcome in the conditions of continuously ageing population and the prevalence of associated comorbidities.
KW  - aortic stenosis
KW  - high surgical risk
KW  - Transcatheter Aortic Valve Implantation
KW  - elderly patients
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/50012
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-500128
SN  - 2537-6381
VL  - 63
IS  - 3
SP  - 58
EP  - 65
PB  - Scientific Medical Association of Moldova
CY  - Chișinău
ER  -