Valdebenito Martín, Massalha Eias, Barbash Israel M, Maor Elad, Fefer Paul, Guetta Victor, Segev Amit
Interventional Cardiology Unit, Leviev Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Interventional Cardiology Unit, Leviev Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv Israel.
Am J Cardiol. 2021 Apr 15;145:97-101. doi: 10.1016/j.amjcard.2020.12.086. Epub 2021 Jan 15.
Transcatheter aortic valve implantation (TAVI) outcomes during the coronavirus disease 2019 (COVID-19) pandemic have not been fully evaluated and some structural programs in the world have been suspended during this period. We sought to evaluate and compare clinical outcomes in patients undergoing TAVI in pandemic versus nonpandemic era. In a single center, we compared 198 TAVI patients performed during 2019 to 59 patients performed during the COVID-19 pandemic period (March 1st to June 30th, 2020). Primary outcome was procedural success according to VARC criteria and 30-day mortality rates. VARC-defined procedural success was high in both groups (93.3% vs 96.6%; p = 0.53). There were no differences in any vascular complications (26% vs 19%; p = 0.3), permanent pacemaker implantation (11.8% vs 15.3%; p = 0.63), and length of hospital stay (5.2 vs 4.2 days; p = 0.29). Thirty-day mortality was similar (3% vs 3.4%; p = 1.0). We had no documented COVID-19 disease in our patients during follow up. In conclusion, TAVI procedures can be performed effectively and safely during the COVID-9 pandemic, using a minimalist approach, early discharge, and by maintaining proper use of personal protective equipment.
经导管主动脉瓣植入术（TAVI）在2019冠状病毒病（COVID-19）大流行期间的结果尚未得到充分评估，在此期间，世界上一些结构性项目已暂停。我们试图评估和比较在大流行时期与非大流行时期接受TAVI治疗的患者的临床结果。在一个单一中心，我们比较了2019年期间进行的198例TAVI患者与COVID-19大流行期间（2020年3月1日至6月30日）进行的59例患者。主要结局是根据瓣膜学术研究联盟（VARC）标准的手术成功率和30天死亡率。两组中VARC定义的手术成功率都很高（93.3%对96.6%；p = 0.53）。在任何血管并发症（26%对19%；p = 0.3）、永久性起搏器植入（11.8%对15.3%；p = 0.63）和住院时间（5.2天对4.2天；p = 0.29）方面没有差异。30天死亡率相似（3%对3.4%；p = 1.0）。在随访期间，我们的患者中没有记录到COVID-19疾病。总之，在COVID-19大流行期间，可以采用极简主义方法、早期出院并保持正确使用个人防护设备，有效地、安全地进行TAVI手术。
