Ten-year experience with transcatheter and surgical aortic valve replacement in Finland

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dc.contributor University of Helsinki, Kardiologian yksikkö en
dc.contributor University of Helsinki, HUS Heart and Lung Center en
dc.contributor University of Helsinki, HUS Heart and Lung Center en
dc.contributor University of Helsinki, HUS Heart and Lung Center en
dc.contributor University of Helsinki, Department of Surgery en
dc.contributor University of Helsinki, HUS Heart and Lung Center en
dc.contributor.author Mäkikallio, Timo
dc.contributor.author Jalava, Maina P.
dc.contributor.author Husso, Annastiina
dc.contributor.author Virtanen, Marko
dc.contributor.author Laakso, Teemu
dc.contributor.author Ahvenvaara, Tuomas
dc.contributor.author Tauriainen, Tuomas
dc.contributor.author Maaranen, Pasi
dc.contributor.author Kinnunen, Eeva-Maija
dc.contributor.author Dahlbacka, Sebastian
dc.contributor.author Jaakkola, Jussi
dc.contributor.author Airaksinen, Juhani
dc.contributor.author Anttila, Vesa
dc.contributor.author Savontaus, Mikko
dc.contributor.author Laine, Mika
dc.contributor.author Juvonen, Tatu
dc.contributor.author Valtola, Antti
dc.contributor.author Raivio, Peter
dc.contributor.author Eskola, Markku
dc.contributor.author Niemelä, Matti
dc.contributor.author Biancari, Fausto
dc.date.accessioned 2019-07-22T07:16:01Z
dc.date.available 2019-07-22T07:16:01Z
dc.date.issued 2019-05-18
dc.identifier.citation Mäkikallio , T , Jalava , M P , Husso , A , Virtanen , M , Laakso , T , Ahvenvaara , T , Tauriainen , T , Maaranen , P , Kinnunen , E-M , Dahlbacka , S , Jaakkola , J , Airaksinen , J , Anttila , V , Savontaus , M , Laine , M , Juvonen , T , Valtola , A , Raivio , P , Eskola , M , Niemelä , M & Biancari , F 2019 , ' Ten-year experience with transcatheter and surgical aortic valve replacement in Finland ' , Annals of Medicine , vol. 51 , no. 3-4 , pp. 270-279 . https://doi.org/10.1080/07853890.2019.1614657 en
dc.identifier.issn 0785-3890
dc.identifier.other PURE: 125798874
dc.identifier.other PURE UUID: 29f95b86-fc57-48e4-a5f2-5aba3fe910c5
dc.identifier.other WOS: 000469065100001
dc.identifier.uri http://hdl.handle.net/10138/303973
dc.description.abstract Aim: We investigated the outcomes of transcatheter (TAVR) and surgical aortic valve replacement (SAVR) in Finland during the last decade. Methods: The nationwide FinnValve registry included data from 6463 patients who underwent TAVR or SAVR with a bioprosthesis for aortic stenosis from 2008 to 2017. Results: The annual number of treated patients increased three-fold during the study period. Thirty-day mortality declined from 4.8% to 1.2% for TAVR (p = .011) and from 4.1% to 1.8% for SAVR (p = .048). Two-year survival improved from 71.4% to 83.9% for TAVR (p <.001) and from 87.2% to 91.6% for SAVR (p = .006). During the study period, a significant reduction in moderate-to-severe paravalvular regurgitation was observed among TAVR patients and a reduction of the rate of acute kidney injury was observed among both SAVR and TAVR patients. Similarly, the rate of red blood cell transfusion and severe bleeding decreased significantly among SAVR and TAVR patients. Hospital stay declined from 10.4 +/- 8.4 to 3.7 +/- 3.4 days after TAVR (p <.001) and from 9.0 +/- 5.9 to 7.8 +/- 5.1 days after SAVR (p <.001). Conclusions: In Finland, the introduction of TAVR has led to an increase in the invasive treatment of severe aortic stenosis, which was accompanied by improved early outcomes after both SAVR and TAVR. en
dc.format.extent 10
dc.language.iso eng
dc.relation.ispartof Annals of Medicine
dc.rights en
dc.subject Transcatheter aortic valve implantation (TAVI) en
dc.subject surgical aortic valve replacement (SAVR) en
dc.subject aortic valve stenosis (AS) en
dc.subject CLINICAL-OUTCOMES en
dc.subject IMPLANTATION TAVI en
dc.subject RISK PATIENTS en
dc.subject STENOSIS en
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology en
dc.title Ten-year experience with transcatheter and surgical aortic valve replacement in Finland en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1080/07853890.2019.1614657
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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