Publications by authors named "G Polvani"
Purpose: To compare the overall survival and the risk of all-cause and heart failure-specific hospitalization in nonagenarian patients hospitalized for symptomatic severe aortic stenosis (AS) who underwent transcatheter aortic valve implantation (TAVI) or conservative treatment.
Methods: Population-based retrospective cohort study based on healthcare utilization databases of the Italian region of Lombardy. The cohort included all nonagenarians hospitalized for AS between 2017 and 2021, who underwent TAVI within 90 days from first diagnosis or conservative treatment.
Value of observational studies in the outcome evaluation of transcatheter and surgical aortic valve replacement.
Interdiscip Cardiovasc Thorac Surg
December 2024
Article Synopsis
- The study compared long-term outcomes of transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) in patients with low EuroSCORE II for aortic stenosis.
- At 10 years, survival rates were significantly higher for SAVR at 37% compared to 18.2% for TAVR, with differences becoming noticeable after 3 years.
- The incidence of repeat aortic valve procedures was low for both methods, but TAVR had a slightly lower rate at 1.1% compared to 2.6% for SAVR, although this difference was not statistically significant.
Background: Postoperative atrial fibrillation (POAF) is the most frequent cardiac arrhythmia following cardiac operations. It has been associated with an increased risk of postoperative cerebrovascular complications, morbidity and mortality. The aim of this study is to evaluate if the type of venous cannulation to institute the cardiopulmonary bypass (CPB) during major cardiac surgery procedures can influence the rate of POAF and late FA onset.
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