Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Long-term follow-up after stent graft placement for access-site and access-related vascular injury during TAVI - The Bonn-Copenhagen experience

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Patient-reported outcomes predict high readmission rates among patients with cardiac diagnoses. Findings from the DenHeart study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. A pragmatic approach to the use of inotropes for the management of acute and advanced heart failure: An expert panel consensus

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Women with coronary microvascular dysfunction and no obstructive coronary artery disease have reduced exercise capacity

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Outcome after heart-lung or lung transplantation in patients with Eisenmenger syndrome

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Transcatheter Aortic Valve Replacement: Role of Multimodality Imaging in Common and Complex Clinical Scenarios

    Research output: Contribution to journalReviewResearchpeer-review

  3. Simplification of Transcatheter Aortic Valve Replacement

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. The role of the Heart Team in the planning of aortic valve replacement

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

AIMS: Stent graft placement is a safe and effective treatment option for vascular complications in the context of transcatheter aortic valve implantation (TAVI). This study aimed to provide long-term angiological follow-up of stent grafts used for this indication.

METHODS AND RESULTS: Seventy-one patients (64.8% female, log EuroScore 14.7 ± 6.8%) who had undergone TAVI between March 2010 and October 2015 with implantation of a Viabahn or Fluency stent graft to treat access-site or access-related vascular injury (ASARVI) were analyzed. Implantations were mostly due to access-site bleeding complications (83.1%) in the common femoral artery (97.1%). Follow-up was performed with duplex sonography in all patients after a median of 3.9 years after TAVI (interquartile range [IQR]: 895-1749 days). Ultrasound revealed tri- or biphasic flow patterns in 16.9% and 77.6%, respectively. Stent graft patency was 100% without signs of stent graft stenosis (mean peak velocity ratio 1.0 ± 0.2). Pseudo-aneurysms or endoleaks were diagnosed in 5.6% of patients. Additional fluoroscopic and/or computed tomography (CT)-imaging was available in 36.6% of patients and did not reveal any stent fracture.

CONCLUSION: Self-expanding stent grafts provide excellent long-term function with few complications when implanted in the context of TAVI-related ASARVI.

Original languageEnglish
JournalInternational Journal of Cardiology
Volume281
Pages (from-to)42-46
Number of pages5
ISSN0167-5273
DOIs
Publication statusPublished - 15 Apr 2019

    Research areas

  • Access site, Covered stent graft, TAVI, Vascular complication

ID: 56520162