Evaluation gériatrique des patients agés candidats a un remplacement valvulaire aortique percutané [Geriatric assessment in old patients candidate to transcatheter aortic implantation].

Details

Serval ID
serval:BIB_DA46F3FC1B87
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Evaluation gériatrique des patients agés candidats a un remplacement valvulaire aortique percutané [Geriatric assessment in old patients candidate to transcatheter aortic implantation].
Journal
Revue Médicale Suisse
Author(s)
Guggiari C., Locca D., Smith C., Monney P., Vogt P., Büla C.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2013
Volume
9
Number
405
Pages
2040-2043
Language
french
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Abstract
Aortic stenosis mostly occurs among old-old patients. Once symptoms appear, prognosis is guarded, with 2-year mortality as high as 50%. Transcatheter Aortic Valve Implantation (TAVI) is a new therapeutic option in patients at very high surgical risk, who are mostly older persons. However, TAVI is associated with some complications, and patient selection remains a challenge. Comprehensive geriatric assessment (CGA) identifies patients with medical and functional problems likely to affect the TAVI post-operative course. Collaboration between cardiologists and geriatricians will likely become a standard approach to enhance the assessment of these frail patients and identify those most likely to benefit from TAVI.
Keywords
Aged, Aged, 80 and over, Aortic Valve Stenosis/pathology, Aortic Valve Stenosis/surgery, Cardiac Catheterization, Cooperative Behavior, Geriatric Assessment/methods, Heart Valve Prosthesis Implantation/methods, Humans, Patient Selection
Pubmed
Create date
11/02/2014 12:12
Last modification date
20/08/2019 15:59
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