Risk Factors for Early HALT after Transfemoral TAVI

Authors

  • YuHui Wu Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China; Department of Cardiology, The Affiliated Cardiovascular Hospital of Qingdao University, 266071 Qingdao, Shandong, China
  • Rui Jiang Department of DSA Room, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Weili Liu Department of DSA Room, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Zhanjun Qu Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Qingjiang Wang Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Qingzhe Zhao Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Guozhang Tang Department of Cardiac Ultrasound, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Lipeng Zhao Department of Anesthesiology, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Zhitao Yang Department of Radiology, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Yanchao Li Department of DSA Room, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China
  • Lei Jiang Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China

DOI:

https://doi.org/10.59958/hsf.7175

Keywords:

transcatheter aortic valve implantation, hypoattenuated leaflet thickening, computed tomography

Abstract

Objective: To investigate the risk factors of hypoattenuated leaflet thickening (HALT) in the early stage after transfemoral transcatheter aortic valve implantation (TAVI). Methods: Patients who underwent transfemoral TAVI in the Affiliated Hospital of Qingdao University from January 2021 to June 2023 were selected. According to the results of four-dimensional computed tomography (4DCT), patients were divided into HALT group and non-HALT group. The perioperative data of the two groups were collected to find the risk factors of HALT in the early postoperative period. Results: A total of 100 patients underwent TAVI operation via femoral artery, 2 died after operation, 1 discharged due to cerebral complication, and 2 patients had incomplete 4DCT data. The data of 95 patients were completely collected, including 56 males and 39 females, with an average age of (72.0 ± 6.7) years and a body mass index of (24.0 ± 3.7) kg/m2. 10 patients had HALT, the incidence was 10.5%. 85 patients were in the non-HALT group, including 52 males (61.2%). 10 patients were in the HALT group, 4 cases were male (40%). There were no significant differences in age, sex, body mass index (BMI), hypertension, diabetes, chronic obstructive pulmonary disease (COPD), brain complications, coronary heart disease, left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), left ventricular ejection fraction (LVEF) and operation time between the two groups. And the differences between the two groups in perioperative white blood cell, neutrophil, lymphocyte and platelet counts, neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and creatinine were not significant. Compared with the non-HALT group, patients in the HALT group had a higher proportion of isolated aortic insufficiency, a lower proportion of post dilatation after valve release, and a higher proportion of valves with skirts. Conclusion: Isolated aortic insufficiency, without post dilatation after valve release, and use of valves with skirt are associated with early HALT after transfemoral TAVI.

Author Biography

YuHui Wu, Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, 266003 Qingdao, Shandong, China; Department of Cardiology, The Affiliated Cardiovascular Hospital of Qingdao University, 266071 Qingdao, Shandong, China

Department of Cardiovascular Surgery

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Published

2024-03-18

How to Cite

Wu, Y., Jiang, R., Liu, W., Qu, Z., Wang, Q., Zhao, Q., Tang, G., Zhao, L., Yang, Z., Li, Y., & Jiang, L. (2024). Risk Factors for Early HALT after Transfemoral TAVI. The Heart Surgery Forum, 27(3), E264-E270. https://doi.org/10.59958/hsf.7175

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