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Post-procedural outcomes of vascular closure methods post TAVI: a clinical audit

Research output: Contribution to journalArticle

Winifred Onyinyechi Nwosu, Caroline Shuldham

Original languageEnglish
Pages (from-to)31-37
JournalBritish Journal of Cardiac Nursing
Volume11
Issue number1
DOIs
Publication statusPublished - Aug 2016

King's Authors

Research outputs

Abstract

Aim:

A clinical audit of the post-procedural outcomes in patients having transfemoral transcatheter aortic valve implantation (TAVI), comparing the impact of percutaneous and open surgical access closure of the femoral artery.
Method:

Using data collected from an NHS hospital database, a retrospective audit was undertaken in February 2014 on all patients who had a transfemoral TAVI between October 2011 and October 2013. Descriptive statistics were used to summarise patient data.
Results:

Data from 62 patients were included; 31 had open surgical access closure of the femoral artery while the remaining 31 had percutaneous access closure. Median age and interquartile range was 84(8), with 33.8% male and 67.7% female. The median Euroscore was 20.
Conclusion:

Vascular complications occur after TAVI. However, in this study the incidence was slightly lower with the use of percutaneous access closure compared with open surgical access closure. Patient health outcomes post TAVI are better with percutaneous access closure.

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