What are the benefits of a minimally invasive approach in frail octogenarian patients undergoing aortic valve replacement

• Published in: Journal of geriatric cardiology : JGC Vol. 13; no. 6; pp. 514 - 516
• Main Authors: Abdullahi, Yusuf S, Athanasopoulos, Leonidas V, Moscarelli, Marco, Casula, Roberto P, Speziale, Giuseppe, Fattouch, Khalil, Castrovinci, Sebastiano, Athanasiou, Thanos
• Format: Journal Article
• Language: English
• Published: China Science Press 01-09-2016
• Subjects: Symposium: Transcatheter aortic valve implantation; 主动脉; 合并症; 患者; 清除率; 结构化; 置换; 肺动脉高压; 认知功能障碍; Transcatheter aortic valve implantation; Minimally invasive surgery; Elderly patients; Aortic valve stenosis
• ISSN: 1671-5411
• DOI: 10.11909/j.issn.1671-5411.2016.06.007

A best evidence topic was devised in light of a structured protocol. What is the advantage of （minl＂mally invasive） approach in （frail patients） undergoing （aortic valve replacement）？ In cardiac outpatient clinic you review an 85-year old male with severe aortic valve stenosis, low left ventricular ejection fraction and creatinine clearance of less than 50 mL/min. Other comorbidities include treated pulmonary hypertension, mild cognitive impairment, marked limitation of ordinary physical activity and depression. You resolve to determine whether to recommend mim＇mally invasive or conventional aortic valve replacement （AVR） or transcathe- ter aortic valve implantation （TAVI）, however you are not sure of the differences of the impact of frailty on preopera- tive risk for each approach; hence you investigate the best evidence on the topic.