Incidence and predictors of vascular complications in transaxillary TAVI

Kees van der Wulp; Ina Thijs; Marleen van Wely; Anton Loverbos; Helmut Gehlmann; Michel Verkroost; Leen Van Garsse; Peter Kievit; Priya Vart; Saloua El Messaoudi; Dennis Bosboom; Wim Morshuis; Niels van Royen

doi:10.4244/EIJ-D-19-00588

Incidence and predictors of vascular complications in transaxillary TAVI

Kees van der Wulp
, Ina Thijs
, Marleen van Wely
, Anton Loverbos
, Helmut Gehlmann
, Michel Verkroost
, Leen Van Garsse
, Peter Kievit
, Priya Vart
, Saloua El Messaoudi
, Dennis Bosboom
, Wim Morshuis
, Niels van Royen

Research output: Contribution to journal › Article › Academic › peer-review

10 Citations (Scopus)

Abstract

AIMS: Vascular complications are among the most commonly observed complications after TAVI. Iliofemoral vascular outcome has been described extensively. Little is known about vascular complications in transaxillary TAVI. The aim of the current study was to describe the incidence and predictors of axillary artery complications incorporating computed tomography angiography (CTA) measurements.

METHODS AND RESULTS: CT analysis was performed in two hundred patients treated with transaxillary TAVI in our centre between January 2014 and December 2017. Vascular complications occurred in 37 (18.5%) patients. Patient characteristics predicting this outcome were female gender (aOR 3.88 [1.48-10.14], p=0.006) and age (aOR 1.08 [1.01-1.16], p=0.034). The CTA measurement predicting vascular complications was a sheath to artery area ratio (SAAR) equal to or larger than 1.63 (OR 3.95 [1.29-12.12], p=0.016).

CONCLUSIONS: The present study describes the incidence of axillary artery complications and identifies patient characteristics associated with this outcome. CTA analysis was shown to be an important screening tool in the assessment of patient (access) eligibility. Axillary artery dimensional screening should be based on vascular luminal area assessment rather than diameter measurement alone.

Original language	English
Pages (from-to)	e1325-e1331
Number of pages	7
Journal	Eurointervention
Volume	15
Issue number	15
DOIs	https://doi.org/10.4244/EIJ-D-19-00588
Publication status	Published - 7-Feb-2020
Externally published	Yes

Keywords

Aortic Valve Stenosis
Axillary Artery
Female
Femoral Artery
Humans
Incidence
Transcatheter Aortic Valve Replacement
Treatment Outcome

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title = "Incidence and predictors of vascular complications in transaxillary TAVI",

abstract = "AIMS: Vascular complications are among the most commonly observed complications after TAVI. Iliofemoral vascular outcome has been described extensively. Little is known about vascular complications in transaxillary TAVI. The aim of the current study was to describe the incidence and predictors of axillary artery complications incorporating computed tomography angiography (CTA) measurements.METHODS AND RESULTS: CT analysis was performed in two hundred patients treated with transaxillary TAVI in our centre between January 2014 and December 2017. Vascular complications occurred in 37 (18.5\%) patients. Patient characteristics predicting this outcome were female gender (aOR 3.88 [1.48-10.14], p=0.006) and age (aOR 1.08 [1.01-1.16], p=0.034). The CTA measurement predicting vascular complications was a sheath to artery area ratio (SAAR) equal to or larger than 1.63 (OR 3.95 [1.29-12.12], p=0.016).CONCLUSIONS: The present study describes the incidence of axillary artery complications and identifies patient characteristics associated with this outcome. CTA analysis was shown to be an important screening tool in the assessment of patient (access) eligibility. Axillary artery dimensional screening should be based on vascular luminal area assessment rather than diameter measurement alone.",

keywords = "Aortic Valve Stenosis, Axillary Artery, Female, Femoral Artery, Humans, Incidence, Transcatheter Aortic Valve Replacement, Treatment Outcome",

author = "\{van der Wulp\}, Kees and Ina Thijs and \{van Wely\}, Marleen and Anton Loverbos and Helmut Gehlmann and Michel Verkroost and \{Van Garsse\}, Leen and Peter Kievit and Priya Vart and \{El Messaoudi\}, Saloua and Dennis Bosboom and Wim Morshuis and \{van Royen\}, Niels",

year = "2020",

month = feb,

day = "7",

doi = "10.4244/EIJ-D-19-00588",

language = "English",

volume = "15",

pages = "e1325--e1331",

journal = "Eurointervention",

issn = "1774-024X",

publisher = "EUROPA EDITION",

number = "15",

}

TY - JOUR

T1 - Incidence and predictors of vascular complications in transaxillary TAVI

AU - van der Wulp, Kees

AU - Thijs, Ina

AU - van Wely, Marleen

AU - Loverbos, Anton

AU - Gehlmann, Helmut

AU - Verkroost, Michel

AU - Van Garsse, Leen

AU - Kievit, Peter

AU - Vart, Priya

AU - El Messaoudi, Saloua

AU - Bosboom, Dennis

AU - Morshuis, Wim

AU - van Royen, Niels

PY - 2020/2/7

Y1 - 2020/2/7

N2 - AIMS: Vascular complications are among the most commonly observed complications after TAVI. Iliofemoral vascular outcome has been described extensively. Little is known about vascular complications in transaxillary TAVI. The aim of the current study was to describe the incidence and predictors of axillary artery complications incorporating computed tomography angiography (CTA) measurements.METHODS AND RESULTS: CT analysis was performed in two hundred patients treated with transaxillary TAVI in our centre between January 2014 and December 2017. Vascular complications occurred in 37 (18.5%) patients. Patient characteristics predicting this outcome were female gender (aOR 3.88 [1.48-10.14], p=0.006) and age (aOR 1.08 [1.01-1.16], p=0.034). The CTA measurement predicting vascular complications was a sheath to artery area ratio (SAAR) equal to or larger than 1.63 (OR 3.95 [1.29-12.12], p=0.016).CONCLUSIONS: The present study describes the incidence of axillary artery complications and identifies patient characteristics associated with this outcome. CTA analysis was shown to be an important screening tool in the assessment of patient (access) eligibility. Axillary artery dimensional screening should be based on vascular luminal area assessment rather than diameter measurement alone.

AB - AIMS: Vascular complications are among the most commonly observed complications after TAVI. Iliofemoral vascular outcome has been described extensively. Little is known about vascular complications in transaxillary TAVI. The aim of the current study was to describe the incidence and predictors of axillary artery complications incorporating computed tomography angiography (CTA) measurements.METHODS AND RESULTS: CT analysis was performed in two hundred patients treated with transaxillary TAVI in our centre between January 2014 and December 2017. Vascular complications occurred in 37 (18.5%) patients. Patient characteristics predicting this outcome were female gender (aOR 3.88 [1.48-10.14], p=0.006) and age (aOR 1.08 [1.01-1.16], p=0.034). The CTA measurement predicting vascular complications was a sheath to artery area ratio (SAAR) equal to or larger than 1.63 (OR 3.95 [1.29-12.12], p=0.016).CONCLUSIONS: The present study describes the incidence of axillary artery complications and identifies patient characteristics associated with this outcome. CTA analysis was shown to be an important screening tool in the assessment of patient (access) eligibility. Axillary artery dimensional screening should be based on vascular luminal area assessment rather than diameter measurement alone.

KW - Aortic Valve Stenosis

KW - Axillary Artery

KW - Female

KW - Femoral Artery

KW - Humans

KW - Incidence

KW - Transcatheter Aortic Valve Replacement

KW - Treatment Outcome

U2 - 10.4244/EIJ-D-19-00588

DO - 10.4244/EIJ-D-19-00588

M3 - Article

C2 - 31532395

SN - 1774-024X

VL - 15

SP - e1325-e1331

JO - Eurointervention

JF - Eurointervention

IS - 15

ER -

Incidence and predictors of vascular complications in transaxillary TAVI

Abstract

Keywords

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