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Journal of Radiation Oncology

Published in:

01-09-2016 | Original Research

Transcatheter aortic valve replacement in patients with prior chest irradiation and severe aortic stenosis

Authors: Michael P. Chrissoheris, Adamantios Tsangaris, Antonios Chalapas, Konstantinos Spargias

Published in: Journal of Radiation Oncology | Issue 3/2016

Abstract

Background/methods

Transcatheter aortic valve replacement (TAVR) in patients with severe aortic stenosis, prior chest irradiation, and porcelain aorta may be preferable to traditional surgery but has not been previously evaluated.

Results

Ten patients (mean age 60 years, 50 % male) with severe aortic stenosis (valve area 0.68 ± 0.15 cm²), prior chest irradiation for malignancy, and porcelain aorta underwent TAVR (transfemoral in 90 %). The procedure was successful in all patients with average ICU stay of 1.2 ± 0.6 days, overall hospital stay of 4.8 ± 1.8 days, and 30-day mortality of 0 %.

Conclusions

TAVR is a safe and effective alternative treatment in aortic stenosis patients with prior chest irradiation and porcelain aorta and may very well become the preferred approach.

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Title: Transcatheter aortic valve replacement in patients with prior chest irradiation and severe aortic stenosis
Authors: Michael P. Chrissoheris
Adamantios Tsangaris
Antonios Chalapas
Konstantinos Spargias
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Journal of Radiation Oncology / Issue 3/2016
Print ISSN: 1948-7894
Electronic ISSN: 1948-7908
DOI: https://doi.org/10.1007/s13566-016-0251-x

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