Catheter treatment of aortic stenosis, idnications and selection criteria for the Edwards Sapien TM valve
2010
Abstract
Catheter based treatment of severe aortic stenosis is indicated for patients with a high risk of surgical mortality (Euroscore more than 15-20%). All candidates have to be examined by transoesophageal ultrasound, angiography or CT of illiac vessels for determination of transfemoral or transapical implantation.
Final indication of aortic valve is ruled by commitee of cardiac surgeons and cardiologists. Thirty-day mortality in well selected population and skulled centres is 6-10%.
There were neither periprocedural nor cardiac course of death in a group of 12 patients in whom Edwards Sapien TM valve was implanted in 2009 in FN Hradec Králové.