Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to dissemintate knowledge & skills of Acute Cardiovascular Care
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission: To promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our goal is to reduce the burden in cardiovascular disease in Europe through percutaneous cardiovascular interventions.
Our Mission is "to improve the quality of life of the population by reducing the impact of cardiac rhythm disturbances and reduce sudden cardiac death"
To improve quality of life and logevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
Working Groups goals is to stimulate and disseminate scientific knowledge in different fields of cardiology.
ESC Councils goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
Dr. Gerhard Schuler
Prof. Martine Gilard,
Presenter | see Discussant report
Access to the congress content with ESC Congress 365
BackgroundTreatment of high risk patients with severe aortic stenosis and co-morbidities is challenging. Transcatheter aortic valve implantation (TAVI) has revolutionized management. We report the results of the exhaustive prospective multicenter national French Transcatheter Aortic Valve Intervention Registry, FRANCE 2.
MethodsThe FRANCE 2 registry was established under the authority of the French Societies of Cardiology and Thoracic and Cardio-Vascular Surgery. All TAVIs perormed in France were included, and data were collected prospectively. The primary end-point of the study was mortality from any cause. The standardized outcome definitions of the Valve Academic Research Consortium (VARC) were used. Mortality was adjudicated by an independent clinical events committee.
ResultsA total of 3933 patients were enrolled between January 2010 and december 2011 in 34 centres. Mean age was 82.8+7 years; 49.5% were female. All patients were highly symptomatic and at high surgical risk; Edwards SAPIEN and Medtronic CoreValve devices were implanted in 67% and 33% of patients, respectively. Approaches were transarterial (transfemoral: 73%; subclavian: 6 %; transaortic: 1.62 ) or transapical (18%). Procedural success rate was 97%. Mortality at 30 days, 6 month and 1 year was respectively 9.5%, 18% and 24.1%. In a multivariate model, survival was significantly adversely affected by logistic Euroscore, Periprostheticregurgitation grade 2 or higher, trans apical approach, NYHA functional class, creatinemia > 200 μmol/L, dyslipidimia and previous Aortic surgery. We analyzed the evolution in patient and procedural characteristics between the 2 years of the registry (1575 pts in 2010, 2446 pts in 2011).
ConclusionThis is the largest prospective registry and reflects the real-life TAVI experience in high-risk elderly patients in France. TAVI appears to be a reasonable option for a selected population of inoperable or high-risk patients with severe aortic stenosis.
Discussant | see Presenter abstract
711009 - 711010
Clinical Trial & Registry Update III: Updates on Atrial Fibrillation and Valves