Abstract: Aims: To describe the characteristics of infective endocarditis (IE) after transcatheter aortic valve implantation
(TAVI).
Methods and results: This study was performed using the GAMES database, a national prospective registry
of consecutive patients with IE in 26 Spanish hospitals. Of the 739 cases of IE diagnosed during the
study, 1.3% were post-TAVI IE, and these 10 cases, contributed by five centres, represented 1.1% of the 952
TAVIs performed. Mean age was 80 years. All valves were implanted transfemorally. IE appeared a median
of 139 days after implantation. The mean age-adjusted Charlson comorbidity index was 5.45. Chronic kidney
disease was frequent (five patients), as were atrial fibrillation (five patients), chronic obstructive pulmonary
disease (four patients), and ischaemic heart disease (four patients). Six patients presented aortic valve
involvement, and four only mitral valve involvement; the latter group had a higher percentage of prosthetic
mitral valves (0% vs. 50%). Vegetations were found in seven cases, and four presented embolism. One patient
underwent surgery. Five patients died during follow-up: two of these patients died during the admission in
which the valve was implanted.
Conclusions: IE is a rare but severe complication after TAVI which affects about 1% of patients and entails
a relatively high mortality rate. IE occurred during the first year in nine of the 10 patients.
Otras publicaciones de la misma revista o congreso con autores/as de la Universidad de Cantabria
Fuente: EuroIntervention 2016;11:1180-1187
Editorial: Europa Digital & Publishing
Año de publicación: 2016
Nº de páginas: 8
Tipo de publicación: Artículo de Revista
DOI: 10.4244/EIJY15M02_05
ISSN: 1774-024X,1969-6213