Influence of different approaches of aortic valve replacement on the incidence of post-operative delirium in intermediate risk patients – a matched pair analysis

作者: Kurt Bestehorn , Maike Bestehorn , Eckart Fleck

DOI: 10.1185/03007995.2015.1092125

关键词: EuroSCOREDeliriumMedicineAortic valve replacementIncidence (epidemiology)Aortic valveCardiologyRisk assessmentSurgeryExtracorporeal circulationCardiac surgeryInternal medicine

摘要: AbstractObjectives:Evaluation of the risk for post-operative delirium (POD) after surgical or transfemoral aortic valve replacement (AVR) as an additional decision parameter choice treatment in patients with EuroScore (ES) between 10% and 20%.Background:POD is well known a not infrequent side effect cardiac surgery necessitating extracorporeal circulation. In Germany tendency to treat ES <20% AVR (TF) instead (SAVR) was observed 2013. The POD may influence physician patient which procedure would be appropriate individual case. Therefore we performed analysis incidence comparable treated either replacement.Methods:Patients elective urgent need 20% were extracted from database all isolated procedures As result 3407 cases, 771 SAVR patien...

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