{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T02:15:36Z","timestamp":1785377736671,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study compares the incidence of vascular complications and other major outcomes between patients undergoing transcatheter aortic valve implantation, with and without a standardized preoperative vascular surgeon consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study evaluated all patients scheduled for transcatheter aortic valve implantation during a five-year period at a Hellenic University Hospital. Two main periods were evaluated: Group A (early period (2014\u20132015), without a standardized preoperative vascular surgeon consultation) and Group B (late period (2016\u20132018), with a standardized preoperative vascular surgeon consultation). All vascular complications as well as other major outcomes (early death, stroke, myocardial infarction, and treatment) were recorded. Univariate and multivariate analyses were also conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 382 transcatheter aortic valve implantation procedures were conducted (Group A: n\u2009=\u2009115; duration\u2009=\u200919\u2009months; Group B: n\u2009=\u2009267; duration\u2009=\u200941\u2009months). Overall, 58 vascular complications were recorded (21 patients in Group A and 37 patients in Group B (18.3% versus 13.9%; P\u2009=\u20090.279)). However, vascular complications that necessitated a vascular surgeon\u2019s interference were more frequent during the first period (13% versus 4.9%; P\u2009=\u20090.009). Among patients with a vascular complication, early mortality was higher during the first period (14.3% versus 0%; P\u2009=\u20090.034) although stroke and myocardial infarction rates were similar. Age &gt;80\u2009years (OR\u2009=\u20091.856 [1.134\u20133.452]; P\u2009=\u20090.03) and preoperative vascular surgeon consultation (OR\u2009=\u20090.345 [0.132\u20130.756]; P\u2009=\u20090.015) were the only independent predictors for vascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A standardized preoperative evaluation by a vascular surgeon may decrease the risk for vascular complications that necessitate a repair as well as early mortality among patients undergoing transcatheter aortic valve implantation procedures.<\/jats:p>\n                  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