{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:24:07Z","timestamp":1766690647402,"version":"3.28.0"},"reference-count":33,"publisher":"ALUNA","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Aim: The choice of aortic valve stenosis correction method is determined by a number of clinical and technical parameters. The task was to compare early postoperative outcomes in patients after correction of aortic valve stenosis using TAVI and surgical aortic valve replacement with a biological prosthesis. Materials and Methods: This retrospective study analyzed the medical records of adult patients (18 years of age and older) who had transcatheter aortic valve implantation or surgical aortic valve replacement with a biological prosthesis at the State Institution \u201cHeart Institute of the Ministry of Health\u201d in the period from 2018 to 2022. Results: In 47 (47.5%) cases, TAVI was performed and in 52 (52.5%) cases, SAVR with a biological prosthesis was performed. Patients who underwent TAVI were significantly older (p=0.002) and had a higher EuroSCORE II operative risk score (p&lt;0.001). In patients with TAVI, larger diameter aortic valve prostheses were significantly more often used compared with the SAVR group with biological prosthesis (27.5\u0081}2.74 vs. 22.5\u0081}1.84, p&lt;0.001). The early postoperative period in patients with TAVI was characterized by an 11.4% (p=0.046) and 15.4% (p=0.006). The length of stay in the ICU (p=0.024), as well as the duration of hospitalization in general (p=0.005), was also significantly lower in patients with TAVI compared with patients with biological prosthesis SAVR. Conclusions: Despite the higher surgical risk of surgery according to EuroSCORE II, TAVI was characterized by a lower incidence of postoperative complications, with shorter duration of stay in ICU and hospitalization in general in comparison with patients undergoing SAVR with a biological prosthesis.<\/jats:p>","DOI":"10.36740\/merkur202401102","type":"journal-article","created":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T19:37:55Z","timestamp":1711222675000},"page":"10-16","source":"Crossref","is-referenced-by-count":3,"title":["Comparative analysis of early postoperative results of transcatheter aortic valve implantation and surgical aortic valve replacement with a biological prosthesis"],"prefix":"10.36740","volume":"52","author":[{"given":"Mykhailo","family":"Todurov","sequence":"first","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oleh","family":"Zelenchuk","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION \u201cHEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE\u201d, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mykola","family":"Stan","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION \u201cHEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE\u201d, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrii","family":"Khokhlov","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION \u201cHEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE\u201d, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serhii","family":"Sudakevych","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION \u201cHEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE\u201d, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nataliia","family":"Ponych","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION \u201cHEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE\u201d, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stepan","family":"Marunyak","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL UNIVERSITY OF HEALTH CARE OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION \u201cHEART INSTITUTE MINISTRY OF HEALTH OF UKRAINE\u201d, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Coffey S, Cairns BJ, Iung B. The modern epidemiology of heart valve disease. Heart. 2016;102:75-85. doi: 10.1136\/heartjnl-2014-307020.","DOI":"10.1136\/heartjnl-2014-307020"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Kanwar A, Thaden JJ, Nkomo VT. Management of patients with aortic valve stenosis. Mayo Clin Proc. 2018; 93(4):488-508. doi: 10.1016\/j.mayocp.2018.01.020.","DOI":"10.1016\/j.mayocp.2018.01.020"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Harky A, Wong CHM, Hof A et al. Stented versus stentless aortic valve replacement in patients with small aortic root: a systematic review and meta-analysis. Innovations (Phila). 2018;13(6):404-416. doi: 10.1097\/IMI.0000000000000569.","DOI":"10.1097\/imi.0000000000000569"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Chernatska O, Demikhova N, Rudenko T, Demikhov A. Assesment of the lipid profile correction in patients with arterial hypertension and type 2 diabetes mellitus. Azerbaijan Medical Journal. 2019; 59(02): 95-99.","DOI":"10.3329\/bjms.v17i2.35894"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5. Yarmolenko O, Bumeister V, Polak S et al. The effect of the experimental chronic hyperglycemia on the kidney and myocardium. Ukrainian Journal of Nephrology and Dialysis. 2021; 3(71): 3-10. doi:10.31450\/ukrjnd.3(71).2021.01.","DOI":"10.31450\/ukrjnd.3(71).2021.01"},{"key":"ref5","unstructured":"6. Chernatska O, Demikhova N. Improvement of treatment in persons with arterial hypertension and type 2 diabetes mellitus. Georgian medical news. 2018; (284): 47-51."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"7. Baumgartner H, Falk V, Bax JJ et al. ESC Scientific Document Group. 2017 ESC\/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017;38(36):2739-2791. doi: 10.1093\/eurheartj\/ehx391.","DOI":"10.1093\/eurheartj\/ehx636"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8. Mazur T, Demikhova N, Rudenko T et al. Chronic inflammation and progression of chronic kidney disease in patients with type 2 diabetes. Ukrainian Journal of Nephrology and Dialysis. 2021; 4:36-43. doi:10.31450\/ukrjnd.4(72).2021.05.","DOI":"10.31450\/ukrjnd.4(72).2021.05"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"9. Stepanova N, Rysyev A, Rusyn O et al. High-density lipoproteins and clinical outcomes of COVID-19 in hemodialysis patients: A multicenter, propensityscore matched case-control study. Ukrainian Journal of Nephrology and Dialysis. 2022; 1(73):22-30. doi: 10.31450\/ukrjnd.1(73).2022.03.","DOI":"10.31450\/ukrjnd.1(73).2022.03"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10. Marushchak M, Krynytska I, Lepyavko A. Association of serum uric acid with albuminuria in type 2 diabetic patients with comorbid obesity and\/or essential arterial hypertension. Ukrainian Journal of Nephrology and Dialysis. 2022; 1(73): 58-69. doi: 10.31450\/ukrjnd.1(73).2022.07.","DOI":"10.31450\/ukrjnd.1(73).2022.07"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"11. Yarmolenko O, Sikora V, Bumeister V et al. Age-dependent cardioprotective action of meldonium on heart remodeling under the experimental hypoosmolar hyperhydration. Bangladesh Journal of Medical Science. 2019; 18(2): 395-401. doi: 10.3329\/bjms.v18i2.40714.","DOI":"10.3329\/bjms.v18i2.40714"},{"key":"ref11","unstructured":"12. Prykhodko OO, Hula VI, Yarmolenko OS et al. Mikroskopicheskiye izmeneniya organov krys v usloviyakh obshchey degidratatsii organizma [Microscopic changes in rat organs under conditions of total dehydration]. Azerbaijan Medical Journal. 2016; 4: 95-100. (in Russian)"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"13. Demikhova N, Chernatska O, Mazur T et al. Markers of cardiovascular complications in patients with type 2 diabetes mellitus and arterial hypertension. Bangladesh Journal of Medical Science. 2018; 17(2): 319-322. doi:10.3329\/bjms.v17i2.35894.","DOI":"10.3329\/bjms.v17i2.35894"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"14. Leon MB, Smith CR, Mack MJ et al. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2016;374(17):1609-20. doi: 10.1056\/NEJMoa1514616.","DOI":"10.1056\/NEJMoa1514616"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"15. Thyregod HGH, Steinbru\u0308chel DA, Ihlemann N et al. Transcatheter versus surgical aortic valve replacement in patients with severe aortic valve stenosis. J Am Coll Cardiol. 2015; 65(20):2184-2194. doi: 10.1016\/j.jacc.2015.03.014.","DOI":"10.1016\/j.jacc.2015.03.014"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"16. Czarny MJ, Resar JR. Diagnosis and management of valvular aortic stenosis. Clin Med Insights Cardiol. 2014; 8 (1):15-24. doi: 10.4137\/CMC.S15716.","DOI":"10.4137\/cmc.s15716"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"17. Piazza N, de Jaegere P, Manoharan G et al. Patient Selection for the CoreValve ReValving System. InTranscatheter aortic valve implantation: Tips and tricks to avoid failure. New York: Informa Healthcare. 2011, p.82.","DOI":"10.3109\/9780203092095-10"},{"key":"ref17","unstructured":"18. Demikhov O, Dehtyarova I, Motrechko V et al. Upravlencheskiye aspekty vedeniya zdorov\u2019ya detey: displasticheskaya patologiya bronkholenochnoy sistemy c uchetom ekologicheskoy geterogennosti sredy [Management aspects of children\u2019s health: dysplastic-dependent pathology of the bronchopulmonary system and ecological heterogeneity of the environment. Azerbaijan Medical Journal. 2022; 1: 144-150. doi: 10.34921\/amj.2022.1.023 (in Russian)"},{"key":"ref18","unstructured":"19. Jarvis M, Tint P. Knowledge transfer \u2013 Critical components in occupational health and safety \u2013 An Estonian approach. Institution of Chemical Engineers Symposium Series. 2008; 154: 385-397."},{"key":"ref19","unstructured":"20. Demikhov OI, Shipko SP, Sing HH et al. Intersectoral component of the healthcare management system: Regional programs and assessment of the effectiveness of prevention of bronchopulmonary dysplasia. Azerbaijan Medical Journal. 2020; 2: 88-96. doi: 10.34921\/amj.2020.2.03."},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"21. Prokopenko O, Toktosunova C, Sharsheeva N et al. Prospects for the Reorientation of Investment Flows for Sustainable Development under the Influence of the COVID-19 Pandemic. Problemy Ekorozwoju. 2021; 16(2): 7-17. doi:10.35784\/pe.2021.2.01.","DOI":"10.35784\/pe.2021.2.01"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"22. Vahanian A, Beyersdorf F, Praz F et al. ESC\/EACTS Scientific Document Group. 2021 ESC\/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561-632. doi: 10.1093\/eurheartj\/ehab395.","DOI":"10.1093\/eurheartj\/ehab626"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"23. Todurov M, Zelenchuk O, Ponych N et al. Transcatheter aortic valve implantation in a patient with mitral valve replacement and tricuspid valve repair. Polski Merkuriusz Lekarski. 2022; 50(300): 374-377.","DOI":"10.36740\/merkur202302112"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"24. Todurov M, Todurov B, Zelenchuk O et al. Klinicheskiy sluchay alkogol\u2019noy septal\u2019noy ablatsii i transkateternoy implantatsii aortal\u2019nogo klapana u pozhilogo patsiyenta s vyrazhennym aortal\u2019nym stenozom i gipertroficheskoy obstruktivnoy kardiomiopatiyey [A clinical case of alcohol septal ablation and transcathether aortic valve implantation in an elderly patient with severe aortic stenosis and hypertrophic obstructive cardiomyopathy]. Azerbaijan Medical Journal. 2023; 2: 157-163. doi: 10.34921\/amj.2023.2.025. (in Russian)","DOI":"10.34921\/amj.2023.2.025"},{"key":"ref24","unstructured":"25. Mankovskiy DS. Personal evaluation of risk factors in patients with postoperative encephalopathy during cardiosurgical interventions. Azerbaijan Medical Journal. 2021; 4: 81-89."},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"26. Smith CR, Leon MB, Mack MJ et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364(23):2187-98. doi: 10.1056\/NEJMoa1103510.","DOI":"10.1056\/NEJMoa1103510"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"27. Kodali SK, Williams MR, Smith CR et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012; 366(18): 1686-95. doi: 10.1056\/NEJMoa1200384.","DOI":"10.1056\/NEJMoa1200384"},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"28. Abdel-Wahab M, Zahn R, Horack M et al. Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry. Heart. 2011;97(11):899-906. doi: 10.1136\/hrt.2010.217158.","DOI":"10.1136\/hrt.2010.217158"},{"key":"ref28","doi-asserted-by":"publisher","unstructured":"29. Gotzmann M, Korten M, Bojara W et al. Long-term outcome of patients with moderate and severe prosthetic aortic valve regurgitation after transcatheter aortic valve implantation. Am J Cardiol 2012;110(10):1500-6. doi: 10.1016\/j.amjcard.2012.07.010.","DOI":"10.1016\/j.amjcard.2012.07.010"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"30. Gilard M, Eltchaninoff H, Iung B et al. Registry of transcatheter aortic-valve implantation in high-risk patients. N Engl J Med. 2012;366(18):1705-15. doi: 10.1056\/NEJMoa1114705.","DOI":"10.1056\/NEJMoa1114705"},{"key":"ref30","doi-asserted-by":"publisher","unstructured":"31. Gleason TG, Reardon MJ, Popma JJ et al. Pivotal High Risk Trial Clinical Investigators. 5-Year Outcomes of Self-Expanding Transcatheter Versus Surgical Aortic Valve Replacement in High-Risk Patients. J Am Coll Cardiol. 2018; 72(22): 2687-2696. doi: 10.1016\/j.jacc.2018.08.2146.","DOI":"10.1001\/jamacardio.2020.4397"},{"key":"ref31","doi-asserted-by":"publisher","unstructured":"32. Pickering JW, James MT, Palmer SC. Acute kidney injury and prognosis after cardiopulmonary bypass: a meta-analysis of cohort studies. Am J Kidney Dis. 2015; 65(2):283-293. doi: 10.1053\/j.ajkd.2014.09.008.","DOI":"10.1053\/j.ajkd.2014.09.008"},{"key":"ref32","doi-asserted-by":"publisher","unstructured":"33. Kandil OA, Motawea KR, Darling E et al. Ultrafiltration and cardiopulmonary bypass associated acute kidney injury: A systematic review and meta-analysis. 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