Piotr Kubler - Academia.edu (original) (raw)
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University of Jammu, Jammu, Jammu and Kashmir, India
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Papers by Piotr Kubler
Kardiologia polska, Jan 13, 2017
Although the femoral approach is the most common route utilized in transcatheter aortic valve imp... more Although the femoral approach is the most common route utilized in transcatheter aortic valve implantation (TAVI) it still carries a substantial risk of severe bleeding and vascular complications. The aim of our study was to compare the safety and efficacy of the complete percutaneous (CPC) approach with surgical cutdown and closure (SCC) in TAVI patients. The study population comprised 683 patients with severe aortic stenosis who underwent transfemoral TAVI. Bleeding and vascular complications were defined according to the Valve Academic Research Consortium (VARC2 ) criteria. Propensity-matched cohorts were created to reduce the potential bias of non-random assignment to the type of vascular access technique (SSC=203 pts. vs. CPC=203 pts.). The rate of minor vascular complications was higher in the CPC cohort (18.2% vs. 9.9%, p=0.02). There were no differences neither in major vascular complications nor in any type of bleedings between the two groups. Age (OR 1.044 [1.003-1.09], p=...
Postępy w kardiologii interwencyjnej = Advances in interventional cardiology, 2013
The femoral approach is the most common arterial access for percutaneous coronary artery interven... more The femoral approach is the most common arterial access for percutaneous coronary artery interventions. Despite the convenience and simplicity of this approach, it is burdened with a high risk of arterial puncture bleeding, which worsens the prognosis of the patient. An alternative approach through the radial artery has been gaining more and more popularity in recent years. This is due to a significant reduction of local bleeding complications as compared with the femoral artery approach. The use of the radial approach in patients with ST-segment elevation myocardial infarction improves outcome, reducing the risk of death, subsequent myocardial infarction and stroke, and is the preferred approach according to the latest ESC guidelines. In addition to improving safety, it is beneficial for improving patient comfort, with a shorter recovery after the procedure, shorter hospitalization and lower medical costs. One of the major complications of procedures performed through the radial ap...
Kardiologia polska, Jan 13, 2017
Although the femoral approach is the most common route utilized in transcatheter aortic valve imp... more Although the femoral approach is the most common route utilized in transcatheter aortic valve implantation (TAVI) it still carries a substantial risk of severe bleeding and vascular complications. The aim of our study was to compare the safety and efficacy of the complete percutaneous (CPC) approach with surgical cutdown and closure (SCC) in TAVI patients. The study population comprised 683 patients with severe aortic stenosis who underwent transfemoral TAVI. Bleeding and vascular complications were defined according to the Valve Academic Research Consortium (VARC2 ) criteria. Propensity-matched cohorts were created to reduce the potential bias of non-random assignment to the type of vascular access technique (SSC=203 pts. vs. CPC=203 pts.). The rate of minor vascular complications was higher in the CPC cohort (18.2% vs. 9.9%, p=0.02). There were no differences neither in major vascular complications nor in any type of bleedings between the two groups. Age (OR 1.044 [1.003-1.09], p=...
Postępy w kardiologii interwencyjnej = Advances in interventional cardiology, 2013
The femoral approach is the most common arterial access for percutaneous coronary artery interven... more The femoral approach is the most common arterial access for percutaneous coronary artery interventions. Despite the convenience and simplicity of this approach, it is burdened with a high risk of arterial puncture bleeding, which worsens the prognosis of the patient. An alternative approach through the radial artery has been gaining more and more popularity in recent years. This is due to a significant reduction of local bleeding complications as compared with the femoral artery approach. The use of the radial approach in patients with ST-segment elevation myocardial infarction improves outcome, reducing the risk of death, subsequent myocardial infarction and stroke, and is the preferred approach according to the latest ESC guidelines. In addition to improving safety, it is beneficial for improving patient comfort, with a shorter recovery after the procedure, shorter hospitalization and lower medical costs. One of the major complications of procedures performed through the radial ap...