Minerva anestesiologica
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Minerva anestesiologica · Mar 2018
Comparative Study Observational StudyPatterns of changes in functional and neurocognitive status in elderly patients after transcatheter vs surgical aortic valve replacements.
Replacement of severely stenotic aortic valve may influence cognitive and physical functioning. The aim of this study was to compare cognitive and functional status after surgical (SAVR) vs. transcatheter aortic valve replacements (TAVR) in the elderly with severe aortic stenosis (AS). ⋯ Cognitive patterns differed between the TAVR and SAVR patients. A transient MMSE decline did not alter the 6-month status. TAVR might improve functionality. Periprocedural SBP decrease and larger changes in SBP are risk factors for functionality deterioration after TAVR.