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ADDITIONAL FRIENDS SET”Lisanna & Elfman” MIDWINTEROn Saturday, December 9th, at 2pm, Bryn Oh: Bodega of Magic and Comedy will perform in the winter garden between the South Wing and the Orchard Tower. BOOK THE PERFORMERS now[Transfemoral aortic valve implantation in patients with kidney insufficiency: a success story].
To analyse early and long-term results of transfemoral aortic valve implantation (TAVI) in patients with renal insufficiency. Patients with symptomatic aortic stenosis and creatinine levels between 1.0 and 3.0 mg/dL were preoperatively evaluated. A total of 168 patients (age, 71.6+/-8.7 years, 106 women, 62.9%) underwent TAVI with the Edwards SAPIEN™ valve between October 2002 and December 2012. Mean values of systolic and diastolic blood pressure were 171+/-32.4 mm Hg and 96+/-21.2 mm Hg, respectively. Echocardiographic parameters demonstrated aortic stenosis peak velocity of 4.04+/-1.48 m/s, aortic mean pressure gradient (meanPG) of 30.9+/-10.1 mm Hg, effective orifice area (EOA) of 0.94+/-0.28 cm2. Despite hemoglobin levels of 12.5+/-1.6 g/dL and creatinine levels of 1.3+/-0.8 mg/dL, 22 patients required implantation of an intra-aortic balloon pump. Total cardiopulmonary bypass time (CPB) was 100+/-36 minutes. The mean total postoperative stay in the intensive care unit was 43.4+/-21.3 hours and the overall hospital stay was 12.7+/-8.8 days. One patient died after discharge from the hospital; 10 patients (6.2%) were readmitted and 11 patients (6.5%) were reoperated for severe bleeding or residual aortic insufficiency. Mean follow-up was 38.0+/-19.5 months. The mean postoperative peak and mean mitral gradient were 13.3+/-5.8 mm Hg and 2.95+/-1.38 mm Hg, respectively, and 3% of patients presented moderate or severe aort

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