Post on 05-Apr-2018
8/2/2019 Transcatheter Aortic Valve Replacement In Patients With Severe Aortic Stenosis Who Cannot Undergo Surgery
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XGXCL0 Xtoerboxjlxlt Ontxgb Yocyl Tlvcoblalex Ge Voxglexr [gxj Rlyltl
Ontxgb Rxlenrgr [jn Boeenx \ehltkn R|tkltw
O\XJNT0 @liitlw O% Xgbl# AH
Orrgrxoex Vtnilrrnt ni Alhgbgel
Hgygrgne ni Kleltoc Gexlteoc Alhgbgel
Hlvotxalex ni Alhgbgel
\egyltrgxw ni Bocgintego Roe Itoebgrbn
V\DCGRJLT0 Bocgintego Xlbjencnkw Orrlrralex Int|a
HOXL NI V\DCGBOXGNE0 Ildt|otw :# 46?4
VCOBL NI V\DCGBOXGNE0 Roe Itoebgrbn# BO
8/2/2019 Transcatheter Aortic Valve Replacement In Patients With Severe Aortic Stenosis Who Cannot Undergo Surgery
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XTOERBOXJLXLT ONTXGB YOCYL TLVCOBLALEX GE VOXGLEXR [GXJ RLYLTL ONTXGB RXLENRGR
[JN BOEENX \EHLTKN R\TKLTW
O Xlbjencnkw Orrlrralex
GEXTNH\BXGNE
Xjl Bocgintego Xlbjencnkw Orrlrralex Int|a *BXOI' {or ormlh xn orrlrr xjl lyghlebl int xjl |rl ni
xtoerboxjlxlt ontxgb yocyl tlvcoblalex int xjl xtloxalex ni voxglexr {gxj ontxgb rxlenrgr {jn otl enx r|tkgboc
boehghoxlr% Ontxgb rxlenrgr gr xtloxlh alhgboccw |exgc xjl yocyl otlo hlbtlorlr xn o btgxgboc vngex nt xjl
voxglex dlbnalr rwavxnaoxgb% Dlbo|rl yocy|cot ontxgb rxlenrgr gr vtgaotgcw o hgrlorl ni okgek# aoew
voxglexr {gxj ontxgb rxlenrgr joyl rgkegigboex bn!antdghgxglr xjox vtlbc|hl r|tkgboc gexltylexgne% Xjl IHO
tlblexcw ovvtnylh oe ontxgb yocyl tlvcoblalex hlygbl xjox boe dl gavcoexlh {gxjn|x tlq|gtgek o alhgoe
rxltenxnaw oeh bothgnvclkgo%
DOBMKTN\EH
Yocy|cot ontxgb rxlenrgr
Ontxgb rxlenrgr *OR' gr o hlbtlorl ge xjl liilbxgyl otlo ni xjl ontxgb yocyl clohgek xn gebtlorlh tlrgrxoebl xn
xjl icn{ ni dcnnh obtnrr xjl yocyl%?#4Gx gr tlcoxgylcw bnaane ge xjl lchltcw {gxj o vtlyoclebl dlx{lle 8, oeh
Xjl bothgeoc rwavxnar ni ontxgb rxlenrgr otl oekgeo# bneklrxgyl jlotx iogc|tl# oeh rwebnvl% Bcorrgboccw#
xjlrl nbb|t h|tgek lzltbgrl dlbo|rl xjl clix ylextgbcl gr |eodcl xn v|rj r|iigbglex dcnnh obtnrr xjl rxlenxgb
yocyl xn allx xjl hlaoehr ni xjl jlotx oeh xjl tlrx ni xjl dnhw% R|tkltw gr gehgboxlh nebl rnalnel
dlbnalr rwavxnaoxgb dlbo|rl oyltokl r|tygyoc {gxjn|x r|tkltw gr necw x{n xn xjtll wlotr%4#:#7
Xjl rgker ni ontxgb rxlenrgr ne vjwrgboc lzoa gebc|hl o rwrxncgb a|ta|t# |r|occw cn|hlrx ox xjl tgkjx |vvlt
rxlteoc dnthlt# xjox vlomr coxl oeh tohgoxlr xn xjl tgkjx botnxgh otxltw%?6Xjl botnxgh otxltw v|crl gr bcorrgboccw
voty|r lx xoth|r0 {lom oeh coxl% Igeoccw xjl rlbneh jlotx rn|eh aow dl tlh|blh ge gexlergxw%
Xjltl otl xjtll aoge intar ni ontxgb yocyl hgrlorl0 bneklegxoc odentaocgxglr# r|bj or o dgb|rvgh yocyl xjox
clohr xn vtlaox|tl bocbgigboxgne= bocbgigboxgne ni xjl entaoc xtgcloiclx yocyl= oeh tjl|aoxgb yocyl hgrlorl% Ge
xjl \egxlh Rxoxlr odn|x ?6, ni ontxgb rxlenrgr gr bo|rlh dw tjl|aoxgb hgrlorl oeh xjl tlaogehlt dw
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bocbgigboxgne ni o |egb|rvgh# dgb|rvgh# nt entaoc xtgcloiclx yocyl%??!?8Bocbgigb ontxgb yocyl hgrlorl gr
bjotobxltgplh dw vtnktlrrgyl ontxgb yocyl cloiclx xjgbmlegek oeh bocbgigboxgne xjox tlr|cxr ge o yocyl xjox hnlr
enx i|ccw nvle oeh xj|r votxgoccw ndrxt|bxr xjl icn{ ni dcnnh itna xjl clix ylextgbcl gexn xjl ontxo h|tgek
rwrxncl%
Xjl entaoc ontxgb yocyl otlo {jle nvle gr dlx{lle 2 ba4 oeh 8 ba4% Xjltl gr en rgkegigboex ndrxt|bxgne xn
icn{ |exgc xjl yocyl otlo jor hlbtlorlh dw
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gebtlorl ge xjl oyltokl okl oeh nvltoxgyl tgrm ni voxglexr%?9#?;Ge xjl Rnbglxw int Xjntobgb R|tklner Eoxgneoc
Bothgob R|tkltw Hoxodorl nvltoxgyl antxocgxw int grncoxlh ontxgb yocyl tlvcoblalex hlbtlorlh itna 2%8, ge
?77; xn 4%9, ge 4669 {jgcl xjl vtlhgbxlh antxocgxw gebtlorlh itna 4%:, xn 2%4, oeh xjl oyltokl okl
gebtlorlh itna 99 wlotr xn 9: wlotr%?9Xjl gebghlebl ni rxtnml ocrn hlbtlorlh itna ?%;, xn ?%2,%?9Xjl
gavtnylalexr {ltl cotklrx ge xjl nchlrx voxglexr% Int lzoavcl# int voxglexr :< xn :7 wlotr nch# nvltoxgyl
antxocgxw ilcc itna ;%:, xn 8%?, oeh xjl rxtnml toxl hlbtlorlh itna 8%?, xn 4%8,%?9Xjlrl e|adltr
tlvtlrlex tlorneodcl dlebjaotmr xjox enylc xjltovl|xgb ovvtnobjlr ellh xn aoxbj ox o agega|a%
Voxglexr {gxj rwavxnaoxgb ontxgb rxlenrgr otl kleltoccw lchltcw oeh nixle joyl nxjlt rgkegigboex alhgboc
gccelrrlr v|xxgek xjla ox jgkj tgrm int vltgnvltoxgyl bnavcgboxgner gebc|hgek hloxj% Xjltl otl x{n tgrm rbntlr
xjox otl {ghlcw |rlh xn orrlrr voxglexr tgrm vtgnt xn r|tkltw% Xjl L|tnvloe Rwrxla int Bothgob Nvltoxgne
Tgrm Lyoc|oxgne *L|tnRBNTL' gr {ghlcw |rlh ge L|tnvl% Gx {or hlylcnvlh dorlh ne ?7#666 bothgob
r|tkltglr vltintalh ge L|tnvl ge ?77
|ehltkn r|tkltw otl hlxltagelh xn joyl bn!antdghgxglr nt oe nyltocc tgrm int vnnt n|xbnalr xjox aomlr
xjla genvltodcl% Xtoerboxjlxlt ontxgb yocyl tlvcoblalex gr o vnxlexgoc cgil!roylt int xjlrl voxglexr%
Xtoerboxjlxlt ontxgb yocyl tlvcoblalex *XOYT'
Xtoerrboxjlxlt ontxgb yocyl tlvcoblalex gr o enylc {ow xn tlvcobl o hgrlorlh ontxgb yocyl {gxjn|x o alhgoe
rxltenxnaw% Xjl igtrx j|aoe XOYT {or vltintalh dw Ht% Btgdglt ge 4664%22Xjltl joyl dlle xjtll
8/2/2019 Transcatheter Aortic Valve Replacement In Patients With Severe Aortic Stenosis Who Cannot Undergo Surgery
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8/2/2019 Transcatheter Aortic Valve Replacement In Patients With Severe Aortic Stenosis Who Cannot Undergo Surgery
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4 @ XjntobBothgnyorb R|tk% Eny 4667=?2:*?62% Rnxn KL# @nelr V# [lgexto|d [R# Mt|ajncp JA# Rvltx|r @O% Vtnkenrxgb yoc|l ni jlocxj rxox|r gevoxglexr {gxj jlotx iogc|tl oixlt ob|xl awnbothgoc geiotbxgne% Bgtb|coxgne%O|k 2 4668=??6*
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?69% [otl @# @t%# Mnrgermg A# Mlcclt RH% O ?4!Gxla Rjntx!Inta Jlocxj R|tylw0 bnerxt|bxgne ni rboclroeh vtlcgageotw xlrxr ni tlcgodgcgxw oeh yocghgxw% Alh Botl% Aot ?779=28*2'0446!422%
?6;% [wt{gbj M[# Rvltx|r @O# Mtnleml M# Xgltelw [A# Dod| OE# [ncgermw IH% Bcgegboccw gavntxoex
hgiiltleblr ge jlocxj rxox|r int voxglexr {gxj jlotx hgrlorl0 oe lzvltx bnerler|r voelc tlvntx%OaJlotx @%Ovt 4668=?8;*8'09?
?6:% Clne AD# Vgoppo E# Egmncrmw L# lx oc% Rxoehothgplh lehvngex hligegxgner int Xtoerboxjlxlt OntxgbYocyl tlvcoblalex bcgegboc xtgocr0 o bnerler|r tlvntx itna xjl Yocyl Obohlagb TlrlotbjBnerntxg|a% @n|teoc ni xjl Oaltgboe Bncclkl ni Bothgncnkw% @oe ?: 46??=
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?46% Copot JC% Xtoerboxjlxlt ontxgb yocylr!{jltl hn {l kn itna jltl> Xjl El{ Lekcoeh `n|teoc nialhgbgel% Nbx 4? 46?6=292*?;'0?99;!?99:%