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[Accessibility to TAVI in a center without cardiac surgery : a Corsican example]
F Ferrandi1, F Collart2, A Cribier3
1Medicine Doctor, General Hospital of BASTIA, CORSICA, France.
Annales De Cardiologie Et D'Angeiologie
|May 7, 2025
Summary
Severe aortic stenosis management in Bastia shows significant delays, with over 15% of patients dying before treatment. On-site care could reduce waiting times and mortality for these elderly patients.
Area of Science:
- Cardiology
- Valvular Heart Disease
- Geriatric Medicine
Context:
- Aortic stenosis is the most common valvular disease in France, affecting over 10% of individuals over 70.
- Symptomatic severe aortic stenosis carries a grim prognosis, with a 50% mortality rate within two years.
- Geographic and access-to-care limitations contribute to underdiagnosis and undertreatment.
Purpose:
- To analyze the management of symptomatic severe aortic stenosis patients at Bastia Hospital (2019-2022).
- To identify factors delaying care and their impact on patient outcomes.
- To evaluate the effectiveness of current treatment pathways.
Summary:
- Retrospective analysis of 151 patients with symptomatic severe aortic stenosis.
- Average age was 80 years, with preserved left ventricular ejection fraction.
- Significant delays observed: 162 days from diagnosis to TAVI, exceeding national averages.
- 13% of patients died awaiting treatment; 7% refused treatment.
Impact:
- A quarter of patients could not benefit from percutaneous valve replacement due to delays.
- Highlights the need for streamlined management protocols.
- Suggests on-site management without cardiac surgery to reduce waiting times and mortality.
