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Master Thesis

Orienter la prise en charge thérapeutique des patients fragiles présentant un rétrécissement aortique serré : apport de la consultation pré-TAVI au CHU de Bordeaux

Abstract : Introduction: aortic stenosis is the most frequent valvulopathy and the appearance of TAVI has opened up therapeutic indications for fragile patients. Scientific societies have recommended that guidance counseling be offered to the different techniques in each center. We wanted to know the profile and the future of the patients received at this consultation at the Bordeaux University Hospital. Material and method: the study looked at the patients received from January to December 2013. The information was collected from the server of the Bordeaux University Hospital. Results: 220 patients were included in the study. Our population is aged (84 years) and fragile (euroscore 19,6). The distribution between each group of therapeutic indications is uneven, the majority group being TAVI. There are expected differences between groups, the surgical group has the best results, the TAVI group has characteristics close to the whole population. 71% of TAVI patients will be implanted and 88% of them will be implanted within 6 months. 82% of TAVI patients are alive one month later, 57% at one year. Discussion: this study allows us to study the HEART TEAM consultation of the Bordeaux University Hospital in 2013. The TAVI group represents 50% of the population, with a delay in implantation for the majority of them, less than 6 months. The rates of death after implantation are high, although we are in the presence of an elderly population. It should be noted that our information is little to be incomplete as only released information in the hospital software.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01534599
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, June 7, 2017 - 6:31:41 PM
Last modification on : Wednesday, October 25, 2017 - 1:19:09 AM
Long-term archiving on: : Wednesday, December 13, 2017 - 7:36:16 AM

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Nicolas Virard. Orienter la prise en charge thérapeutique des patients fragiles présentant un rétrécissement aortique serré : apport de la consultation pré-TAVI au CHU de Bordeaux . Médecine humaine et pathologie. 2017. ⟨dumas-01534599⟩

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