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Swallowing Dysfunction and Postoperative Pneumonia in Elderly Patients Undergoing Transcatheter Aortic Valve Implantation: A Preliminary Prospective Cohort Study

Kawakami, Michiyuki MD, PhD; Fukui, Shogo PTR; Hayashida, Kentaro MD, PhD, FESC; Inohara, Taku MD, PhD; Yashima, Fumiaki MD, PhD; Liu, Meigen MD, PhD

Topics in Geriatric Rehabilitation: April/June 2016 - Volume 32 - Issue 2 - p 114–118
doi: 10.1097/TGR.0000000000000097
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Objectives: The aim of this study was to report the swallowing dysfunction and the prevalence of postoperative nosocomial pneumonia in elderly patients with severe aortic stenosis after transcatheter aortic valve implantation (TAVI).

Methods and Results: Food Intake LEVEL Scales (FILS) were assessed in 64 patients (84.2 ± 4.0 years) undergoing TAVI beforehand and at discharge. FLIS scores before TAVI were 9.0 ± 0.46 (max 10, min 7) and 8.9 ± 0.55 (max 10, min 7) at discharge, not significantly different. Only 1 patient (1.5%) developed early postoperative pneumonia.

Conclusions: Swallowing dysfunction and postoperative pneumonia in elderly patients undergoing TAVI are rare.

Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan (Drs Kawakami, Fukui, and Liu); and Department of Cardiology, Keio University School of Medicine, Tokyo, Japan (Drs Hayashida, Inohara, and Yashima).

Correspondence: Michiyuki Kawakami, MD, PhD, Department of Rehabilitation Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan (

There was no funding source.

M. Kawakami, K. Hayashida, and M. Liu contributed to the conception and study design; data acquisition, analysis, and interpretation; and drafting of the manuscript. S. Fukui, T. Inohara, and F. Yashima contributed to data acquisition. All authors revised the article critically and approved the final version for publication.

K. Hayashida is a clinical proctor for TF-TAVI for Edwards Lifesciences.

The authors had no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.