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In-Hospital Outcomes of Surgical Aortic Valve Replacement at Transcatheter Valve Implantation Centers.
Hiltner, Emily; Erinne, Ikenna; Singh, Anjuli; Chen, Chunguang; Kassotis, John; Russo, Mark; Sethi, Ankur.
Afiliación
  • Hiltner E; Division of Cardiology, Department of Medicine, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
  • Erinne I; Division of Cardiology, Department of Medicine, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
  • Singh A; Department of Family Medicine Robert Wood Johnson University Hospital Somerset, Somerville, New Jersey.
  • Chen C; Department of Cardiology, Deborah Heart and Lung Center, Browns Mills, Burlington County, New Jersey.
  • Kassotis J; Division of Cardiology, Department of Medicine, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
  • Russo M; Division of Cardiothoracic Surgery, Department of Surgery, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
  • Sethi A; Division of Cardiology, Department of Medicine, Robert Wood Johnson University Hospital, New Brunswick, New Jersey. Electronic address: drankursethi@gmail.com.
Am J Cardiol ; 183: 78-84, 2022 11 15.
Article en En | MEDLINE | ID: mdl-36114022
The availability of transcatheter aortic valve implantation (TAVI) has led to the development of a multidisciplinary team, the "heart team," at institutions offering both TAVI and surgical aortic valve replacement (SAVR). Whether this approach has improved in-hospital outcomes in patients who underwent SAVR at institutions offering TAVI versus those not offering TAVI is largely unknown. The National Inpatient Sample (2011 to 2018) was used to study trends in visits for SAVR and in-hospital outcomes at TAVI and non-TAVI centers. Survey estimation commands were used to determine weighted national estimates. There were 559,365 inpatient visits during 2011 to 2018 for aortic valve replacement, with 65.9 ± 0.8% and 34.0 ± 0.8% at TAVI and non-TAVI centers, respectively. Patients who underwent SAVR at TAVI hospitals had more co-morbidities and were less likely to receive mechanical prosthesis (24.7 ± 0.5% vs 35.5 ± 0.6%). Adjusted in-hospital mortality was lower among any SAVR (odds ratio 0.84, 95% confidence interval 0.75 to 0.94) and isolated SAVR (odds ratio 0.83, 95% confidence interval 0.70 to 0.98) recipients at TAVI centers. There was no difference in the incidence of stroke, permanent pacemaker placement, and acute kidney injury after SAVR in TAVI and non-TAVI centers. Although patients who underwent SAVR at TAVI centers had more co-morbidities, in-hospital mortality was lower at TAVI centers than non-TAVI centers. This may be attributable to several factors, including but not limited to experience, resource availability, and operative volumes and the use of the heart team.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis de la Válvula Aórtica / Prótesis Valvulares Cardíacas / Implantación de Prótesis de Válvulas Cardíacas / Reemplazo de la Válvula Aórtica Transcatéter Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Cardiol Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis de la Válvula Aórtica / Prótesis Valvulares Cardíacas / Implantación de Prótesis de Válvulas Cardíacas / Reemplazo de la Válvula Aórtica Transcatéter Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Cardiol Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos