Risk Score for Prediction of Dialysis After Transcatheter Aortic Valve Replacement

Dialysis is a rare but serious complication after transcatheter aortic valve replacement. We analyzed the large multicenter TRITAVI (transfusion requirements in transcatheter aortic valve implantation) registry in order to develop and validate a clinical score assessing this risk. A total of 10 071...

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Bibliographic Details
Published in:Journal of the American Heart Association 2024-04, Vol.13 (7), p.e032955-e032955
Main Authors: Pasceri, Vincenzo, Pelliccia, Francesco, Mehran, Roxana, Dangas, George, Porto, Italo, Radico, Francesco, Biancari, Fausto, D'Ascenzo, Fabrizio, Saia, Francesco, Luzi, Giampaolo, Bedogni, Francesco, Amat Santos, Ignacio J, De Marzo, Vincenzo, Dimagli, Arnaldo, Mäkikallio, Timo, Stabile, Eugenio, Blasco-Turrión, Sara, Testa, Luca, Barbanti, Marco, Tamburino, Corrado, Fabiocchi, Franco, Chilmeran, Ahmed, Conrotto, Federico, Costa, Giuliano, Stefanini, Giulio, Spaccarotella, Carmen, Macchione, Andrea, La Torre, Michele, Bendandi, Francesco, Juvonen, Tatu, Wańha, Wojciech, Wojakowski, Wojtek, Benedetto, Umberto, Indolfi, Ciro, Hildick-Smith, David, Zimarino, Marco
Format: Article
Language:English
Subjects:
acute kidney injury
Aged
Aged, 80 and over
Aortic Valve - surgery
Aortic Valve Stenosis - surgery
Diabetes Mellitus
dialysis
Female
Humans
Male
mortality
Original Research
Registries
Renal Dialysis - adverse effects
Risk Factors
risk score
transcatheter aortic valve replacement
Transcatheter Aortic Valve Replacement - adverse effects
Treatment Outcome
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Summary:Dialysis is a rare but serious complication after transcatheter aortic valve replacement. We analyzed the large multicenter TRITAVI (transfusion requirements in transcatheter aortic valve implantation) registry in order to develop and validate a clinical score assessing this risk. A total of 10 071 consecutive patients were enrolled in 19 European centers. Patients were randomly assigned (2:1) to a derivation and validation cohort. Two scores were developed, 1 including only preprocedural variables (TRITAVIpre) and 1 also including procedural variables (TRITAVIpost). In the 6714 patients of the derivation cohort (age 82±6 years, 48% men), preprocedural factors independently associated with dialysis and included in the TRITAVIpre score were male sex, diabetes, prior coronary artery bypass graft, anemia, nonfemoral access, and creatinine clearance
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.123.032955