TCT-440 Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Prior Coronary Artery Bypass Grafting: Trends in Utilization and a Propensity-Score Matched Analysis of In-hospital Outcomes

Background A significant proportion of patients with aortic stenosis have undergone previous coronary artery bypass grafting (CABG). Compared with SAVR, TAVR was associated with similar in-hospital mortality (2.3% vs. 2.7%; OR, 0.85; 95% CI, 0.63-1.13) but lower incidence of major bleeding (10.9% vs...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2017-10, Vol.70 (18), p.B180-B181
Main Authors: Gupta, Tanush, Khera, Sahil, Kolte, Dhaval, Goel, Kashish, Kalra, Ankur, Villablanca, Pedro, Aronow, Herbert, Abbott, J. Dawn, Fonarow, Gregg, Elmariah, Sammy, Rihal, Chet, Garcia, Mario, Bhatt, Deepak
Format: Article
Language:English
Subjects:
Aortic stenosis
Aortic valve
Bleeding
Cardiology
Coronary artery
Coronary vessels
Grafting
Heart surgery
Mortality
Myocardial infarction
Surgery
Trends
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Summary:Background A significant proportion of patients with aortic stenosis have undergone previous coronary artery bypass grafting (CABG). Compared with SAVR, TAVR was associated with similar in-hospital mortality (2.3% vs. 2.7%; OR, 0.85; 95% CI, 0.63-1.13) but lower incidence of major bleeding (10.9% vs. 24.0%; OR, 0.39; 95% CI, 0.34-0.44), vascular complications (4.9% vs. 6.3%; OR, 0.75; 95% CI, 0.62-0.92), ischemic stroke (1.3% vs. 3.0%; OR, 0.45; 95% CI, 0.32-0.63), myocardial infarction (0.9% vs. 3.2%; OR, 0.29; 95% CI, 0.20-0.42), or acute kidney injury (14.4% vs. 19.3%; OR, 0.71; 95% CI, 0.62-0.80).
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2017.09.546