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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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Published in: | Journal of the American College of Cardiology 2017-10, Vol.70 (18), p.B180-B181 |
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creator | 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 |
description | 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). |
doi_str_mv | 10.1016/j.jacc.2017.09.546 |
format | article |
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Dawn ; Fonarow, Gregg ; Elmariah, Sammy ; Rihal, Chet ; Garcia, Mario ; Bhatt, Deepak</creator><creatorcontrib>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</creatorcontrib><description>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).</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2017.09.546</identifier><language>eng</language><publisher>New York: Elsevier Inc</publisher><subject>Aortic stenosis ; Aortic valve ; Bleeding ; Cardiology ; Coronary artery ; Coronary vessels ; Grafting ; Heart surgery ; Mortality ; Myocardial infarction ; Surgery ; Trends</subject><ispartof>Journal of the American College of Cardiology, 2017-10, Vol.70 (18), p.B180-B181</ispartof><rights>2017</rights><rights>Copyright Elsevier Limited Oct 31, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Gupta, Tanush</creatorcontrib><creatorcontrib>Khera, Sahil</creatorcontrib><creatorcontrib>Kolte, Dhaval</creatorcontrib><creatorcontrib>Goel, Kashish</creatorcontrib><creatorcontrib>Kalra, Ankur</creatorcontrib><creatorcontrib>Villablanca, Pedro</creatorcontrib><creatorcontrib>Aronow, Herbert</creatorcontrib><creatorcontrib>Abbott, J. Dawn</creatorcontrib><creatorcontrib>Fonarow, Gregg</creatorcontrib><creatorcontrib>Elmariah, Sammy</creatorcontrib><creatorcontrib>Rihal, Chet</creatorcontrib><creatorcontrib>Garcia, Mario</creatorcontrib><creatorcontrib>Bhatt, Deepak</creatorcontrib><title>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</title><title>Journal of the American College of Cardiology</title><description>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).</description><subject>Aortic stenosis</subject><subject>Aortic valve</subject><subject>Bleeding</subject><subject>Cardiology</subject><subject>Coronary artery</subject><subject>Coronary vessels</subject><subject>Grafting</subject><subject>Heart surgery</subject><subject>Mortality</subject><subject>Myocardial infarction</subject><subject>Surgery</subject><subject>Trends</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kUFv1DAQhSMEEkvhD3AaiXOCnY03MeKyrEqpVNSKbnu1nMmk6yhrB9spCr-RH4VXy5nTzGG-N0_vZdl7zgrO-ObjUAwasSgZrwsmC1FtXmQrLkSTr4WsX2YrVq9FzpmsX2dvQhgYY5uGy1X2Z7_b51XFYO-1DajjgSJ5eCQf5gD3s38yqEfYOh8NwqMenwl-0DRqpCPZCMbCnY4mrQF-mXiAO2-ch53zzmq_wNYnuQW-LJMOAa687qOxT5_SO7JdOOEP0Yzmd9JwFrTtQCcJN5ENJi75PTpP8F1HPFAHW6vHJZgArodrmx9cmExM7m7niO5I4W32qtdjoHf_5kX28PVyv_uW39xeXe-2NznyspK5pk3NuW6FoKbFNWFbEZZdKVD3bVkJwbsSm1azSvCyk1j3TcurlhPKXvZdvb7IPpx1J-9-zhSiGtzsk7mguBR1UzdSyHRVnq_QuxA89Wry5phCUZypU2tqUKfW1Kk1xaRKrSXo8xmi5P_ZkFcBU7pInfGEUXXO_A__C2s6pTM</recordid><startdate>20171031</startdate><enddate>20171031</enddate><creator>Gupta, Tanush</creator><creator>Khera, Sahil</creator><creator>Kolte, Dhaval</creator><creator>Goel, Kashish</creator><creator>Kalra, Ankur</creator><creator>Villablanca, Pedro</creator><creator>Aronow, Herbert</creator><creator>Abbott, J. Dawn</creator><creator>Fonarow, Gregg</creator><creator>Elmariah, Sammy</creator><creator>Rihal, Chet</creator><creator>Garcia, Mario</creator><creator>Bhatt, Deepak</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20171031</creationdate><title>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</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1249-ae6711ab55e8bc3ecb4ec2d25cafb24551d2c8ba04512d9c7f8b14b1ec9f9fd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aortic stenosis</topic><topic>Aortic valve</topic><topic>Bleeding</topic><topic>Cardiology</topic><topic>Coronary artery</topic><topic>Coronary vessels</topic><topic>Grafting</topic><topic>Heart surgery</topic><topic>Mortality</topic><topic>Myocardial infarction</topic><topic>Surgery</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Tanush</creatorcontrib><creatorcontrib>Khera, Sahil</creatorcontrib><creatorcontrib>Kolte, Dhaval</creatorcontrib><creatorcontrib>Goel, Kashish</creatorcontrib><creatorcontrib>Kalra, Ankur</creatorcontrib><creatorcontrib>Villablanca, Pedro</creatorcontrib><creatorcontrib>Aronow, Herbert</creatorcontrib><creatorcontrib>Abbott, J. Dawn</creatorcontrib><creatorcontrib>Fonarow, Gregg</creatorcontrib><creatorcontrib>Elmariah, Sammy</creatorcontrib><creatorcontrib>Rihal, Chet</creatorcontrib><creatorcontrib>Garcia, Mario</creatorcontrib><creatorcontrib>Bhatt, Deepak</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, Tanush</au><au>Khera, Sahil</au><au>Kolte, Dhaval</au><au>Goel, Kashish</au><au>Kalra, Ankur</au><au>Villablanca, Pedro</au><au>Aronow, Herbert</au><au>Abbott, J. Dawn</au><au>Fonarow, Gregg</au><au>Elmariah, Sammy</au><au>Rihal, Chet</au><au>Garcia, Mario</au><au>Bhatt, Deepak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Journal of the American College of Cardiology</jtitle><date>2017-10-31</date><risdate>2017</risdate><volume>70</volume><issue>18</issue><spage>B180</spage><epage>B181</epage><pages>B180-B181</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><abstract>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).</abstract><cop>New York</cop><pub>Elsevier Inc</pub><doi>10.1016/j.jacc.2017.09.546</doi><oa>free_for_read</oa></addata></record> |
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subjects | Aortic stenosis Aortic valve Bleeding Cardiology Coronary artery Coronary vessels Grafting Heart surgery Mortality Myocardial infarction Surgery Trends |
title | 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 |
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