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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
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
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container_issue 18
container_start_page B180
container_title Journal of the American College of Cardiology
container_volume 70
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
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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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