Outcomes Among Patients With Heart Failure With Reduced Ejection Fraction Undergoing Transcatheter Aortic Valve Replacement: Minimally Invasive Strategy Versus Conventional Strategy

To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). Patients with AS and concomitant low EF may be at risk for adverse hemodynamic effects from general anesthesia utilized in transcatheter aortic val...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2019-03, Vol.31 (3), p.15-20
Main Authors: Panhwar, Muhammad S, Li, Jun, Zidar, David A, Clevenger, Joshua, Lipinski, Jerry, Patel, Toral R, Karim, Adham, Saric, Petar, Patel, Sandeep M, Kalra, Ankur, Attizzani, Guilherme
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - epidemiology
Aortic Valve Stenosis - therapy
Cardiac Catheterization - methods
Cardiac Output, Low - diagnostic imaging
Cohort Studies
Conscious Sedation - methods
Echocardiography, Transesophageal - methods
Female
Heart Failure - diagnosis
Heart Failure - epidemiology
Heart Failure - therapy
Hospital Mortality
Humans
Length of Stay
Logistic Models
Male
Minimally Invasive Surgical Procedures - methods
Multivariate Analysis
Prognosis
Reference Values
Retrospective Studies
Risk Assessment
Severity of Illness Index
Surgery, Computer-Assisted - methods
Survival Rate
Transcatheter Aortic Valve Replacement - methods
Transcatheter Aortic Valve Replacement - mortality
Treatment Outcome
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Summary:To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). Patients with AS and concomitant low EF may be at risk for adverse hemodynamic effects from general anesthesia utilized in transcatheter aortic valve replacement (TAVR) via the conventional strategy (CS). These patients may be better suited for the minimally invasive strategy (MIS), which employs conscious sedation. However, data are lacking that compare MIS to CS in patients with AS and concomitant low EF. In this retrospective study, we identified all patients with low EF (
ISSN:1557-2501