Incidence and predictors of cardiogenic shock following surgical or transcatheter tricuspid valve intervention

Objective The objective of this study was to evaluate the incidence of and risk factors associated with cardiogenic shock (CS) following surgery versus transcatheter tricuspid valve intervention (TTVI) for tricuspid regurgitation (TR). Background Surgical therapy for TR is associated with high rates...

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Published in:Catheterization and cardiovascular interventions 2022-04, Vol.99 (5), p.1668-1678
Main Authors: Lawlor, Matthew K., Hamid, Nadira, Kampaktsis, Polydoros, Ning, Yuming, Wang, Victoria, Akkoc, Deniz, Dershowitz, Lyle, Placheril, Elizabeth, Vahl, Torsten P., Nazif, Tamim, Khalique, Omar, Ng, Vivian, Brener, Michael I., Burkhoff, Daniel, Dickstein, Marc, Kurlansky, Paul, Leon, Martin B., Hahn, Rebecca T., Kodali, Susheel, George, Isaac
Format: Article
Language:English
Subjects:
Angiography
CS—cardiogenic shock
Heart Valve Prosthesis Implantation - adverse effects
Humans
Incidence
Intervention
Mortality
Patients
Regurgitation
Retrospective Studies
Risk factors
Sensitivity analysis
Shock, Cardiogenic - diagnosis
Shock, Cardiogenic - epidemiology
Shock, Cardiogenic - therapy
Support vector machines
Surgery
SVAL—valvular surgery
Treatment Outcome
Tricuspid valve
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - surgery
Tricuspid Valve Insufficiency - diagnostic imaging
Tricuspid Valve Insufficiency - etiology
Tricuspid Valve Insufficiency - surgery
TVI—transcatheter valve implantation
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Summary:Objective The objective of this study was to evaluate the incidence of and risk factors associated with cardiogenic shock (CS) following surgery versus transcatheter tricuspid valve intervention (TTVI) for tricuspid regurgitation (TR). Background Surgical therapy for TR is associated with high rates of CS. Postprocedural shock has not been studied following TTVI. Methods We performed a single‐center retrospective analysis of isolated tricuspid valve (TV) surgery or TTVI for TR. The primary outcome was postprocedural class D or E CS according to Society for Cardiovascular Angiography and Interventions (SCAI) CS classification scheme, and secondary outcome was in‐hospital mortality. Multivariable logistic regression modeling was performed for primary and secondary outcomes. Support vector machine analysis was performed for sensitivity analysis. Results From 2008 to 2020, a total of 122 patients underwent isolated TV surgery (n = 58, 14 TV repair, and 44 TV replacement) or TTVI (n = 64, 36 TV repair, and 28 TV replacement). Surgical patients were significantly younger than TTVI patients (67.5 vs. 80 years, p 
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.30073