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Erschienen in: Heart and Vessels 10/2018

21.04.2018 | Original Article

Comparison of midterm outcomes of transcatheter aortic valve implantation in patients with and without previous coronary artery bypass grafting

verfasst von: Hideyuki Kawashima, Yusuke Watanabe, Ken Kozuma, Akihisa Kataoka, Makoto Nakashima, Hirofumi Hioki, Fukuko Nagura, Yugo Nara, Shinichi Shirai, Norio Tada, Motoharu Araki, Toru Naganuma, Futoshi Yamanaka, Hiroshi Ueno, Minoru Tabata, Kazuki Mizutani, Akihiro Higashimori, Kensuke Takagi, Masanori Yamamoto, Kentaro Hayashida, On behalf of the OCEAN-TAVI Investigators

Erschienen in: Heart and Vessels | Ausgabe 10/2018

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Abstract

The midterm safety and feasibility of transcatheter aortic valve implantation (TAVI) for patients with a history of coronary artery bypass graft (CABG) and high operative risk are unclear. This study compared the midterm outcomes of patients undergoing TAVI with or without previous CABG surgery. Between October 2013 and July 2016, 1,613 patients underwent TAVI according to the Optimized CathEter vAlvular iNtervention (OCEAN)-TAVI registry (previous CABG: n = 120; no previous CABG: n = 1493). The propensity score comprised the variables of the Society of Thoracic Surgeons Score, previous myocardial infarction, peripheral artery disease, chronic kidney disease > stage 2 (estimated glomerular filtration rate < 60 mL/min/1.73 m2), and the TAVI approach method. After propensity matching, 118 patients were classified into the CABG and non-CABG groups. Kaplan–Meier analysis revealed that the incidence of overall cardiovascular death in the CABG group was significantly higher than in the non-CABG group (log-rank; p = 0.004). Overall mortality due to heart failure was higher in the CABG than in the non-CABG group (8.5 vs. 1.7%, p = 0.038). The present study demonstrated that patients with a history of CABG who underwent TAVI had a higher frequency of cardiovascular death, mainly due to heart failure. Heart failure detection and rigorous heart failure management are required after TAVI.
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Metadaten
Titel
Comparison of midterm outcomes of transcatheter aortic valve implantation in patients with and without previous coronary artery bypass grafting
verfasst von
Hideyuki Kawashima
Yusuke Watanabe
Ken Kozuma
Akihisa Kataoka
Makoto Nakashima
Hirofumi Hioki
Fukuko Nagura
Yugo Nara
Shinichi Shirai
Norio Tada
Motoharu Araki
Toru Naganuma
Futoshi Yamanaka
Hiroshi Ueno
Minoru Tabata
Kazuki Mizutani
Akihiro Higashimori
Kensuke Takagi
Masanori Yamamoto
Kentaro Hayashida
On behalf of the OCEAN-TAVI Investigators
Publikationsdatum
21.04.2018
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 10/2018
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-018-1166-9

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