In-hospital outcomes after transcatheter versus surgical aortic valve replacement in octogenarians

Siyuan P. Sheng, Paula D. Strassle, Sameer Arora, Dhaval Kolte, Cassandra J. Ramm, Kranthi Sitammagari, Avirup Guha, Madhu B. Paladugu, Matthew A. Cavender, John P. Vavalle

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Background Octogenarians have low physiologic reserve and may benefit more from transcatheter aortic valve replacement (TAVR) than surgical aortic valve replacement (SAVR). Methods and Results This retrospective cohort study based on the National Inpatient Sample included octogenarians who underwent TAVR or SAVRfrom 2012 to 2015. Crude and standardized‐morbidity‐ratio‐weighted regression models were used to compare in‐hospital outcomes. Among 19 145 TAVR and 9815 SAVR hospitalizations, TAVR patients had higher Charlson Comorbidity Index (CCI) scores (2.0 versus 0.8, P
Original languageEnglish (US)
JournalJournal of the American Heart Association
Volume8
Issue number2
DOIs
StatePublished - Jan 1 2019

Keywords

  • Aortic stenosis
  • Complication
  • Mortality
  • Octogenarians
  • Transcatheter aortic valve implantation

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