Abstract
Risk assessment for transcatheter aortic valve replacement (TAVR) patients is challenging, and surgical scores do not optimally correlate with outcome. The aim of this study was to assess the correlation between serum albumin and survival of patients with symptomatic severe aortic stenosis undergoing TAVR. Patients with severe aortic stenosis who underwent TAVR were categorized into 2 groups according to low and normal preprocedural serum albumin (<3.5 and ≥3.5 g/dl, respectively). The all-cause mortality rates at hospital discharge, at 30-day and 1-year follow-up were compared across the groups. Additionally, a Cox proportional-hazards model was generated to assess the independent effect of serum albumin at 1-year follow-up. Among 567 consecutive patients who underwent TAVR, 476 (84%) had documented preprocedural serum albumin measurements. Of these, 50% had low serum albumin levels, and 50% had normal serum albumin levels. Baseline and procedural characteristics, including age, gender, and transapical access, were similar among the groups. Prevalence of left ventricular ejection fraction<40% was higher in patients with low albumin (29% vs 20%, p=0.02), and risk assessment according to Society of Thoracic Surgeons score tended...Continue Reading
References
Dec 1, 1991·Chest·W A KnausA Damiano
Mar 1, 1988·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·M A RothschildS S Schreiber
Oct 5, 1994·JAMA : the Journal of the American Medical Association·M C CortiJ D Sorkin
May 26, 1998·JAMA : the Journal of the American Medical Association·J DaneshR Peto
Apr 29, 1999·The New England Journal of Medicine
Mar 9, 2000·American Journal of Epidemiology·J J NelsonG Heiss
Dec 4, 2002·Circulation·Luc DjousséR Curtis Ellison
May 3, 2008·Archives of Physical Medicine and Rehabilitation·James E GrahamKenneth J Ottenbacher
Feb 16, 2010·American Heart Journal·Nicolo PiazzaPatrick W Serruys
Jun 1, 2011·Age and Ageing·Helen C RobertsAvan Aihie Sayer
May 26, 2012·JACC. Cardiovascular Interventions·Stefan StorteckyPeter Wenaweser
Sep 22, 2012·JACC. Cardiovascular Interventions·Philip GreenMathew Williams
Oct 3, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arie Pieter KappeteinUNKNOWN Valve Academic Research Consortium (VARC)-2
Aug 20, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Miriam PulsWolfgang Schillinger
Nov 30, 2014·The American Journal of Cardiology·Philippe DebonnaireVictoria Delgado
Citations
Mar 18, 2017·Circulation·Tetsuro ShimuraUNKNOWN OCEAN-TAVI Investigators
Jul 31, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Masanori YamamotoKentaro Hayashida
Mar 9, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Aravind KrishnanKaushik Mandal
Mar 28, 2019·The International Journal of Cardiovascular Imaging·Mohamad SoudHector M Garcia-Garcia
May 13, 2020·Journal of Cardiothoracic Surgery·David Berbel-FrancoGiovanni Landoni
Apr 21, 2020·Acta Cardiologica·Mehmet Kucukosmanogluİbrahim Halil Kurt
Jan 21, 2020·International Heart Journal·Gang LiuCheng-Heng Hu
May 28, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Kyusup LeeSeung-Jung Park
Mar 20, 2020·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·M S van MourikM M Vis
Jan 8, 2021·Heart and Vessels·Masanari KurobeToyoaki Murohara
Jan 25, 2020·JACC. Cardiovascular Interventions·Soroosh KianiUNKNOWN STS/ACC TVT Registry
Mar 6, 2021·BMJ Open·Zhe LiAva John-Baptiste
Mar 12, 2021·Circulation Reports·Yuuki MutoMitsuaki Isobe
Mar 26, 2021·Journal of Cachexia, Sarcopenia and Muscle·Hatim SeoudyDerk Frank
May 10, 2020·JACC. Cardiovascular Interventions·Melissa BendayanJonathan Afilalo
Aug 11, 2021·The American Journal of Cardiology·Keita KosekiRaj Makkar