Valve-in-Valve Transcatheter Implantation Versus Redo Surgical Aortic Valve Replacement

The American Journal of Cardiology
Aaqib H MalikGilbert H L Tang

Abstract

Valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) for a failing prosthesis is an appealing alternative to redo surgical AVR. We utilized data from the US National Inpatient Sample for the period 2012 to 2016 to identify hospitalizations for either ViV-TAVI or redo-SAVR. The primary outcomes of interest were in-hospital adverse events composite outcome (comprising of mortality, myocardial infarction, stroke, or acute kidney injury) and all-cause mortality. We used propensity score matching to adjust for the baseline differences between ViV-TAVI and redo-SAVR cohorts. Survey techniques were employed to compare the 2 groups. Over 5 years, there has been a considerable increase in both interventions for prosthetic aortic valve failure, with significantly higher utilization of ViV-TAVI compared to redo-SAVR (p <0.01). Out of the 3,305 hospitalizations for prosthetic aortic valve failure, 1,420 in matched pairs underwent either ViV-TAVI (n = 710) or redo-SAVR (n = 710). ViV-TAVI was associated with lower in-hospital composite adverse outcomes (14.1% vs 25.4%, p = 0.018), and numerically lower but statistically insignificant mortality (<1.0% vs 5.2%; p = 0.06). ViV-TAVI was associated with a decreased length of hospi...Continue Reading

Citations

Feb 2, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Andrijana VukadinovikjChristof Burgdorf
Feb 14, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Abhishek ThandraVenkata M Alla
Jan 23, 2021·JACC. Cardiovascular Interventions·Michel Pompeu B O SáMarie-Annick Clavel
Apr 24, 2021·JACC. Cardiovascular Interventions·Matthias RaschpichlerMichael Borger
Aug 1, 2020·Journal of the American College of Cardiology·Michael A BorgerRaj Makkar
May 10, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pietro Giorgio MalvindiSunil Ohri
Jun 11, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sameer SaleemDavid L Fischman

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