Journal Article

Comparative Outcomes of Transcatheter Aortic Valve Implantation and Mitral Transcatheter Edge-to-Edge Repair: Same Versus Different Hospitalization

Nazir, Salik, Ijaz, Sardar Hassan, Goel, Sachin S., Kleiman, Neal S., Kapadia, Samir R., Minhas, Abdul Mannan Khan, Ullah, Waqas, Arshad, Hassaan Bin, Sagheer, Shazib, Khan, Safi U.

2022

Overview

In patients who underwent TAVI and TEER during the same hospitalization, the inpatient mortality was significantly higher than those who underwent TAVI followed by TEER during the subsequent hospitalization ([<11 patients], p = 0.04). [...]patients who underwent combined procedure during the same hospitalization were more likely to have cardiogenic shock (19.5% vs <9% [<11 patients], p <0.01), acute kidney injury (37.5% vs 19.5%, p = 0.03), required mechanical circulatory support (p = 0.02), invasive mechanical ventilation (16.2% vs <9% [<11 patients), p = 0.01), and had higher mean length of stay (17 vs 6 days, p <0.001). [...]in the case of functional MR, TAVI followed by reassessment of symptoms and echocardiography for the need of TEER has been proposed.7 This has been suggested because of the positive left ventricle remolding after TAVI, which in turn leads to improvement in MR.1 In light of our study in addition to other limited observational studies available, we propose that TEER of MR after TAVI is a viable treatment option. Because our analysis showed higher morality in the cohort that underwent both procedures during the same hospitalization, perhaps a staged TEER after TAVI in the appropriate time window is better advised. [...]the database lacks data on long-term outcomes.Disclosures The authors have no conflicts of interest to declare.

• Publisher: Elsevier Inc,Elsevier Limited
• Subject: Acute Kidney Injury - epidemiology / Aged / Aged, 80 and over / Aorta / Aortic valve / Aortic Valve Stenosis - complications / Aortic Valve Stenosis - physiopathology / Aortic Valve Stenosis - surgery / Assisted Circulation - statistics & numerical data / Cardiac arrhythmia / Cardiac Catheterization - methods / Classification / Clinical outcomes / Disease / Disease Progression / Echocardiography / Female / Heart valves / Hospital Mortality / Hospitalization / Humans / Hypertension / Kidneys / Length of Stay / Male / Mechanical ventilation / Mitral Valve Annuloplasty - methods / Mitral Valve Insufficiency - complications / Mitral Valve Insufficiency - physiopathology / Mitral Valve Insufficiency - surgery / Morality / Mortality / Ostomy / Patients / Postoperative Complications - epidemiology / Postoperative Complications - therapy / Respiration, Artificial - statistics & numerical data / Shock, Cardiogenic - epidemiology / Stroke Volume / Transcatheter Aortic Valve Replacement - methods / Transplants & implants / Variables / Ventricle / Windows (intervals)