Aortic Valve Replacement in Bioprosthetic Failure: Insights From The Society of Thoracic Surgeons National Database

التفاصيل البيبلوغرافية
العنوان: Aortic Valve Replacement in Bioprosthetic Failure: Insights From The Society of Thoracic Surgeons National Database
المؤلفون: Salil V. Deo, Joseph F. Sabik, Dhaval Kolte, Sahil Khera, Tanush Gupta, Khaled Shorbaji, Ankur Kalra, Sarah DeLozier, Rami R. Mustafa, Mehwish Hussain, Deepak L. Bhatt, Michael J. Reardon, Sajjad Raza, Neal S. Kleiman
المصدر: The Annals of Thoracic Surgery. 110:1637-1642
بيانات النشر: Elsevier BV, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Databases, Factual, medicine.medical_treatment, 030204 cardiovascular system & hematology, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Valve replacement, Aortic valve replacement, Humans, Medicine, Endocarditis, Dialysis, Aged, Retrospective Studies, Aged, 80 and over, Bioprosthesis, Heart Valve Prosthesis Implantation, Framingham Risk Score, business.industry, Middle Aged, medicine.disease, Prosthesis Failure, Cardiac surgery, Surgery, Stroke, 030228 respiratory system, Aortic Valve, Heart Valve Prosthesis, Concomitant, Female, National database, Cardiology and Cardiovascular Medicine, business
الوصف: Background This study was conducted to determine the current nationwide trends and outcomes of reoperative surgical aortic valve replacement (SAVR) performed for a degenerated bioprosthesis. Methods Data from The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database were used. All patients who underwent isolated reoperative SAVR for a degenerated aortic bioprosthesis between January 2012 and December 2016 were included. Patients who had other concomitant cardiac surgery procedures or active endocarditis were excluded. Changes during this period were tracked with trend analyses. Results The number of patients undergoing SAVR for bioprosthetic failure increased substantially between 2012 and 2014 (782 in 2012 to 844 in 2013 and to 900 in 2014; relative change, +7.25%); this trend reversed significantly between 2015 and 2016 (decreased to 873 in 2015 and to 840 in 2016; relative change, −3.4%; P = .005). Patients were older in 2012-2014 (65.80 ± 13.52 years) compared with 2015-2016 (64.45 ± 12.91 years; P = .001). Mean STS-predicted mortality risk score decreased from 4.55% in 2012-2014 to 4.25% in 2015-2016 (P = .001). There was no difference in postoperative stroke (1.80% vs 1.80%, P = .87), renal failure requiring dialysis (2.7% vs 2.8%, P = .69), or operative mortality (3.5% vs 4.0%, P = .36) after reoperative SAVR in 2012-2014 and 2015-2016, respectively. Conclusions The number of patients undergoing SAVR for a degenerated bioprosthesis is decreasing in the United States, particularly among older and high-risk patients. These trends may reflect the adoption of valve-in-valve transcatheter aortic valve replacement for a degenerated bioprosthesis after its United States Food and Drug Administration approval in 2015.
تدمد: 0003-4975
DOI: 10.1016/j.athoracsur.2019.08.023
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e73430a94e0f86f16e763d3e7167ef3c
https://doi.org/10.1016/j.athoracsur.2019.08.023
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....e73430a94e0f86f16e763d3e7167ef3c
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00034975
DOI:10.1016/j.athoracsur.2019.08.023