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Redo Surgical Aortic Valve Replacement After Prior Transcatheter Versus Surgical Aortic Valve Replacement by Robert B. Hawkins; G. Michael Deeb; Devraj Sukul; Himanshu J. Patel; Sarah K. Gualano; Stanley J. Chetcuti; P. Michael Grossman; Gorav Ailawadi; Shinichi Fukuhara is a Medicine article available to read on EtoBox.

What is Redo Surgical Aortic Valve Replacement After Prior Transcatheter Versus Surgical Aortic Valve Replacement about?

Background Aortic stenosis treatment should consider risks and benefits for lifetime management. Although the feasibility of redo transcatheter aortic valve replacement (TAVR) remains unclear, concerns are emerging regarding reoperation after TAVR. Objectives The authors sought to define comparative risk of surgical aortic valve replacement (SAVR) after prior TAVR or SAVR. Methods Data on patients undergoing bioprosthetic SAVR after TAVR and/or SAVR were extracted from the Society of Thoracic Surgeons Database (2011-2021). Overall and isolated SAVR cohorts were analyzed. The primary outcome was operative mortality. Risk adjustment using hierarchical logistic regression as well as propensity score matching for isolated SAVR cases were performed. Results Of 31,106 SAVR patients, 1,126 had prior TAVR (TAVR-SAVR), 674 had prior SAVR and TAVR (SAVR-TAVR-SAVR), and 29,306 had prior SAVR (SAVR-SAVR). Yearly rates of TAVR-SAVR and SAVR-TAVR-SAVR increased over time, whereas SAVR-SAVR was stable. The TAVR-SAVR patients were older, with higher acuity, and with greater comorbidities than other cohorts. The unadjusted operative mortality was highest in the TAVR-SAVR group (17% vs 12% vs 9%, re

Who reads Redo Surgical Aortic Valve Replacement After Prior Transcatheter Versus Surgical Aortic Valve Replacement?

Author

Robert B. Hawkins; G. Michael Deeb; Devraj Sukul; Himanshu J. Patel; Sarah K. Gualano; Stanley J. Chetcuti; P. Michael Grossman; Gorav Ailawadi; Shinichi Fukuhara

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)