Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting Trends in Utilization and Propensity-Matched Analysis of In-Hospital Outcomes
Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting Trends in Utilization and Propensity-Matched Analysis of In-Hospital Outcomes
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DOI：
10.1161/circinterventions.117.006179
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发表时间：
2018-04-01
影响因子：
5.6
通讯作者：
Bhatt, Deepak L.
中科院分区：
文献类型：
--
作者：
Gupta, Tanush;Khera, Sahil;Bhatt, Deepak L.
Background-A significant proportion of patients requiring aortic valve replacement (AVR) have undergone prior coronary artery bypass grafting (CABG). Reoperative heart surgery is associated with increased risk. Data on relative utilization and comparative outcomes of transcatheter (TAVR) versus surgical AVR (SAVR) in patients with prior CABG are limited.Methods and Results-We queried the 2012 to 2014 National Inpatient Sample databases to identify isolated AVR hospitalizations in adults with prior CABG. In-hospital outcomes of TAVR versus SAVR were compared using propensity-matched analysis. Of 147 395 AVRs, 15 055 (10.2%) were in patients with prior CABG. The number of TAVRs in patients with prior CABG increased from 1615 in 2012 to 4400 in 2014, whereas the number of SAVRs decreased from 2285 to 1895 (P-trend
