作者
Ayman Elbadawi, Marwan Saad, Islam Y Elgendy, Kirolos Barssoum, Mohamed A Omer, Ahmed Soliman, Mohamed F Almahmoud, Gbolahan O Ogunbayo, Amgad Mentias, Syed Gilani, Hani Jneid, Herbert D Aronow, Neil Kleiman, J Dawn Abbott
发表日期
2019/9/23
期刊
JACC: Cardiovascular Interventions
卷号
12
期号
18
页码范围
1811-1822
出版商
American College of Cardiology Foundation
简介
Objectives
The purpose of this study was to assess the temporal trends of transcatheter aortic valve replacement (TAVR) in patients with bicuspid aortic stenosis (AS), and to compare the outcomes between TAVR and surgical aortic valve replacement (SAVR) in this population.
Background
Randomized trials comparing TAVR to SAVR in AS with bicuspid valve are lacking.
Methods
The study queried the National Inpatient Sample database (years 2012 to 2016) to identify hospitalizations for bicuspid AS who underwent isolated aortic valve replacement. A propensity-matched analysis was used to compare outcomes of hospitalizations for TAVR versus SAVR for bicuspid AS and TAVR for bicuspid AS versus tricuspid AS.
Results
The analysis included 31,895 hospitalizations with bicuspid AS, of whom 1,055 (3.3%) underwent TAVR. TAVR was increasingly utilized during the study period for bicuspid AS (ptrend = 0.002 …
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A Elbadawi, M Saad, IY Elgendy, K Barssoum… - JACC: Cardiovascular Interventions, 2019