Comparison of modern risk scores in predicting operative mortality for patients undergoing aortic valve replacement for aortic stenosis

Yamaoka, Hironobu; Kuwaki, Kenji; Inaba, Hisashi; Yamamoto, Taira; Kato, Tomoko S.; Dohi, Shizuyuki; Matsushita, Satoshi; Amano, Atsushi

doi:10.1016/j.jjcc.2015.08.017

Cited by 16 publications

(15 citation statements)

References 22 publications

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“…This has also been suggested in other previous published studies. For example, the work by Yamaoka and colleagues suggested that STS scores may overestimate the true mortality risk of TAVR [ 11 ]. On the other hand, a meta-analysis from 2014 suggested that both of these scoring algorithms underestimate the risk of TAVR [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Aortic Valve Replacement After Coronary Artery Bypass Graft Is Associated With Increased Pacemaker Implantation but Not Reduced Overall Survival

Klinkhammer

2018

Cardiol Res

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BackgroundA history of coronary artery bypass graft (CABG) is a common compelling indication for transcatheter aortic valve replacement (TAVR). However, there is little data on how these patients compare to other TAVR patients. In this study, the short and long-term outcomes of these TAVR patients after CABG are defined.MethodsA retrospective chart review case-control study of 337 consecutive patients who underwent a TAVR for severe aortic stenosis at Sanford Health in Fargo ND was performed to determine if a history of prior CABG was associated with worse outcomes after TAVR as compared to a TAVR cohort without a history of CABG.ResultsDespite higher predicted surgical risk, patients with a history of CABG had no significant difference overall survival at 1 month (98% vs. 93%, P = 0.112), 6 months (94% vs. 87%, P = 0.094), 1 year (85% vs. 77%, P = 0.206) or 2 years (70% vs. 57%, P = 0.135) post-TAVR. However, a history of CABG was associated with an increase in post-TAVR permanent pacemaker (PPM) implantation (15% vs. 6%, P = 0.015).ConclusionsThis study gives evidence to suggest that patients with a history of prior CABG do not have any difference in overall survival as other TAVR patients, despite higher predicted surgical risk and differences in preprocedural comorbidities. Our study also confirms the safety of TAVR in this specific population in lower volume centers.

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Section: Discussionmentioning

confidence: 99%

Transcatheter Aortic Valve Replacement After Coronary Artery Bypass Graft Is Associated With Increased Pacemaker Implantation but Not Reduced Overall Survival

Klinkhammer

2018

Cardiol Res

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“…We retrospectively studied consecutive patients with symptomatic severe native tricuspid aortic valve stenosis treated with TAVI in a tertiary hospital between May 2008 and May 2014. After evaluation by the dedicated heart team of our hospital, consisting of interventional cardiologist, non-invasive cardiologist anesthesiologists, and two cardiac surgeons, patients who were diagnosed with severe aortic stenosis were considered for TAVI, if the logistic EuroSCORE was !20 risk for surgical replacement or if they were considered ''inoperable'' as previously described [4][5][6]. After the decision was made for appropriateness of TAVI, patients were assigned to one of the two interventional cardiologists.…”

Section: Study Populationmentioning

confidence: 99%

Impact of balloon aortic valvuloplasty on transcatheter aortic valve implantation with self-expandable valve

Vavuranakis

Lavda

Vrachatis

et al. 2017

Journal of Cardiology

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“…The Japan score was developed to establish an original Japanese risk predictive model [ 5 ]. Yamaoka et al compared the predictive value of operative mortality between EuroSCORE II, STS score and Japan score in patients undergoing AVR for AS [ 6 ]. Operative mortality was 3.4%, while the EuroSCORE II, STS score and Japan score were 3.1, 4.9 and 3.2%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Influence of transcatheter aortic valve replacement on patients with severe aortic stenosis undergoing non-cardiac surgery

Omoto

Aoki

Maruta

et al. 2020

J Cardiothorac Surg

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Objectives The purpose of this study was to clarify the influence of transcatheter aortic valve replacement (TAVR) in patients with aortic stenosis (AS) undergoing non-cardiac surgery. Methods Thirty-four patients with severe AS diagnosed by preoperative evaluation for non-cardiac surgery were reviewed and compared in two categories. First, patient profiles and surgical risk were compared before (pre-TAVR group; n = 10) and after (post-TAVR group; n = 24) the introduction of TAVR. Second, the completion rate of non-cardiac surgery and interval between the two cardiac and non-cardiac operations were compared between surgical aortic valve replacement (AVR) patients before the introduction of TAVR (pre-AVR group ( n = 10)), in AVR patients after the introduction of TAVR (post-AVR ( n = 12)), and in TAVR patients (TAVR group ( n = 12)). Results Age and Japan score were higher in the post-TAVR group than in the pre-TAVR group. Malignancy was the most common non-cardiac disease (80%) in the pre-TAVR group, whereas orthopedic disease was the most common (50%) in the post-TAVR group. Completion rate of non-cardiac operation in the pre-AVR, post-AVR and TAVR groups was 70, 33, and 75% (post-AVR vs. TAVR: p = 0.010), and the interval between the two operations was 129 ± 98 days, 87 ± 40 days and 27 ± 15 days, respectively (pre AVR vs. TAVR: p = 0.034 and post AVR vs. TAVR: p = 0.025). In the post-TAVR group, AVR was selected because of a lack of fitness for TAVR in 5 of 12 patients. Conclusions After the introduction of TAVR, more senile and high-risk patients became candidates for a two-stage operation, and orthopedic conditions became the most common non-cardiac disease. Innovation in transcatheter valvular interventions and expansion of indications for patients currently evaluated as “unfit for TAVR” might be crucial issues for non-cardiac surgery with severe AS.

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Comparison of modern risk scores in predicting operative mortality for patients undergoing aortic valve replacement for aortic stenosis

Cited by 16 publications

References 22 publications

Transcatheter Aortic Valve Replacement After Coronary Artery Bypass Graft Is Associated With Increased Pacemaker Implantation but Not Reduced Overall Survival

Transcatheter Aortic Valve Replacement After Coronary Artery Bypass Graft Is Associated With Increased Pacemaker Implantation but Not Reduced Overall Survival

Impact of balloon aortic valvuloplasty on transcatheter aortic valve implantation with self-expandable valve

Influence of transcatheter aortic valve replacement on patients with severe aortic stenosis undergoing non-cardiac surgery

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