Operative Risks and Survival in Veterans With Severe Aortic Stenosis: Surgery Versus Medical Therapy

Chitsaz, Sam; Jaussaud, Nicolas; Chau, Edward; Yan, Kimberly S.; Azadani, Ali N.; Ratcliffe, Mark B.; Tseng, Elaine E.

doi:10.1016/j.athoracsur.2011.04.028

Cited by 10 publications

(10 citation statements)

References 17 publications

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“…Patients with hemodynamically severe AS have an overall poor prognosis with conservative medical management, with a 5-year probability of survival between 32% and 37%. 3,4 In the majority of cases, liver cirrhosis is considered as a relative contraindication depending on the Child-Pugh class for surgical aortic valve replacement (SAVR). In-hospital mortality in the setting of decompensated cirrhosis has been reported to be higher than 60% in several studies.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter aortic valve replacement (TAVR) as bridge therapy restoring eligibility for liver transplantation in cirrhotic patients

Lévy

Lassailly

Amrani

et al. 2020

American Journal of Transplantation

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Severe aortic stenosis is a widespread valve disease, constituting a contraindication to organ transplantation due to cardiovascular morbidity and projected mortality. Mortality after conventional surgical aortic valve replacement in cirrhotic patients depends upon the Child–Pugh class. In the past few years, transcatheter aortic valve replacement has progressively become the treatment of choice for high‐risk patients with severe aortic stenosis. Here, we report the cases of 3 cirrhotic patients who became eligible for liver transplantation after successful transcatheter aortic valve replacement as bridge therapy.

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Section: Introductionmentioning

confidence: 99%

Transcatheter aortic valve replacement (TAVR) as bridge therapy restoring eligibility for liver transplantation in cirrhotic patients

Lévy

Lassailly

Amrani

et al. 2020

American Journal of Transplantation

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“…Most studies originate in Europe, four in the USA and two in Canada (table 1). Six studies have a qualitative design,20–25 while eight studies have a quantitative one 26–33. The eligible review34 included both quantitative and qualitative studies.…”

Section: Resultsmentioning

confidence: 99%

“…The decision making aspects were divided in decision making experiences20–25 28 34 and treatment decisions 26 27 29–33…”

Section: Resultsmentioning

confidence: 99%

“…All six domains of SDM were described in the fifteen studies, but no study took all domains into account (table 2). Studies concerning octogenarians20–26 28 30–32 included more SDM domains than studies concerning patients aged 70–75 years 27 29 33 34…”

Section: Resultsmentioning

confidence: 99%

“…The decision domain was most represented22–25 27–29 31–33; the evaluation domain was hardly represented28 (figure 3). The option domain was analysed in more than half of the studies 20 22 24 25 28 30 34.…”

Section: Resultsmentioning

confidence: 99%

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Shared decision making in older patients with symptomatic severe aortic stenosis: a systematic review

Beek-Peeters

Noort

Faes

et al. 2020

Heart

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This review provides an overview of the status of shared decision making (SDM) in older patients regarding treatment of symptomatic severe aortic stenosis (SSAS). The databases Embase, Medline Ovid, Cinahl and Cochrane Dare were searched for relevant studies from January 2002 to May 2018 regarding perspectives of professionals, patients and caregivers; aspects of decision making; type of decision making; application of the six domains of SDM; barriers to and facilitators of SDM. The systematic search yielded 1842 articles, 15 studies were included. Experiences of professionals and informal caregivers with SDM were scarcely found. Patient refusal was a frequently reported result of decision making, but often no insight was given into the decision process. Most studies investigated the ‘decision’ and ‘option’ domains of SDM, yet no study took all six domains into account. Problem analysis, personalised treatment aims, use of decision aids and integrating patient goals in decisions lacked in all studies. Barriers to and facilitators of SDM were ‘individualised formal and informal information support’ and ‘patients’ opportunity to use their own knowledge about their health condition and preferences for SDM’. In conclusion, SDM is not yet common practice in the decision making process of older patients with SSAS. Moreover, the six domains of SDM are not often applied in this process. More knowledge is needed about the implementation of SDM in the context of SSAS treatment and how to involve patients, professionals and informal caregivers.

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Early Experience of a Transcatheter Aortic Valve Program at a Veterans Affairs Facility

et al. 2013

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Operative Risks and Survival in Veterans With Severe Aortic Stenosis: Surgery Versus Medical Therapy

Cited by 10 publications

References 17 publications

Transcatheter aortic valve replacement (TAVR) as bridge therapy restoring eligibility for liver transplantation in cirrhotic patients

Transcatheter aortic valve replacement (TAVR) as bridge therapy restoring eligibility for liver transplantation in cirrhotic patients

Shared decision making in older patients with symptomatic severe aortic stenosis: a systematic review

Early Experience of a Transcatheter Aortic Valve Program at a Veterans Affairs Facility

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