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40
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Text
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URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
15-20
Issue
3
Volume
31
ISSN
1557-2501
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Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes among patients with heart failure with reduced ejection fraction undergoing transcatheter aortic valve replacement: Minimally invasive strategy versus conventional strategy.
Publisher
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The Journal of invasive cardiology
Date
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2019
2019-03
Subject
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Female; Humans; Male; Aged; Retrospective Studies; Treatment Outcome; Prognosis; Cohort Studies; Severity of Illness Index; Aged 80 and over; Logistic Models; Survival Rate; Length of Stay; Multivariate Analysis; Risk Assessment; Reference Values; Hospital Mortality; aortic stenosis; transcatheter aortic valve replacement; heart failure; Transcatheter Aortic Valve Replacement/methods/mortality; anesthesia; conscious sedation; Aortic Valve Stenosis/diagnostic imaging/epidemiology/therapy; Cardiac Catheterization/methods; Cardiac Output Low/diagnostic imaging; Conscious Sedation/methods; Echocardiography Transesophageal/methods; Heart Failure/diagnosis/epidemiology/therapy; Minimally Invasive Surgical Procedures/methods; Surgery Computer-Assisted/methods
Creator
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Panhwar MS; Li J; Zidar DA; Clevenger J; Lipinski J; Patel TR; Karim A; Saric P; Patel SM; Kalra A; Attizzani GF
Description
An account of the resource
OBJECTIVES: To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). BACKGROUND: Patients with AS and concomitant low EF may be at risk for adverse hemodynamic effects from general anesthesia utilized in transcatheter aortic valve replacement (TAVR) via the conventional strategy (CS). These patients may be better suited for the minimally invasive strategy (MIS), which employs conscious sedation. However, data are lacking that compare MIS to CS in patients with AS and concomitant low EF. METHODS: In this retrospective study, we identified all patients with low EF (<50%) undergoing transfemoral MIS-TAVR vs CS-TAVR between March 2011 and May 2018. Our primary endpoint was defined as the composite of in-hospital mortality and major periprocedural bleeding or vascular complications. RESULTS: Two hundred and seventy patients had EF <50%, while 154 patients had EF ≤35%. Overall, a total of 236 patients were in the MIS group and 34 were in the CS group. Baseline characteristics between the two groups were similar except for Society of Thoracic Surgeons (STS) score (MIS 8.4 ± 5.1 vs CS 11.7 ± 6.8; P<.01). There were no differences between the two groups in incidence of the primary endpoint (MIS 5.5% vs CS 8.8%; odds ratio for MIS, 0.60; 95% confidence interval, 0.16-2.23; P=.45). CONCLUSIONS: In patients with severe AS and reduced EF, MIS was not associated with adverse in-hospital or 30-day clinical outcomes compared with CS. In these patients, MIS may be a suitable alternative to CS without compromising clinical outcomes.
Identifier
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
PMID: 30555054
Rights
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Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Format
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journalArticle
2019
Aged
Aged 80 and over
Anesthesia
aortic stenosis
Aortic Valve Stenosis/diagnostic imaging/epidemiology/therapy
Attizzani GF
Cardiac Catheterization/methods
Cardiac Output Low/diagnostic imaging
Cleveland Clinic Akron General Hospital
Clevenger J
Cohort Studies
Conscious Sedation
Conscious Sedation/methods
Department of Internal Medicine
Echocardiography Transesophageal/methods
Female
Heart failure
Heart Failure/diagnosis/epidemiology/therapy
Hospital Mortality
Humans
journalArticle
June2020SubmittedList
Kalra A
Karim A
Length of Stay
Li J
Lipinski J
Logistic Models
Male
Minimally Invasive Surgical Procedures/methods
Multivariate Analysis
NEOMED College of Medicine
Panhwar MS
Patel SM
Patel TR
Prognosis
Reference Values
Retrospective Studies
Risk Assessment
Saric P
Severity of Illness Index
Surgery Computer-Assisted/methods
Survival Rate
The Journal of invasive cardiology
transcatheter aortic valve replacement
Transcatheter Aortic Valve Replacement/methods/mortality
Treatment Outcome
Zidar DA