Transcatheter Aortic Valve Replacement Outcomes in Nonagenarians Stratified by Transfemoral and Transapical Approach  Christian McNeely, MD, Alan Zajarias,

Slides:



Advertisements
Similar presentations
Todd M. Dewey, MD, David L. Brown, MD, Tony S. Das, MD, William H
Advertisements

Aortic Valve Replacement With Patch Enlargement of the Aortic Annulus
A Meta-Analysis of Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement  Hisato Takagi, MD, PhD, Masao Niwa, MD, Yusuke Mizuno,
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Graft Operation: A PARTNER Trial Subgroup Analysis 
Transcatheter and Surgical Aortic Valve Replacement in Dialysis Patients: A Propensity- Matched Comparison  Dale M. Kobrin, BA, Fenton H. McCarthy, MD,
Heart Failure Readmission After Mitral Valve Repair and Replacement: Five-Year Follow-Up in the Medicare Population  Christina M. Vassileva, MD, Naseem.
Magnitude of Negative Impact of Preoperative Heart Failure on Mortality During Aortic Valve Replacement in the Medicare Population  Christina M. Vassileva,
Reply The Annals of Thoracic Surgery
Current Status of Endovascular Training for Cardiothoracic Surgery Residents in the United States  Panos N. Vardas, MD, Ada C. Stefanescu Schmidt, MD,
Constantin Stefanidis, MD, Albert M
Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective  Vinod H. Thourani, MD, Richard Myung, MD, Patrick Kilgo,
Outcomes of Reintervention on the Autograft After Ross Procedure
Robert L. Smith, MD, Morley A. Herbert, PhD, Todd M
Zhiqiang Xue, MD, Fengying Wu, MD, Karlyn E
Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,
Mortality Risk and Pulmonary Function in Adults With Cystic Fibrosis at Time of Wait Listing for Lung Transplantation  Don Hayes, MD, MS, Stephen Kirkby,
The Carotid Artery as a Preferred Alternative Access Route for Transcatheter Aortic Valve Replacement  Eric B. Kirker, MD, Robert W. Hodson, MD, Kateri.
Society of Thoracic Surgeons Score Is Superior to the EuroSCORE Determining Mortality in High Risk Patients Undergoing Isolated Aortic Valve Replacement 
Minimally Invasive Versus Sternotomy Approach for Mitral Valve Surgery in Patients Greater Than 70 Years Old: A Propensity-Matched Comparison  David M.
Improved Mitral Valve Performance After Transapical Aortic Valve Implantation  Martin Haensig, MD, David Michael Holzhey, MD, PhD, Michael Andrew Borger,
Impact of Preoperative Chronic Kidney Disease in 2,531 High-Risk and Inoperable Patients Undergoing Transcatheter Aortic Valve Replacement in the PARTNER.
Robert E. Freundlich, MD, MS, Michael D. Maile, MD, MS, Mark M
Management of High-Risk Patients With Aortic Stenosis and Coronary Artery Disease  Daniel Wendt, MD, Philipp Kahlert, MD, Tim Lenze, Markus Neuhäuser,
Linda Henry, PhD, RN, Linda Halpin, MSN, RN, Sharon Hunt, MBA, Sari D
Outcomes of Early Mitral Valve Reoperation in the Medicare Population
Simple Index to Predict Likelihood of Skilled Nursing Facility Admission After Coronary Artery Bypass Grafting Among Older Patients  David C. Chang, PhD,
Gorav Ailawadi, MD, Damien J. LaPar, MD, MS, Alan M. Speir, MD, Ravi K
Gender Differences in Long-Term Survival of Medicare Beneficiaries Undergoing Mitral Valve Operations  Christina M. Vassileva, MD, Christian McNeely,
Long-Term Outcomes of the Mosaic Bioprosthesis
Chordae Replacement Versus Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse: À Ègalité  Joerg Seeburger, MD, Volkmar Falk, MD, PhD,
Outcomes of Treatment of Nonagenarians With Severe Aortic Stenosis
Who Do You Say You Are? The Annals of Thoracic Surgery
The “Double-Valve” Sign in Acute Type A Aortic Dissection
Learning Alternative Access Approaches for Transcatheter Aortic Valve Replacement: Implications for New Transcatheter Aortic Valve Replacement Centers 
Age-Dependent Gender Disparities in Post Lung Transplant Survival Among Patients With Idiopathic Pulmonary Fibrosis  Shahid I. Sheikh, MD, Don Hayes,
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Impact of Transcatheter Technology on Surgical Aortic Valve Replacement Volume, Outcomes, and Cost  Robert B. Hawkins, MD, Emily A. Downs, MD, Lily E.
Vinod H. Thourani, MD, Hanna A
Mallory L. Irons, MD, MBE, J. William Gaynor, MD, Thomas L
Transcatheter Aortic Valve Replacement: How I Teach It
Good at One or Good at All
Eric S. Weiss, MD, MPH, Jeremiah G. Allen, MD, Christian A
Trends in Hospitalizations Among Medicare Survivors of Aortic Valve Replacement in the United States From 1999 to 2010  Karthik Murugiah, MD, Yun Wang,
Percutaneous Transcatheter Closure of the Aortic Valve
Subclavian/Axillary Access for Self-Expanding Transcatheter Aortic Valve Replacement Renders Equivalent Outcomes as Transfemoral  Thomas G. Gleason, MD,
Takashi Murashita, MD, Kevin L. Greason, MD, Rakesh M
Redo Aortic Valve Replacement in Children
Characteristics of Malignant Pleural Mesothelioma in Women
Posttransplant Outcomes Among Septuagenarians Bridged to Transplantation With Continuous-Flow Left Ventricular Assist Devices  Shinichi Fukuhara, MD,
Outcomes of Patients With Severe Chronic Lung Disease Who Are Undergoing Transcatheter Aortic Valve Replacement  Rakesh M. Suri, MD, DPhil, Brian C. Gulack,
Editorial Board, January 2010
Mitral Valve Repair for Degenerative Disease: A 20-Year Experience
James W.W. Wong, MD, Koon-Hou Mak, MD, FACC 
Kreton Mavromatis, MD, Vinod H
Surgical Outcomes of Chronic Descending Dissections: Type I Versus III DeBakey  Ivancarmine Gambardella, MD, FRCS, Mario Gaudino, MD, Christopher Lau,
Transapical Aortic Valve Implantation in High-Risk Patients With Severe Aortic Valve Stenosis  Augusto D'Onofrio, MD, Melissa Fusari, MD, Nicola Abbiate,
Transcatheter Aortic Valve Replacement Versus Aortic Valve Bypass
Outcome of Patients With Aortic Stenosis Referred to a Multidisciplinary Meeting for Transcatheter Valve  Marjan Jahangiri, FRCS, Jean Claude Laborde,
The Annals of Thoracic Surgery
Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population  Christian McNeely, MD, Stephen.
Defining Patient-Prosthesis Mismatch and Its Effect on Survival in Patients With Impaired Ejection Fraction  David A. Cotoni, DO, Robert T. Palac, MD,
Effect of Coronary Artery Disease Extent on Contemporary Outcomes of Combined Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery  Zhongmin.
Todd M. Dewey, MD, David L. Brown, MD, Tony S. Das, MD, William H
Mitral Repair Versus Replacement for Ischemic Mitral Regurgitation
Transapical Arterial Cannulation for Salvage Cardiopulmonary Bypass in Transcatheter Aortic Valve Replacement  Derek R. Brinster, MD, Jay A. Patel, Harry.
Creation of a Quantitative Score to Predict the Need for Mechanical Support in Children Awaiting Heart Transplant  Ryan R. Davies, MD, Shylah Haldeman,
Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS 
Justin P. V. Zachariah, MD, Frank A. Pigula, MD, John E
Risk of Valve-Related Events After Aortic Valve Repair
Presentation transcript:

Transcatheter Aortic Valve Replacement Outcomes in Nonagenarians Stratified by Transfemoral and Transapical Approach  Christian McNeely, MD, Alan Zajarias, MD, Randall Robbs, MBA, Stephen Markwell, MA, Christina M. Vassileva, MD  The Annals of Thoracic Surgery  Volume 103, Issue 6, Pages 1808-1814 (June 2017) DOI: 10.1016/j.athoracsur.2017.02.056 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Adjusted effect of age 90 years or older (age ≥90 yrs) and TA (transapical) access among patients 90 years or older on outcomes. (CI = confidence interval; D = day; HR = hazard ratio.) The Annals of Thoracic Surgery 2017 103, 1808-1814DOI: (10.1016/j.athoracsur.2017.02.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Long-term survival after transcatheter aortic valve replacement (TAVR) stratified by age group. The p value is in reference to transfemoral versus transapical TAVR. Unable to calculate the p values compared with expected because expected population are observed values. Hashed lines represent 95% confidence intervals. (post-op = post-operative.) The Annals of Thoracic Surgery 2017 103, 1808-1814DOI: (10.1016/j.athoracsur.2017.02.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Long-term survival after transcatheter aortic valve replacement (TAVR) among patients 90 years or older, stratified by access site. The p value is in reference to transfemoral versus transapical TAVR. Unable to calculate p values compared with expected because expected population are observed values. Hashed lines represent 95% confidence intervals. (post-op = post-operative.) The Annals of Thoracic Surgery 2017 103, 1808-1814DOI: (10.1016/j.athoracsur.2017.02.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions