Aortic and Mitral Valve Replacement Versus Transcatheter Aortic Valve Replacement in Propensity-Matched Patients Fenton H. McCarthy, MD, Nimesh D. Desai,

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Presentation transcript:

Aortic and Mitral Valve Replacement Versus Transcatheter Aortic Valve Replacement in Propensity-Matched Patients Fenton H. McCarthy, MD, Nimesh D. Desai, MD, PhD, Howard C. Herrmann, MD, Dale Kobrin, BA, Prashanth Vallabhajosyula, MD, Zachary Fox, BA, Rohan Menon, BS, John G. Augoustides, MD, Jay S. Giri, MD, MPH, Saif Anwaruddin, MD, Robert H. Li, MD, Dinesh H. Jagasia, MD, Joseph E. Bavaria, MD, Wilson Y. Szeto, MD The Annals of Thoracic Surgery Volume 98, Issue 4, Pages 1267-1273 (October 2014) DOI: 10.1016/j.athoracsur.2014.05.075 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative (Pre), postoperative (Post), and follow-up mitral regurgitation severity: severe (dark red), moderate to severe (light red), moderate (pink), mild (light blue), none (dark blue) (A) Transcatheter aortic valve replacement; (B) aortic valve replacement/mitral valve replacement. The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Preoperative (Pre) and postoperative (Post) mitral regurgitation. (Blue line = transcatheter aortic valve replacement [TAVR]; red line = aortic valve replacement/mitral valve replacement [AVR/MVR].) The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Change in mitral regurgitation. (AVR/MVR = aortic valve replacement/mitral valve replacement; TAVR = transcatheter aortic valve replacement.) The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Long-term survival of patients with significant mitral regurgitation, comparing aortic valve replacement/mitral valve replacement (AVR/MVR [blue line]) versus transcatheter aortic valve replacement (TAVR [red line]). The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Long-term landmark survivor analysis of patients with significant mitral regurgitation, comparing aortic valve replacement/mitral valve replacement (AVR/MVR [blue line]) versus transcatheter aortic valve replacement (TAVR [red line]). The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Kaplan-Meier survival analysis for 50 matched pairs using comorbidity model (Blue line = aortic valve replacement/mitral valve replacement [AVR/MVR]; red line = transcatheter aortic valve replacement [TAVR].) The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Landmark survival analysis for 50 matched pairs using comorbidity model. (Blue line = aortic valve replacement/mitral valve replacement [AVR/MVR]; red line = transcatheter aortic valve replacement [TAVR].) The Annals of Thoracic Surgery 2014 98, 1267-1273DOI: (10.1016/j.athoracsur.2014.05.075) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions