Assisted care as a baseline patient risk characteristic affecting the outcome of transcatheter aortic valve insertion

Megan M. Traynor, Kevin L. Greason, Vuyisile T. Nkomo, Alberto Pochettino, David R. Holmes, Charanjit S. Rihal, Guy S. Reeder, John F. Bresnahan, Verghese Mathew

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Objective measures of frailty have not been well defined as risk factors for a poor outcome after transcatheter aortic valve insertion. We hypothesized that assisted care as a baseline patient characteristic was a simple objective measure of frailty. We reviewed our experience to assess for an association between assisted care and outcome of operation. Methods: We retrospectively reviewed the records of 597 patients operated with transcatheter aortic valve insertion from November 2008 through July 2015. The study cohort included patients with a dichotomous baseline characteristic of receiving assisted care (AC group, n = 60, 10.1%) or not receiving assisted care (NC group, n = 537, 89.9%). The endpoints of the study were operative stroke/death and 1-year survival. Results: The age of the patients was 80.6 ± 9.0 years, male sex was present in 349 (58.5%), and STS predicted risk of mortality was 9.2 ± 6.2%. Alternate access was used in 26 (43.3%) patients in the AC care group and in 220 (41.0%) in the NC group (P = 0.724). Operative stroke/death occurred in 4 (6.7%) patients in the AC group and in 25 (4.7%) in the NC group (P = 0.492). Mortality at 1 year in the AC group was 14.8 ± 5.2% and in the NC group was 12.9 ± 1.7%; (P = 0. 250). Conclusions: Assisted care as a baseline patient characteristic does not result in increased operative stroke/death or 1-year mortality in patients following transcatheter aortic valve insertion. Assisted care should not by itself preclude operation.

Original languageEnglish (US)
Pages (from-to)1268-1272
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume89
Issue number7
DOIs
StatePublished - Jun 1 2017

Keywords

  • assisted care
  • transcatheter aortic valve insertion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Fingerprint

Dive into the research topics of 'Assisted care as a baseline patient risk characteristic affecting the outcome of transcatheter aortic valve insertion'. Together they form a unique fingerprint.

Cite this