Outcomes after transfemoral transcatheter aortic valve implantation with a SAPIEN 3 valve in patients with cirrhosis of the liver (a tertiary care center experience)
The American Journal of Cardiology Sep 30, 2021
Lak HM, Chawla S, Chawla RD, et al. - According to this retrospective analysis, patients with severe aortic stenosis (AS) and concomitant liver cirrhosis who had transcatheter aortic valve implantation (TAVI) had similar outcomes as noncirrhotic peers.
Between April 2015 and December 2018, patients with severe symptomatic AS who underwent transfemoral TAVI with a SAPIEN 3 valve at the institution were analyzed.
Thirty-two patients with cirrhosis of the liver on imaging (including ultrasound and/or computed tomography) and patients with severe symptomatic AS who underwent transfemoral TAVI with a SAPIEN 3 valve were identified.
Thirty-two of the 1,028 patients had liver cirrhosis, while 996 were in the control group without cirrhosis.
The cirrhosis group's mean age was 74.5 years, compared with 81.2 years in the control group.
Baseline variables were similar between the groups.
Patients with cirrhosis had a similar 1-year mortality rate as the noncirrhotic group, as well as a lower 30-day new pacemaker rate after TAVI, a higher 30-day and 1-year readmission rate for heart failure, and a similar 1-year major adverse cardiac and cerebrovascular event rate.
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