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

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Authors: Traynor, M. M.; Greason, K. L.; Nkomo, V. T.; Pochettino, A; Holmes, D. R.; Rihal, C. S.; Reeder, G. S.; Bresnahan, J. F.; Mathew, V
Article Title: Assisted care as a baseline patient risk characteristic affecting the outcome of transcatheter aortic valve insertion
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. (c) 2016 Wiley Periodicals, Inc.
Journal Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography Interventions
ISSN: 1522-726X; 1522-1946
Publisher: Wiley Periodicals, Inc  
Journal Place: United States
Date Published: 2016
Language: eng
DOI/URL:

10.1002/ccd.26580
Notes: LR: 20160608; CI: (c) 2016; JID: 100884139; OTO: NOTNLM; 2015/10/20 [received]; 2016/04/22 [accepted]; aheadofprint