April 25, 2017

Impact of right and left ventricular systolic dysfunction on perioperative outcome and long‐term survival after transcatheter aortic valve replacement

PICO estructurado

Does preexisting right or left ventricular systolic dysfunction affect perioperative outcomes and long-term survival in patients undergoing TAVR?

Población

Patients undergoing transcatheter aortic valve replacement (TAVR) with or without preexisting right ventricular (RV) or left ventricular (LV) systolic dysfunction

Intervención

Transcatheter aortic valve replacement (TAVR)

Resultado

Peri-operative mortality, risk of stroke, and long-term survivalhard clinical

Right ventricular systolic dysfunction is an independent risk factor for late mortality after TAVR, though perioperative outcomes remain unaffected, supporting TAVR as a preferred therapy in these patients.

Resumen

Peri-operative mortality and risk of stroke after TAVR are not adversely affected by preexisting RV or LV dysfunction. Long-term survival is impaired in patients with RVSD. RVSD but not LVSD is an independent risk factor for late mortality. TAVR should be the preferred therapy for patients with RVSD and LVSD, especially when patient is suitable for TF.

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