November 12, 2020Catheterization and Cardiovascular Interventions

Long‐term outcomes after transcatheter aortic valve replacement with minimal contrast in chronic kidney disease

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Why the study?

Patients with renal insufficiency have poor short-term outcomes after TAVR, prompting evaluation of long-term outcomes with minimal contrast.

Does baseline renal insufficiency affect long-term outcomes in patients undergoing TAVR with a minimal contrast approach?

Population

575 consecutive patients not on hemodialysis who underwent TAVR

Comparison

Preprocedural GFR ≥60 vs 30-60 vs <30 ml/min

Design

Retrospective chart review

Follow-up

Median 811 days

Authors

JRJustyna Rzucidlo VJVita Jaspan DPDarien Paone

Discussion

Member takes

Overview

Lower pre-TAVR GFR signals higher unadjusted long-term mortality; leaves open independent prognostic value after multivariable adjustment.

Structured PICO

Does baseline renal insufficiency affect long-term outcomes in patients undergoing TAVR with a minimal contrast approach?

Population

575 consecutive patients not on hemodialysis who underwent transcatheter aortic valve replacement (TAVR)

Intervention

Transcatheter aortic valve replacement (TAVR) with minimal contrast approach

Comparator

Comparison across different preprocedural glomerular filtration rate (GFR) groups (≥60 ml/min, 30-60 ml/min, and <30 ml/min)

Outcome

All-cause mortality at a median follow-up of 811 dayshard clinical

Patients with baseline renal insufficiency undergoing TAVR have higher rates of peri-procedural stroke and a trend toward higher long-term mortality despite procedural optimization with a minimal contrast approach.

Cite This Study

Rzucidlo et al. (2020) studied this question.

synapsesocial.com/papers/6a719723f44fa9f079df5c70 https://doi.org/10.1002/ccd.29378

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November 12, 2020Catheterization and Cardiovascular Interventions

Long‐term outcomes after transcatheter aortic valve replacement with minimal contrast in chronic kidney disease

View Full Paper

Ask AI

Bookmark

Why the study?

Patients with renal insufficiency have poor short-term outcomes after TAVR, prompting evaluation of long-term outcomes with minimal contrast.

Does baseline renal insufficiency affect long-term outcomes in patients undergoing TAVR with a minimal contrast approach?

Population

575 consecutive patients not on hemodialysis who underwent TAVR

Comparison

Preprocedural GFR ≥60 vs 30-60 vs <30 ml/min

Design

Retrospective chart review

Follow-up

Median 811 days

Authors

JRJustyna Rzucidlo VJVita Jaspan DPDarien Paone

Discussion

Member takes

Overview

Lower pre-TAVR GFR signals higher unadjusted long-term mortality; leaves open independent prognostic value after multivariable adjustment.

Structured PICO

Does baseline renal insufficiency affect long-term outcomes in patients undergoing TAVR with a minimal contrast approach?

Population

575 consecutive patients not on hemodialysis who underwent transcatheter aortic valve replacement (TAVR)

Intervention

Transcatheter aortic valve replacement (TAVR) with minimal contrast approach

Comparator

Comparison across different preprocedural glomerular filtration rate (GFR) groups (≥60 ml/min, 30-60 ml/min, and <30 ml/min)

Outcome

All-cause mortality at a median follow-up of 811 dayshard clinical

Cite This Study

Rzucidlo et al. (2020) studied this question.

synapsesocial.com/papers/6a719723f44fa9f079df5c70 https://doi.org/10.1002/ccd.29378

Also Consider

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