Why the study?
Does pre-existing atrial fibrillation increase mortality and bleeding complications in patients undergoing transfemoral TAVR compared to sinus rhythm?
Population
257 patients undergoing transfemoral Transcatheter Aortic Valve Implantation, mean age 81 ± 6 years, 54.1%…
Comparison
Pre-interventional atrial fibrillation (AF) vs Sinus rhythm (SR)
Design
Cohort
Follow-up
1 year
Authors
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AF warrants heightened periprocedural vigilance in TAVR; hypothesis-generating and should not yet change practice.
Does pre-existing atrial fibrillation increase mortality and bleeding complications in patients undergoing transfemoral TAVR compared to sinus rhythm?
Pre-existing atrial fibrillation in patients undergoing transfemoral TAVR is associated with significantly higher rates of major vascular complications, life-threatening bleeding, and mortality up to 1 year compared to sinus rhythm.
Herold et al. (2017) studied this question.