Early and mid-term cardiovascular outcomes following TAVI: Impact of pre-procedural transvalvular gradient

Abstract: Objective: To assess the relation of aortic transvalvular gradient with outcomes following transcatheter aortic valve implantation (TAVI).Background: Relatively little is known about the predictors of adverse outcomes in patients with severe aortic stenosis following TAVI.Methods: We studied 126 consecutive patients (mean age 83.2±6.3years; 59% women) who underwent TAVI (23% transapical; 77% transfemoral) at our institution. All patients were followed for the incidence of major adverse cardiovascular events (MACE), including myocardial infarction, heart failure, stroke, and cardiovascular death.Results: The acute procedural success rate was 98%; at 1year, the cumulative incidence of MACE and cardiovascular death was 29% and 10%, respectively. In multivariable analyses adjusting for clinical and echocardiographic risk factors, presence of a baseline mean transvalvular gradient (MTG)
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Original Articles Source Type: research