In:
Catheterization and Cardiovascular Interventions, Wiley, Vol. 84, No. 4 ( 2014-10), p. 591-598
Abstract:
To evaluate in‐hospital and short‐term outcomes of percutaneous mitral valve repair according to patients' logistic EuroSCORE (logEuroSCORE) in a multicenter registry Background The logEuroSCORE is an established tool to predict the risk of mortality during cardiac surgery. In high‐risk patients percutaneous mitral valve repair with the MitraClip system represents a less‐invasive alternative Methods Data from 1002 patients, who underwent percutaneous mitral valve repair with the MitraClip system, were analyzed in the German Transcatheter Mitral Valve Interventions (TRAMI) Registry. A logEuroSCORE (mortality risk in %) ≥ 20 was considered high risk Results Of all patients, 557 (55.6%) had a logEuroSCORE ≥ 20. Implantation of the MitraClip was successful in 95.5 % (942/986) patients. Moderate residual mitral valve regurgitation was more often detected in patients with a logEuroSCORE ≥ 20 (23.8% vs. 17.1%, respectively, P 〈 0.05). In patients with a logEuroSCORE ≥ 20 the procedural complication rate was 8.9% (vs. 6.4, n.s.) and the in‐hospital MACCE rate 4.9% (vs. 1.4% P 〈 0.01). The in‐hospital mortality rate in patients with a logEuroSCORE ≥ 20 and logEuroSCORE 〈 20 was 4.3 and 1.1%, respectively ( P ≤ 0.01) Conclusion Percutaneous mitral valve repair with the MitraClip system is feasible in patients with a logEuroSCORE ≥ 20 with similar procedural results compared to patients with lower predicted risk. Although mortality was four times higher than in patients with logEuroSCORE 〈 20, mortality in high risk patients was lower than predicted. In those with a logEuroSCORE ≥ 20, moderate residual mitral valve regurgitation was more frequent. © 2014 Wiley Periodicals, Inc.
Type of Medium:
Online Resource
ISSN:
1522-1946
,
1522-726X
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
2001555-0
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