Impact of Previous Coronary Artery Bypass Grafting on Patients Undergoing Transcatheter Aortic Valve Implantation for Aortic Stenosis

Re-operation after coronary artery bypass grafting (CABG) is associated with increased risk for morbidity and mortality. Transcatheter aortic valve implantation (TAVI) is an alternative for patients with aortic stenosis, but the outcomes of patients with a history of CABG are unknown. The aim of thi...

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Bibliographic Details
Published in:The American journal of cardiology 2014-04, Vol.113 (7), p.1222-1227
Main Authors: Minha, Sa'ar, MD, Magalhaes, Marco A., MD, Barbash, Israel M., MD, Ben-Dor, Itsik, MD, Dvir, Danny, MD, Okubagzi, Petros G., MD, Chen, Fang, PhD, Torguson, Rebecca, MPH, Kent, Kenneth M., MD, PhD, Suddath, William O., MD, Satler, Lowell F., MD, Pichard, Augusto D., MD, Waksman, Ron, MD
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - surgery
Cardiac Catheterization - methods
Cardiology
Cardiovascular
Coronary Artery Bypass
Coronary vessels
District of Columbia - epidemiology
Female
Follow-Up Studies
Heart attacks
Heart Valve Prosthesis Implantation - methods
Humans
Male
Mortality
Myocardial Ischemia - complications
Myocardial Ischemia - mortality
Myocardial Ischemia - surgery
Prognosis
Reoperation
Retrospective Studies
Risk Assessment - methods
Risk Factors
Survival Rate - trends
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Summary:Re-operation after coronary artery bypass grafting (CABG) is associated with increased risk for morbidity and mortality. Transcatheter aortic valve implantation (TAVI) is an alternative for patients with aortic stenosis, but the outcomes of patients with a history of CABG are unknown. The aim of this study was to explore the association between previous CABG and the outcome of patients undergoing TAVI. Out of 372 consecutive patients who underwent TAVI from 2007 to 2013, 122 (32.8%) had previous CABG, whereas 250 (67.2%) did not. A comparison was made between groups. Subgroup analysis compared patients with and without previous CABG in 3 patient subsets: inoperable, operable, and those who underwent transapical TAVI. Patients with previous CABG were younger (81.99 ± 6.78 vs 84.81 ± 7.06 years, respectively, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2013.12.029