Valvular & structural heart disease

Contemporary Outcomes of Transcatheter Aortic Valve Replacement (TAVR) Using a Balloon-Expandable Valve in Patients With Severe Mitral Stenosis: Insights From the Transcatheter Valve Therapies Registry

Circ Cardiovasc IntervPublished Retrospective cohort study

Authors' conclusion

MS in isolation is not associated with worsened short-term outcomes among patients undergoing contemporary TAVR with balloon-expandable valves.

Study context

Population
Patients undergoing TAVR with current balloon-expandable valves (SAPIEN 3, SAPIEN 3 Ultra, SAPIEN 3 Ultra Resilia), STS/ACC TVT Registry, June 2015–December 2022, 791 sites
Participants
327,925 patients791 sites
Exposure
Severe mitral stenosis (MS) vs mild or less MS in TAVR with balloon-expandable valves
  • Severe MSn = 8,500
Outcome
30-day outcomes (propensity-matched)
Follow-up
30 days
Methodological detailsmulticentre, propensity-matched, registry
  • Multicentre
  • Propensity-matched
  • Registry

Main finding

As reported in the abstract

Death

Stroke

Major vascular complications

Device implant success

New dialysis

Pacemaker implantation

P < 0.001

Observational data: associations, not effects.

Further findings

Mortality · 3 years · increase with severe MS

P < 0.001

Change in KCCQ overall score from baseline (propensity-matched) · 1 year · no difference
P = 0.07

Safety

Pacemaker implantation · 30 days · propensity-matched

P < 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Contemporary Outcomes of TAVR Using a Balloon-Expandable Valve in Patients With Severe Mitral Stenosis: Insights From the Transcatheter Valve Therapies Registry. Circ Cardiovasc Interv. Published 22 November 2024. doi:10.1161/circinterventions.124.014216

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.