Valvular & structural heart disease

Long-term survival after transcatheter aortic valve implantation (TAVI) in low-flow, low-gradient aortic valve stenosis

EuroInterventionPublished Retrospective cohort study

Authors' conclusion

However, after adjustment for possible baseline confounders, a low-flow status per se did not have an impact on long-term mortality after TAVI.

Study context

Population
Patients undergoing TAVI with a hypothetical minimum 5-year follow-up73% HG-AS, 15% pLFLG-AS, 11% cLFLG-AS
Participants
574 patients
Exposure
cLFLG-AS and pLFLG-AS vs HG-AS after TAVI
Outcome
All-cause mortality
Methodological detailssingle-centre, propensity score-weighted
  • Single-centre
  • Propensity score-weighted

Main finding

As reported in the abstract

All-cause mortality (long-term survival)
Unadjusted: cLFLG-AS worst long-term prognosis, rapid survival decrease within first year; pLFLG- and HG-AS similar survival
p=0.023

Observational data: associations, not effects.

Further findings

Baseline EF and long-term mortality

Baseline EF not related to long-term mortality

Post-TAVI left ventricular ejection fraction (LVEF) improvement >10%

Patients with post-TAVI LVEF improvement >10% lived significantly longer
P = 0.02

Original publication

Long-term survival after TAVI in low-flow, low-gradient aortic valve stenosis. EuroIntervention. Published 18 November 2024. doi:10.4244/eij-d-24-00442

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

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