Valvular & structural heart disease

Outcomes of Transcatheter Aortic Valve Replacement in Patients With Coexisiting Amyloidosis: Mortality, Stroke, and Readmission

JACC AdvPublished Retrospective cohort study

Authors' conclusion

This analysis suggests amyloidosis may be associated with a higher thromboembolic risk after TAVR

Study context

Population
Hospitalizations for transcatheter aortic valve replacement (TAVR), US Nationwide Readmissions Database, 2016–2019; mean age 79.4 ± 8.4 years
Participants
245,020 hospitalizations
Exposure
Amyloidosis vs no amyloidosis in TAVR
  • Amyloidosisn = 273
Outcome
In-hospital mortality, acute ischemic stroke and 30-day readmission after TAVR
Methodological detailsNationwide Readmissions Database, propensity score-weighted
  • Nationwide Readmissions Database
  • Propensity score-weighted

Main finding

As reported in the abstract

Amyloidosis

In-hospital mortality
1.8%
30-day readmission
12.9%
Acute ischemic stroke
6.2%

No amyloidosis

In-hospital mortality
1.5%
30-day readmission
12.5%
Acute ischemic stroke
1.8%

In-hospital mortality

Amyloidosis1.8%
No amyloidosis1.5%

30-day readmission

Amyloidosis12.9%
No amyloidosis12.5%

Acute ischemic stroke

Amyloidosis6.2%
No amyloidosis1.8%
Amyloidosis vs No amyloidosisEstimate (95% CI)P value
Acute ischemic stroke; propensity score-weighted
OR 3.08(1.41–6.71)
P = 0.005
Mortality; propensity score-weighted
OR 0.79(0.28–2.27)
P = 0.666
30-day readmission; propensity score-weighted
HR 0.72(0.41–1.25)
P = 0.241

Observational data: associations, not effects.

Original publication

Outcomes of Transcatheter Aortic Valve Replacement in Patients With Coexisiting Amyloidosis: Mortality, Stroke, and Readmission. JACC Adv. Published 8 March 2023. doi:10.1016/j.jacadv.2023.100255

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