Valvular & structural heart disease

Timing of Noncardiac Surgery Following Transcatheter Aortic Valve Replacement: A National Analysis

JACC Cardiovasc IntervPublished Retrospective cohort study

Authors' conclusion

NCS within 30, 31 to 60, or 61 to 90 days after TAVR was not associated with increased odds of MAEs compared with operations after 90 days irrespective of NCS risk category or elective status.

Study context

Population
Adults with isolated transcatheter aortic valve replacement (TAVR) for AS who underwent noncardiac surgery (NCS) on a subsequent admission
Participants
3,098 adults
Exposure
NCS at ≤30, 31 to 60 or 61 to 90 days vs >90 days after TAVR
Outcome
Perioperative major adverse events (MAEs)
Methodological detailsNationwide Readmissions Database 2016 to 2020, multivariable regression
  • Nationwide Readmissions Database 2016 to 2020
  • Multivariable regression

Main finding

As reported in the abstract

MAEs
Each group vs >90 daysAdjusted odds ratio (95% CI)
≤30 days
1.05(0.74–1.50)
31 to 60 days
0.97(0.71–1.31)
61 to 90 days
0.95(0.67–1.34)

Observational data: associations, not effects.

Further findings

Risk-adjusted MAE rates by elective status and NCS risk category (average marginal effect)

Statistically similar across Δt groups

Original publication

Timing of Noncardiac Surgery Following Transcatheter Aortic Valve Replacement: A National Analysis. JACC Cardiovasc Interv. Published 19 June 2024. doi:10.1016/j.jcin.2024.04.049

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

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