Transcatheter or surgical repair for degenerative mitral regurgitation in elderly patients: A propensity-weighted analysis

The Journal of Thoracic and Cardiovascular Surgery

Nicola Buzzatti¹  Mathias Van Hemelrijck² 

[1] Cardiac Surgery Department, San Raffaele Scientific Institute, Milan, Italy;Cardiac Surgery Department, Zurich University Hospital, Zurich, Switzerland

关键词: mitral regurgitation;    degenerative;    prolapse;    Mitraclip;    mitral repair;    transcatheter;   

DOI  :  10.1016/j.jtcvs.2019.01.023

学科分类：心脏病和心血管学

来源: Mosby, Inc.

【 摘 要 】

ObjectiveTo compare the outcomes of MitraClip and surgical mitral repair in low-intermediate risk elderly patients affected by degenerative mitral regurgitation (DMR).MethodsWe retrospectively selected patients aged ≥75 years, with Society of Thoracic Surgeons Predicted Risk Of Mortality (STS-PROM) ResultsAfter weighting, MitraClip showed fewer postoperative complications (P P P = .001), whereas 5-year survival was lower (34.5% vs 82.2% respectively, HR, 4.12; CI, 2.31-7.34, P P P = .033) were associated with reduced survival. 5-year MR ≥3+ was more frequent after MitraClip compared with surgery: 36.9% versus 3.9%, odds ratio, 11.4; CI, 4.40-29.68, P ConclusionsIn elderly patients affected by DMR and STS-PROM

【 授权许可】

Unknown