The Journal of Thoracic and Cardiovascular Surgery | |
Transcatheter or surgical repair for degenerative mitral regurgitation in elderly patients: A propensity-weighted analysis | |
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
【 预 览 】
Files | Size | Format | View |
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RO201910254787636ZK.pdf | 794KB | download |