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Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation.

Abstract Previous coronary artery bypass grafting increases predicted operative risk for conventional valve replacement, according to the Society of Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery disease (CAD) has been demonstrated to increase procedural risk with conventional aortic valve replacement. Significant coexisting CAD requires preemptive percutaneous coronary intervention (PCI) in patients under consideration for transcatheter aortic valve implantation (TAVI). This study examined the impact of previous coronary artery bypass grafting or PCI on procedural outcomes and overall survival in patients having TAVI.
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Authors

Mayor MeshTerms
Keywords
Journal Title the annals of thoracic surgery
Publication Year Start
%A Dewey, Todd M.; Brown, David L.; Herbert, Morley A.; Culica, Dan; Smith, Craig R.; Leon, Martin B.; Svensson, Lars G.; Tuzcu, Murat; Webb, John G.; Cribier, Alain; Mack, Michael J.
%T Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation.
%J The Annals of thoracic surgery, vol. 89, no. 3, pp. 758-67; discussion 767
%D 03/2010
%V 89
%N 3
%M eng
%B Previous coronary artery bypass grafting increases predicted operative risk for conventional valve replacement, according to the Society of Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery disease (CAD) has been demonstrated to increase procedural risk with conventional aortic valve replacement. Significant coexisting CAD requires preemptive percutaneous coronary intervention (PCI) in patients under consideration for transcatheter aortic valve implantation (TAVI). This study examined the impact of previous coronary artery bypass grafting or PCI on procedural outcomes and overall survival in patients having TAVI.
%K Aged, 80 and over, Aortic Valve, Aortic Valve Stenosis, Body Surface Area, Catheterization, Coronary Artery Bypass, Coronary Artery Disease, Female, Heart Valve Prosthesis Implantation, Humans, Male, Minimally Invasive Surgical Procedures, Pulmonary Disease, Chronic Obstructive, Risk Factors
%P 758
%L 67; discussion 767
%Y 10.1016/j.athoracsur.2009.12.033
%W PHY
%G AUTHOR
%R 2010.......89..758D

@Article{Dewey2010,
author="Dewey, Todd M.
and Brown, David L.
and Herbert, Morley A.
and Culica, Dan
and Smith, Craig R.
and Leon, Martin B.
and Svensson, Lars G.
and Tuzcu, Murat
and Webb, John G.
and Cribier, Alain
and Mack, Michael J.",
title="Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation.",
journal="The Annals of thoracic surgery",
year="2010",
month="Mar",
volume="89",
number="3",
pages="758--67; discussion 767",
keywords="Aged, 80 and over",
keywords="Aortic Valve",
keywords="Aortic Valve Stenosis",
keywords="Body Surface Area",
keywords="Catheterization",
keywords="Coronary Artery Bypass",
keywords="Coronary Artery Disease",
keywords="Female",
keywords="Heart Valve Prosthesis Implantation",
keywords="Humans",
keywords="Male",
keywords="Minimally Invasive Surgical Procedures",
keywords="Pulmonary Disease, Chronic Obstructive",
keywords="Risk Factors",
abstract="Previous coronary artery bypass grafting increases predicted operative risk for conventional valve replacement, according to the Society of Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery disease (CAD) has been demonstrated to increase procedural risk with conventional aortic valve replacement. Significant coexisting CAD requires preemptive percutaneous coronary intervention (PCI) in patients under consideration for transcatheter aortic valve implantation (TAVI). This study examined the impact of previous coronary artery bypass grafting or PCI on procedural outcomes and overall survival in patients having TAVI.",
issn="1552-6259",
doi="10.1016/j.athoracsur.2009.12.033",
url="http://www.ncbi.nlm.nih.gov/pubmed/20172123",
language="eng"
}

%0 Journal Article
%T Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation.
%A Dewey, Todd M.
%A Brown, David L.
%A Herbert, Morley A.
%A Culica, Dan
%A Smith, Craig R.
%A Leon, Martin B.
%A Svensson, Lars G.
%A Tuzcu, Murat
%A Webb, John G.
%A Cribier, Alain
%A Mack, Michael J.
%J The Annals of thoracic surgery
%D 2010
%8 Mar
%V 89
%N 3
%@ 1552-6259
%G eng
%F Dewey2010
%X Previous coronary artery bypass grafting increases predicted operative risk for conventional valve replacement, according to the Society of Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery disease (CAD) has been demonstrated to increase procedural risk with conventional aortic valve replacement. Significant coexisting CAD requires preemptive percutaneous coronary intervention (PCI) in patients under consideration for transcatheter aortic valve implantation (TAVI). This study examined the impact of previous coronary artery bypass grafting or PCI on procedural outcomes and overall survival in patients having TAVI.
%K Aged, 80 and over
%K Aortic Valve
%K Aortic Valve Stenosis
%K Body Surface Area
%K Catheterization
%K Coronary Artery Bypass
%K Coronary Artery Disease
%K Female
%K Heart Valve Prosthesis Implantation
%K Humans
%K Male
%K Minimally Invasive Surgical Procedures
%K Pulmonary Disease, Chronic Obstructive
%K Risk Factors
%U http://dx.doi.org/10.1016/j.athoracsur.2009.12.033
%U http://www.ncbi.nlm.nih.gov/pubmed/20172123
%P 758-67; discussion 767

PT Journal
AU Dewey, TM
   Brown, DL
   Herbert, MA
   Culica, D
   Smith, CR
   Leon, MB
   Svensson, LG
   Tuzcu, M
   Webb, JG
   Cribier, A
   Mack, MJ
TI Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation.
SO The Annals of thoracic surgery
JI Ann. Thorac. Surg.
PD Mar
PY 2010
BP 758
EP 67; discussion 767
VL 89
IS 3
DI 10.1016/j.athoracsur.2009.12.033
LA eng
DE Aged, 80 and over; Aortic Valve; Aortic Valve Stenosis; Body Surface Area; Catheterization; Coronary Artery Bypass; Coronary Artery Disease; Female; Heart Valve Prosthesis Implantation; Humans; Male; Minimally Invasive Surgical Procedures; Pulmonary Disease, Chronic Obstructive; Risk Factors
AB Previous coronary artery bypass grafting increases predicted operative risk for conventional valve replacement, according to the Society of Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery disease (CAD) has been demonstrated to increase procedural risk with conventional aortic valve replacement. Significant coexisting CAD requires preemptive percutaneous coronary intervention (PCI) in patients under consideration for transcatheter aortic valve implantation (TAVI). This study examined the impact of previous coronary artery bypass grafting or PCI on procedural outcomes and overall survival in patients having TAVI.
ER

PMID- 20172123
OWN - NLM
STAT- MEDLINE
DA  - 20100222
DCOM- 20100316
LR  - 20141120
IS  - 1552-6259 (Electronic)
IS  - 0003-4975 (Linking)
VI  - 89
IP  - 3
DP  - 2010 Mar
TI  - Effect of concomitant coronary artery disease on procedural and late outcomes of 
      transcatheter aortic valve implantation.
PG  - 758-67; discussion 767
LID - 10.1016/j.athoracsur.2009.12.033 [doi]
AB  - BACKGROUND: Previous coronary artery bypass grafting increases predicted
      operative risk for conventional valve replacement, according to the Society of
      Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery
      disease (CAD) has been demonstrated to increase procedural risk with conventional
      aortic valve replacement. Significant coexisting CAD requires preemptive
      percutaneous coronary intervention (PCI) in patients under consideration for
      transcatheter aortic valve implantation (TAVI). This study examined the impact of
      previous coronary artery bypass grafting or PCI on procedural outcomes and
      overall survival in patients having TAVI. METHODS: Two hundred and one high-risk 
      patients were enrolled in two international feasibility studies from December
      2005 to February 2008 for the treatment of aortic stenosis using TAVI. Thirty
      patients were excluded from analysis due to failure to successfully deploy the
      valve in the aortic annulus. Data were collected concurrently using an ad hoc
      database that included operative and long-term survival. Previous cardiovascular 
      intervention prior to TAVI was used to identify the existence of concomitant CAD.
      Logistic regression along with Kaplan-Meier estimates were employed to establish 
      the association between CAD and survival from TAVI. RESULTS: Overall mortality
      after TAVI was significantly higher among the CAD group (35.7%) in contrast with 
      the non-CAD patients (18.4%), p = 0.01. Logistic regression analysis found that
      patients who had CAD were 10.1 times more likely to die (95% confidence interval 
      2.1 to 174.8) within 30 days of the procedure than those who did not.
      Proportional hazards analysis established that the risk of dying at any point in 
      time was 2.3 times higher among the patients with CAD (95% confidence interval
      1.29 to 4.17). Kaplan-Meier survival curves demonstrate improved long-term
      survival among patients without CAD. CONCLUSIONS: Coexisting coronary artery
      disease negatively impacts procedural outcomes and long-term survival in patients
      undergoing TAVI, and implies that risk assessment and anticipated outcomes might 
      be inaccurate due to stratification as isolated aortic valve replacement rather
      than AVR+CABG. Comparison of procedural outcomes, based on operative approach
      without controlling for unequal distribution of CAD in the cohorts, are likely
      invalid.
CI  - 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights
      reserved.
FAU - Dewey, Todd M
AU  - Dewey TM
AD  - Medical City Dallas Hospital, Dallas, Texas, USA. [email protected]
FAU - Brown, David L
AU  - Brown DL
FAU - Herbert, Morley A
AU  - Herbert MA
FAU - Culica, Dan
AU  - Culica D
FAU - Smith, Craig R
AU  - Smith CR
FAU - Leon, Martin B
AU  - Leon MB
FAU - Svensson, Lars G
AU  - Svensson LG
FAU - Tuzcu, Murat
AU  - Tuzcu M
FAU - Webb, John G
AU  - Webb JG
FAU - Cribier, Alain
AU  - Cribier A
FAU - Mack, Michael J
AU  - Mack MJ
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - AIM
SB  - IM
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Stenosis/complications/*surgery
MH  - Body Surface Area
MH  - Catheterization
MH  - Coronary Artery Bypass
MH  - Coronary Artery Disease/*complications/surgery
MH  - Female
MH  - Heart Valve Prosthesis Implantation/adverse effects/methods/*mortality
MH  - Humans
MH  - Male
MH  - Minimally Invasive Surgical Procedures
MH  - Pulmonary Disease, Chronic Obstructive/complications
MH  - Risk Factors
EDAT- 2010/02/23 06:00
MHDA- 2010/03/17 06:00
CRDT- 2010/02/23 06:00
PHST- 2009/01/27 [received]
PHST- 2009/12/11 [revised]
PHST- 2009/12/15 [accepted]
AID - S0003-4975(09)02569-7 [pii]
AID - 10.1016/j.athoracsur.2009.12.033 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2010 Mar;89(3):758-67; discussion 767. doi:
      10.1016/j.athoracsur.2009.12.033.
TY  - JOUR
AU  - Dewey, Todd M.
AU  - Brown, David L.
AU  - Herbert, Morley A.
AU  - Culica, Dan
AU  - Smith, Craig R.
AU  - Leon, Martin B.
AU  - Svensson, Lars G.
AU  - Tuzcu, Murat
AU  - Webb, John G.
AU  - Cribier, Alain
AU  - Mack, Michael J.
PY  - 2010/Mar/
TI  - Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation.
T2  - Ann. Thorac. Surg.
JO  - The Annals of thoracic surgery
SP  - 758
EP  - 67; discussion 767
VL  - 89
IS  - 3
KW  - Aged, 80 and over
KW  - Aortic Valve
KW  - Aortic Valve Stenosis
KW  - Body Surface Area
KW  - Catheterization
KW  - Coronary Artery Bypass
KW  - Coronary Artery Disease
KW  - Female
KW  - Heart Valve Prosthesis Implantation
KW  - Humans
KW  - Male
KW  - Minimally Invasive Surgical Procedures
KW  - Pulmonary Disease, Chronic Obstructive
KW  - Risk Factors
N2  - Previous coronary artery bypass grafting increases predicted operative risk for conventional valve replacement, according to the Society of Thoracic Surgeons risk algorithm. Additionally, the presence of coronary artery disease (CAD) has been demonstrated to increase procedural risk with conventional aortic valve replacement. Significant coexisting CAD requires preemptive percutaneous coronary intervention (PCI) in patients under consideration for transcatheter aortic valve implantation (TAVI). This study examined the impact of previous coronary artery bypass grafting or PCI on procedural outcomes and overall survival in patients having TAVI.
SN  - 1552-6259
UR  - http://dx.doi.org/10.1016/j.athoracsur.2009.12.033
UR  - http://www.ncbi.nlm.nih.gov/pubmed/20172123
ID  - Dewey2010
ER  - 
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