Survival Following Edge‐to‐Edge Transcatheter Mitral Valve Repair in Patients With Cardiogenic Shock: A Nationwide Analysis

Bibliographic Details
Title: Survival Following Edge‐to‐Edge Transcatheter Mitral Valve Repair in Patients With Cardiogenic Shock: A Nationwide Analysis
Authors: Gilbert H. L. Tang, Rodrigo Estevez‐Loureiro, Yang Yu, Julie B. Prillinger, Syed Zaid, Mitchell A. Psotka
Source: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 8 (2021)
Publisher Information: Wiley, 2021.
Publication Year: 2021
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: all‐cause mortality, cardiogenic shock, MitraClip, mitral regurgitation, transcatheter mitral valve repair, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Background Edge‐to‐edge transcatheter mitral valve repair as salvage therapy in high surgical risk patients with severe mitral regurgitation presenting with cardiogenic shock (CS) has been described in small case series, but large clinical results have not been reported. This study aimed to evaluate outcomes of transcatheter mitral valve repair with MitraClip in patients with mitral regurgitation and CS using a large national database. Methods and Results From January 2014 to March 2019, we identified hospitalizations for CS in patients with mitral valve disease using data from Centers for Medicare and Medicaid Services. Those with a prior surgical or percutaneous mitral valve intervention were excluded. We compared survival between patients who underwent MitraClip during the index hospitalization and those who did not using propensity‐matched analysis. The analysis included 38 166 patients (mean age, 71±11 years, 41.6% women) of whom 622 (1.6%) underwent MitraClip. MitraClip was increasingly used during CS hospitalizations over the study period (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2047-9980
Relation: https://doaj.org/toc/2047-9980
DOI: 10.1161/JAHA.120.019882
Access URL: https://doaj.org/article/7a9be20c36414f218d2bad1e29ebcc21
Accession Number: edsdoj.7a9be20c36414f218d2bad1e29ebcc21
Database: Directory of Open Access Journals
More Details
ISSN:20479980
DOI:10.1161/JAHA.120.019882
Published in:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Language:English