Clinical outcome after surgical aortic valve replacement in low-risk Japanese patients with severe aortic stenosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-03-13

AUTHORS

Yasuaki Takeji, Tomohiko Taniguchi, Takeshi Morimoto, Naritatsu Saito, Kenji Ando, Shinichi Shirai, Yuichi Kawase, Takeshi Kitai, Hiroki Shiomi, Eri Minamino-Muta, Shintaro Matsuda, Kazuhiro Yamazaki, Makoto Miyake, Koichiro Murata, Norio Kanamori, Chisato Izumi, Hirokazu Mitsuoka, Masashi Kato, Yutaka Hirano, Tsukasa Inada, Kazuya Nagao, Hiroshi Mabuchi, Yasuyo Takeuchi, Keiichiro Yamane, Mamoru Toyofuku, Mitsuru Ishii, Moriaki Inoko, Tomoyuki Ikeda, Katsuhisa Ishii, Kozo Hotta, Toshikazu Jinnai, Nobuya Higashitani, Yoshihiro Kato, Yasutaka Inuzuka, Yuko Morikami, Kenji Minatoya, Takeshi Kimura

ABSTRACT

Two randomized control trials demonstrated that transcatheter aortic valve implantation was associated with 1–2 year clinical outcomes comparable or even superior to surgical aortic valve replacement (SAVR) in low surgical risk patients with severe aortic stenosis (AS). However, no previous study has reported the clinical outcomes after SAVR in Japanese patients with low surgical risk. From 3815 consecutive patients enrolled in the CURRENT AS registry, we retrieved 220 patients who underwent SAVR in reference to the inclusion and exclusion criteria of the PARTNER 3 trial. Age and surgical risk score in the current study population were comparable to those in the PARTNER 3 trial (Age: 75 years versus 74 years, and STS-PROM score: 2.3 versus 1.9). The cumulative incidence of a composite all-cause death or stroke was comparable between the current study population and the SAVR patients in the PARTNER 3 trial both at 30-day (2.3% versus 3.3%), and at 1-year (4.1% versus 4.9%). The clinical outcomes of SAVR in low surgical risk patients with severe AS selected from a real world Japanese registry according to the inclusion and exclusion criteria of the PARTNER 3 trial was favorable and numerically comparable to those of SAVR patients in the PARTNER 3 trial. More... »

PAGES

121-130

Journal

Author Affiliations

  • Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, 606-8507, Kyoto, Japan
  • Division of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan
  • Department of Clinical Epidemiology, Hyogo College of Medicine, Nishinomiya, Japan
  • Department of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan
  • Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan
  • Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  • Department of Cardiology, Tenri Hospital, Tenri, Japan
  • Department of Cardiology, Shizuoka City Shizuoka Hospital, Shizuoka, Japan
  • Division of Cardiology, Shimada Municipal Hospital, Shimada, Japan
  • Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan
  • Division of Cardiology, Faculty of Medicine, Nara Hospital, Kinki University, Ikoma, Japan
  • Department of Cardiology, Mitsubishi Kyoto Hospital, Kyoto, Japan
  • Department of Cardiology, Kinki University Hospital, Osakasayama, Japan
  • Department of Cardiovascular Center, Osaka Red Cross Hospital, Osaka, Japan
  • Department of Cardiology, Koto Memorial Hospital, Higashiomi, Japan
  • Department of Cardiology, Shizuoka General Hospital, Shizuoka, Japan
  • Department of Cardiology, Nishikobe Medical Center, Kobe, Japan
  • Department of Cardiology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan
  • Department of Cardiology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan
  • Cardiovascular Center, The Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, Japan
  • Department of Cardiology, Hikone Municipal Hospital, Hikone, Japan
  • Department of Cardiology, Kansai Electric Power Hospital, Osaka, Japan
  • Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
  • Department of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan
  • Department of Cardiology, Saiseikai Noe Hospital, Osaka, Japan
  • Department of Cardiology, Shiga Medical Center for Adults, Moriyama, Japan
  • Department of Cardiology, Hirakata Kohsai Hospital, Hirakata, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s12928-020-00658-2

    DOI

    http://dx.doi.org/10.1007/s12928-020-00658-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1125627350

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32170553


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