Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in Patients With Rheumatoid Arthritis (from the Nationwide Inpatient Database)

Elbadawi, Ayman; Ahmed, Hamdy; Mahmoud, Karim; Mohamed, Ahmed H.; Barssoum, Kirolos; Perez, Christopher; Mahmoud, Ahmad; Ogunbayo, Gbolahan; Omer, Mohamed; Jneid, Hani; Chatterjee, Arka

doi:10.1016/j.amjcard.2019.07.009

Cited by 10 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In their cohort of 2557 patients, 75.6% had RA [ 7 ]. In a report by Elbadawi et al, in-hospital mortality was studied after TAVR and SAVR in patients with RA, finding no difference between the two treatment options [ 8 ]. To our knowledge, our report was the first study investigating the long-term outcomes of RA patients treated with SAVR for aortic valve stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is currently very limited evidence regarding RA patients treated with valvular surgery and especially with aortic valve stenosis. Previous studies have indicated that RA does not increase in-hospital mortality after transapical (TAVR) or surgical aortic valve replacement (SAVR) [ 7 , 8 ], but there are no studies about the long-term results of these procedures on RA patients. Therefore, we investigated the outcomes of SAVR for aortic valve stenosis in patients with RA.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Outcomes of Surgical Aortic Valve Replacement in Patients with Rheumatoid Arthritis

Malmberg

Palomäki

Sipilä

et al. 2021

JCM

View full text Add to dashboard Cite

Patients with rheumatoid arthritis (RA) have increased risk of developing cardiovascular disease and events. Little is, however, known about the influence of RA to the outcomes after surgical aortic valve replacement (SAVR). Methods: In a retrospective, nationwide, multicenter cohort study, RA patients (n = 109) were compared to patients without RA (n = 1090) treated with isolated SAVR for aortic valve stenosis. Propensity score-matching adjustment for baseline features was used to study the outcome differences in a median follow-up of 5.6 years. Results: Patients with RA had higher all-cause mortality (HR 1.76; CI 1.21–2.57; p = 0.003), higher incidence of major adverse cardiovascular events (HR 1.63; CI 1.06–2.49; p = 0.025), and they needed more often coronary artery revascularization for coronary artery disease (HR 3.96; CI 1.21–12.90; p = 0.027) in long-term follow-up after SAVR. As well, cardiovascular mortality rate was higher in patients with RA (35.7% vs. 23.4%, p = 0.023). There was no difference in 30-day mortality (2.8% vs. 1.8%, p = 0.518) or in the need for aortic valve reoperations (3.7% vs. 4.0%, p = 0.532). Conclusions: Patients with rheumatoid arthritis had impaired long-term results and increased cardiovascular mortality after SAVR for aortic valve stenosis. Special attention is needed to improve outcomes of aortic valve stenosis patients with RA after SAVR.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes of Surgical Aortic Valve Replacement in Patients with Rheumatoid Arthritis

Malmberg

Palomäki

Sipilä

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…Las manifestaciones cardiovasculares son una de las principales causas de mortalidad y morbilidad extraarticular en la AR (6). Cualquier parte del corazón puede ser afectada por la inflamación autoinmunitaria; las características usuales incluyen pericarditis, miocarditis, arteritis, endocarditis crónica y enfermedad valvular.…”

Section: Discussionunclassified

Reoperación utilizando reconstrucción valvular aórtica como cirugía de salvataje en paciente con carditis reumatoide extensa

Rojas¹,

Sisniegas²,

Aguilar³

et al. 2021

Arch Peru Cardiol Cir Cardiovasc

View full text Add to dashboard Cite

The combination of aortic valve regurgitation, rheumatoid aortitis, and subaortic stenosis is not frequent in patients with rheumatoid arthritis. Moreover, the surgical treatment of these entities may be challenging with non-adequate results. We report a case of a patient with severe aortic valve regurgitation, inaccessible aortic root secondary to rheumatoid aortitis, and severe subaortic stenosis initially treated by aortic valve replacement. We reoperated the patient due to acute prosthetic valve failure performing an aortic valve reconstruction using bovine pericardium and Ozaki’s technique with good outcomes.

show abstract

“…Furthermore, data derived from a large nationwide registry demostrated that TAVI was also associated with favorable outcomes in patients with autoimmune connective tissue diseases and is comparable with AVR in terms of in‐hospital mortality in this population (Table 1). 7,8 …”

Section: Discussionmentioning

confidence: 99%

“…Due to the lower risk of PVL, TAVI procedure offers for these patients immediate short‐term improvements in survival potentially, but also longer‐term benefits such as a reduction in the rate of rehospitalizations for acute heart failure or anemia 8 …”

Section: Discussionmentioning

confidence: 99%

Transcatheter aortic valve implantation for severe pure aortic regurgitation due to active aortitis

Ruggiero

Ponticelli

Giannini

et al. 2020

Cathet Cardio Intervent

View full text Add to dashboard Cite

Aortitis is an uncommon systemic inflammatory disease affecting the aorta and its main branches. Severe aortic regurgitation (AR) represents a fearsome complication of aortitis and is associated with an increased mortality rate. Surgical aortic valve replacement represents the only treatment choice for these patients. However, it is associated with a higher risk of medium to long‐term complications such as prosthetic valve detachment. This is the first reported case where severe AR secondary to aortitis was managed with transcatheter aortic valve implantation (TAVI). TAVI was safe and effective in this clinical setting and may be considered a viable alternative to high‐risk surgery in these complex patients.

show abstract

Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in Patients With Rheumatoid Arthritis (from the Nationwide Inpatient Database)

Cited by 10 publications

References 16 publications

Long-Term Outcomes of Surgical Aortic Valve Replacement in Patients with Rheumatoid Arthritis

Long-Term Outcomes of Surgical Aortic Valve Replacement in Patients with Rheumatoid Arthritis

Reoperación utilizando reconstrucción valvular aórtica como cirugía de salvataje en paciente con carditis reumatoide extensa

Transcatheter aortic valve implantation for severe pure aortic regurgitation due to active aortitis

Contact Info

Product

Resources

About