Transcatheter versus surgical aortic valve replacement in patients with morbid obesity: a multicentre propensity score-matched analysis.

ABSTRACT:

Background

Morbidly obese (MO) patients are increasingly undergoing transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) for severe aortic stenosis (AS). However, the best therapeutic strategy for these patients remains a matter for debate.

Aims

Our aim was to compare the periprocedural and mid-term outcomes in MO patients undergoing TAVR versus SAVR.

Methods

A multicentre retrospective study including consecutive MO patients (body mass index ≥40 kg/m², or ≥35 kg/m² with obesity-related comorbidities) from 18 centres undergoing either TAVR (n=860) or biological SAVR (n=696) for severe AS was performed. Propensity score matching resulted in 362 pairs.

Results

After matching, periprocedural complications

SUBMITTER: McInerney A 

PROVIDER: S-EPMC10241265 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature