Clinical Factors and Outcomes When Real-World Heart Teams Overruled STS Risk Scores in TAVR Cases.

ABSTRACT:

Objectives

This study was conducted to determine why heart teams recommended transcatheter aortic valve replacement (TAVR) versus surgical AVR (SAVR) for patients at low predicted risk of mortality (PROM) and describe outcomes of these cases.

Background

Historically, referral to TAVR was based predominately on the Society of Thoracic Surgeons (STS) risk model's PROM >3%. In selected cases, heart teams had latitude to overrule these scores. The clinical reasons and outcomes for these cases are unclear.

Methods

Retrospective data were gathered for all TAVR and SAVR cases conducted by 9 hospitals between 2013 and 2017.

Results

Cases included TAVR patients with STS PROM >3% (n = 2,711) and ≤3% (n = 415) and SAVR with STS PROM ≤3% (n = 1,438). L

SUBMITTER: King JM 

PROVIDER: S-EPMC9252751 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature