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Table 3 Peri-procedural and post-operative complications

From: Transcatheter aortic valve replacement- management of patients with significant coronary artery disease undergoing aortic valve interventions: surgical compared to catheter-based approaches in hybrid procedures

 

SAVR + CABG

TAVR + OP/MIDCAB

TAVR + PCI

p-value (across groups)

(n = 464)

(n = 50)

(n = 112)

mean ± SD or median (IQR) or n (%)

mean ± SD or median (IQR) or n (%)

mean ± SD or median (IQR) or n (%)

Intra-operative mortality

0 (0.0)

0 (0.0)

1 (0.9)

0.009

Intra-operative resuscitation

2 (0.4)

2 (4.0)

3 (2.7)

0.017

Myocardial infarction

2 (0.4)

1 (2.0)

0 (0.0)

0.225

 CK-MB (U/l)

51.1 ± 57.1

47.2 ± 81.8

31.1 ± 35.0

< 0.001

Stroke/TIA

23 (5.0)

1 (2.0)

5 (4.5)

0.622

Conversion to open surgerya

n.a.

2 (4.0)b

3 (2.7)c

0.017

Re-thoracotomy

36 (7.8)

5 (10.0)

3 (2.7)

0.117

Pericardial tamponade

31 (6.7)

1 (2.0)

1 (0.9)

0.027

AKI stage II/III

48 (10.3)

5 (10.0)

11 (9.8)

0.984

Post-op. resuscitation (30d)

34 (7.3)

5 (10.0)

6 (5.4)

0.557

Post-operative dialysis (30d)

39 (8.4)

5 (10.0)

14 (12.5)

0.190

 Permanent

5 (1.1)

2 (4.0)

5 (4.5)

0.028

Post-operative AF (30d)

41 (8.8)

3 (6.0)

4 (3.6)

0.154

Post-operative PPI (30d)

25 (5.4)

1 (2.0)

11 (9.9)

0.091

In-hospital mortality

32 (6.9)

9 (18.0)

9 (9.0)

0.009

30d overall mortality

34 (7.4)

8 (16.0)

7 (6.3)

0.077

  1. Legend: aConversion to open surgery was defined as sternotomy and change to SAVR with a heart-lung-machine,bone patient experienced intraoperative dislocation of the prosthesis, the second patient was resuscitated; call due to severe aortic regurgitation, one patient died as a result