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Transcatheter Aortic Valve Replacement versus Sutureless Aortic Valve Replacement: A Single Center Retrospective Cohort Study

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dc.contributor.author고영국-
dc.contributor.author곽영란-
dc.contributor.author심재광-
dc.contributor.author심지영-
dc.contributor.author이삭-
dc.contributor.author이승현-
dc.contributor.author정영학-
dc.contributor.author홍그루-
dc.contributor.author홍명기-
dc.contributor.author안철민-
dc.date.accessioned2021-12-28T17:04:39Z-
dc.date.available2021-12-28T17:04:39Z-
dc.date.issued2021-10-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/186925-
dc.description.abstractPurpose: This study sought to compare clinical outcomes between transcatheter aortic valve replacement (TAVR) and sutureless aortic valve replacement (SU-AVR). Materials and methods: In total, 320 patients with symptomatic severe aortic stenosis who underwent TAVR (n=254) or SU-AVR (n=66) at Severance Cardiovascular Hospital between July 2011 and September 2019 were included for analysis. Propensity score matching and inverse probability weighted adjustment were performed to adjust for confounding baseline characteristics. Outcomes defined by the Valve Academic Research Consortium-2 in 62 patients pairs were compared. Results: Device success (79.0% vs. 79.0%, p>0.999) and 30-day mortality (4.8% vs. 0.0%, p=0.244) did not differ between the TAVR and SU-AVR groups. The TAVR group developed more frequent mild or moderate paravalvular leakage (59.7% vs. 8.1%, p<0.001), whereas SU-AVR was associated with higher rates of major or life-threatening bleeding (9.7% vs. 22.6%, p=0.040), acute kidney injury (8.1% vs. 21.0%, p=0.041), and new-onset atrial fibrillation (4.8% vs. 32.3%. p<0.001) at 30 days, along with longer stays in the intensive care unit (ICU) (1.9±1.6 days vs. 5.9±9.2 days, p=0.009) and hospital (7.1±7.9 days vs. 13.1±8.8 days, p<0.001). The TAVR group showed a trend towards a higher 1-year all-cause mortality, compared with the SU-AVR group (7.0% vs 1.7%, p=0.149). Cardiovascular mortality, however, did not differ significantly (1.6% vs 1.7%, p=0.960). Conclusion: TAVR achieved a similar 1-year survival rate free from cardiovascular mortality as SU-AVR and was associated with a lower incidence of complications, except for paravalvular leakage, and shorter stays in the ICU and hospital.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAortic Valve / surgery-
dc.subject.MESHAortic Valve Stenosis* / surgery-
dc.subject.MESHHeart Valve Prosthesis Implantation* / adverse effects-
dc.subject.MESHHeart Valve Prosthesis* / adverse effects-
dc.subject.MESHHumans-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHTranscatheter Aortic Valve Replacement* / adverse effects-
dc.subject.MESHTreatment Outcome-
dc.titleTranscatheter Aortic Valve Replacement versus Sutureless Aortic Valve Replacement: A Single Center Retrospective Cohort Study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorYoung Hak Chung-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorYoung-Guk Ko-
dc.contributor.googleauthorSak Lee-
dc.contributor.googleauthorChi-Young Shim-
dc.contributor.googleauthorChul-Min Ahn-
dc.contributor.googleauthorGeu-Ru Hong-
dc.contributor.googleauthorJae-Kwang Shim-
dc.contributor.googleauthorYoung-Lan Kwak-
dc.contributor.googleauthorMyeong-Ki Hong-
dc.identifier.doi10.3349/ymj.2021.62.10.885-
dc.contributor.localIdA00127-
dc.contributor.localIdA00172-
dc.contributor.localIdA02205-
dc.contributor.localIdA02213-
dc.contributor.localIdA05648-
dc.contributor.localIdA02807-
dc.contributor.localIdA02935-
dc.contributor.localIdA05207-
dc.contributor.localIdA04386-
dc.contributor.localIdA04391-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid34558867-
dc.subject.keywordAortic stenosis-
dc.subject.keywordsevere aortic stenosis-
dc.subject.keywordsutureless aortic valve replacement-
dc.subject.keywordtranscatheter aortic valve replacement-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.affiliatedAuthor고영국-
dc.contributor.affiliatedAuthor곽영란-
dc.contributor.affiliatedAuthor심재광-
dc.contributor.affiliatedAuthor심지영-
dc.contributor.affiliatedAuthor이삭-
dc.contributor.affiliatedAuthor이승현-
dc.contributor.affiliatedAuthor정영학-
dc.contributor.affiliatedAuthor홍그루-
dc.contributor.affiliatedAuthor홍명기-
dc.citation.volume62-
dc.citation.number10-
dc.citation.startPage885-
dc.citation.endPage894-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.62(10) : 885-894, 2021-10-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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