Transcatheter mitral valve repair is feasible and effective in oldest-old patients: results from real-world cohort
Mhd Nawar Alachkar1
Annemarie Kirschfink2
Anas Alnaimi2
J?rg Schr?der2
Felix Vogt2
Nikolaus Marx2
Ertunc Altiok2
Mohammad Almalla2
1.Department of Cardiology and Angiology,REGIOMED Hospital Coburg,Coburg,Germany2.Department of Cardi-ology,Angiology and Intensive Care,Medical Clinic I,University Hospital RWTH Aachen,Aachen,Germany
摘要：OBJECTIVE To evaluate the safety and efficacy of transcatheter mitral valve repair (TMVR) using MitraClip? devices in oldest-old patients compared to younger patients.METHODS The study retrospectively included 340 consecutive patients who underwent TMVR. Patients were classified acc-ording to age into the oldest-old (age ≥ 85 years) patient group or the younger (age < 85 years) patient group. Immediate results of the procedure, intrahospital outcomes and one-year outcomes were compared. RESULTS Oldest-old patients represented 15.9％ (n = 54) of all patients. Procedure success was comparable for the oldest-old patient group and the younger patient group (92.6％ vs. 95.8％, P = 0.30), and there was no difference in intrahospital mortality (9.2％ vs. 4.2％, P = 0.12). At a one-year follow-up (interquartile range: 6–16 months), there was no significant difference in rehospi-talization due to decompensated heart failure (25.5％ vs. 34.3％, P = 0.24) or all-cause mortality (29.8％ vs. 22.2％, P = 0.26) between the oldest-old patient group and the younger patient group. In patients with available echocardiographic follow-up, severity of residual mitral regurgitation was also comparable between the oldest-old patient group and the younger patient group. CONCLUSIONS TMVR seems to be feasible and effective in oldest-old patients and should be considered for oldest-old pati-ents presenting with symptomatic severe mitral regurgitation and high surgical risk.
机标关键词：fromcohorteffectivefeasiblemitraloldest-oldpatientsreal-world
论文发表日期：2022-10-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 761-767 )