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Transcatheter and Surgical Aortic Valve Replacement in Dialysis Patients: A Propensity-Matched Comparison

Thursday, October 8, 2015

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975%2815%2900876-0/abstract

Author(s)

Dale M. Kobrin, Fenton H. McCarthy, Howard C. Herrmann, Saif Anwaruddin, Sidney Kobrin, Wilson Y. Szeto, Joseph E. Bavaria, Peter W. Groeneveld, Nimesh D. Desai

The effects of renal failure on outcomes of AVR were examined using CMS data. TAVR pts on dialysis, TAVR pts not on dialysis, and surgical AVR pts on dialysis were compared after propensity score matching. In TAVR patients, dialysis was associated with increased 30 day mortality and survival, and was an independent predictor of worse survival. TAVR and SAVR patients on dialysis had similar outcomes, although length of hospitalization was shorter among TAVR pts.