Clinical Outcomes Following Urgent vs. Elective Percutaneous Mitral Valve Repair

被引:8
作者
Benito-Gonzalez, Tomas [1 ]
Estevez-Loureiro, Rodrigo [1 ]
Del Castillo, Samuel [1 ]
Minguito-Carazo, Carlos [1 ]
Garrote-Coloma, Carmen [1 ]
Alonso-Rodriguez, David [1 ]
Tundidor-Sanz, Elena [1 ]
Rodriguez-Santamarta, Miguel [1 ]
Perez de Prado, Armando [1 ]
Cuellas Ramon, Carlos [1 ]
Lopez-Benito, Maria [1 ]
Gualis, Javier [2 ]
Fernandez-Vazquez, Felipe [1 ]
机构
[1] Univ Hosp Leon, Dept Cardiol, Altos Nava SN, Leon 24071, Spain
[2] Univ Hosp Leon, Dept Cardiovasc Surg, Leon, Spain
关键词
Mitral valve repair; Mitral regurgitation; Acute heart failure; HEART-FAILURE; SHORT-TERM; REGURGITATION; THERAPY;
D O I
10.1016/j.carrev.2020.10.025
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim: To examine procedural and clinical outcomes among patients undergoing percutaneousmitral valve repair (PMVR) within an admission for acute-decompensated heart failure (ADHF). Methods and results: Prospective registry of all consecutive patients with symptomatic mitral regurgitation (MR) grade 3+ or 4+ who underwent PMVR our centre and classified in 2 groups: elective group and urgent PMVR group (within the index admission for ADHF). Echocardiographic, procedural and clinical outcomes were compared between groups. 85 patients (median age 77.0 [67.8-83.4] years, 64.7% male) were treated within the recruitment period. Among them, 17 (20%) underwent urgentMitraClip (R). Urgent PMVRwere at a higher riskfor conventional surgery (p= 0.002) and had worse estimated prognosis according to HF risk scores (p < 0.001). Overall technical successwas 100%, without differences between groups. At 30 days, no differenceswere found in mortality, MR reduction and in NYHA functional improvement between groups. Cumulative estimated survival free from allcause death was 92.9% (82.4% vs. 95.6%), 89.4% (82.4% vs. 91.1%), 76.3% (82.4 vs. 74.9%) at 6 months, 1-year and 2years, respectively, with no significant differences between urgent or elective PMVR (p= 0.769). Conclusion: MitraClip (R) implantation can be considered as an urgent therapy during admission for ADHF. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:6 / 11
页数:6
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