دورية أكاديمية
Patients Refusing Transcatheter Aortic Valve Replacement Even Once Have Poorer Clinical Outcomes
| العنوان: | Patients Refusing Transcatheter Aortic Valve Replacement Even Once Have Poorer Clinical Outcomes |
|---|---|
| المؤلفون: | Tetsuro Shimura, Masanori Yamamoto, Seiji Kano, Soh Hosoba, Mitsuru Sago, Ai Kagase, Yutaka Koyama, Satoshi Tsujimoto, Toshiaki Otsuka, Norio Tada, Toru Naganuma, Motoharu Araki, Futoshi Yamanaka, Shinichi Shirai, Kazuki Mizutani, Minoru Tabata, Hiroshi Ueno, Kensuke Takagi, Akihiro Higashimori, Yusuke Watanabe, Kentaro Hayashida |
| المصدر: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 7, Iss 18 (2018) |
| بيانات النشر: | Wiley, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | Optimized Catheter Valvular Intervention, refusal, transcatheter aortic valve implantation, transcatheter aortic valve replacement, treatment delay, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Background Although transcatheter aortic valve replacement (TAVR) is the least invasive treatment for patients with symptomatic aortic stenosis, some patients hesitate to undergo the procedure. We investigated the clinical impact of treatment delay after patient refusal of TAVR. Methods and Results We used the Japanese OCEAN (Optimized Catheter valvular intervention) regsitry data of 1542 patients who underwent TAVR. Refusal was defined as at least 1 refusal of TAVR at the time of informed consent. Patients were separated into 2 groups: refusal (28/1542, 1.8%) and non‐refusal (1514/1542, 98.2%). We compared the baseline characteristics, procedural outcomes, and mortality rates between the groups. Additionally, data on reasons for refusal and those leading to eventually undergoing TAVR were collected. Age, surgical risk scores, and frailty were higher in the refusal group than in the non‐refusal group (P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2047-9980 |
| Relation: | https://doaj.org/toc/2047-9980 |
| DOI: | 10.1161/JAHA.118.009195 |
| URL الوصول: | https://doaj.org/article/0ee41e3833b940eaa96b6792d16b2891 |
| رقم الأكسشن: | edsdoj.0ee41e3833b940eaa96b6792d16b2891 |
| قاعدة البيانات: | Directory of Open Access Journals |
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