Research Article

Temporal Trends and Early Outcomes of Transcatheter versus Surgical Mitral Valve Repair in Atrial Fibrillation Patients

Table 10

In-hospital outcomes in SMVR versus TMVR in the propensity score matched cohort with different etiologies of mitral regurgitation.

SMVRTMVROR (95% CI) value

Rheumatic mitral
 Number341511
 In-hospital death6.2%4.3%0.69 (0.37, 1.27)0.228
 Transfusion24.6%8.6%0.29 (0.19, 0.43)<0.001
 Acute kidney injury34.9%28.4%0.74 (0.55, 0.99)0.044
 Sepsis26.5%5.7%0.87 (0.49, 1.56)0.640
 Cardiogenic shock16.1%12.9%0.77 (0.52, 1.14)0.189
 Mechanical ventilation7.3%3.9%0.51 (0.28, 0.94)0.031
 Stroke1.8%2.3%1.34 (0.52, 3.89)0.559
Mitral prolapse
 Number116448
 In-hospital death1.7%1.8%1.04 (0.26, 6.93)0.964
 Transfusion12.9%2.9%0.20 (0.09, 0.44)<0.001
 Acute kidney injury17.2%10.9%0.59 (0.34, 1.06)0.067
 Sepsis3.4%1.3%0.38 (0.11, 1.51)0.139
 Cardiogenic shock11.2%4.9%0.41 (0.20, 0.86)0.015
 Mechanical ventilation3.4%1.6%0.44 (0.13, 1.72)0.202
 Stroke0.9%1.8%2.09 (0.38, 38.99)0.489
Congenital valvular heart disease
 Number1611
 In-hospital death6.2%0NANA
 Transfusion37.5%9.1%0.17 (0.01, 1.23)0.125
 Acute kidney injury25.0%27.3%1.12 (0.18, 6.52)0.895
 Sepsis6.2%0NANA
 Cardiogenic shock18.8%18.2%0.96 (0.11, 7.00)0.970
 Mechanical ventilation6.2%9.1%1.50 (0.05, 40.98)0.783
 Stroke6.2%0%NANA
Other reason
 Number4,2123,730
 In-hospital death3.1%2.1%0.66 (0.50, 0.88)0.005
 Transfusion20.3%4.3%0.18 (0.15, 0.21)<0.001
 Acute kidney injury29.1%14.0%0.40 (0.35, 0.44)<0.001
 Sepsis3.6%2.5%NANA
 Cardiogenic shock11.3%5.3%0.43 (0.36, 0.52)<0.001
 Mechanical ventilation3.7%1.6%0.41 (0.30, 0.55)<0.001
 Stroke2.0%1.3%0.64 (0.45, 0.91)<0.001

OR: odds ratio; CI: confidence interval; SMVR: surgical mitral valve repair; TMVR: transcatheter mitral valve repair.