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Start Over Author "Maroto, Luis" Journal journal of cardiac surgery
5 results on '"Maroto, Luis"'

2. Performance of the heart team approach in daily clinical practice in high‐risk patients with aortic stenosis

Author

Tirado‐Conte, Gabriela, primary, Espejo‐Paeres, Carolina, additional, Nombela‐Franco, Luis, additional, Jimenez‐Quevedo, Pilar, additional, Cobiella, Javier, additional, Vivas, David, additional, Agustín, Jose Alberto, additional, McInerney, Angela, additional, Pozo, Eduardo, additional, Salinas, Pablo, additional, Nuñez‐Gil, Ivan, additional, Gonzalo, Nieves, additional, Villagran, Enrique, additional, Hoyos, Alfonso, additional, Mejia‐Renteria, Hernán, additional, Macaya, Fernando, additional, Carnero, Manuel, additional, Vilacosta, Isidre, additional, Fernández‐Ortiz, Antonio, additional, Escaned, Javier, additional, Maroto, Luis, additional, and Macaya, Carlos, additional

Published
2020
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5. Performance of the heart team approach in daily clinical practice in high-risk patients with aortic stenosis.

Author

Tirado-Conte G, Espejo-Paeres C, Nombela-Franco L, Jimenez-Quevedo P, Cobiella J, Vivas D, de Agustín JA, McInerney A, Pozo E, Salinas P, Nuñez-Gil I, Gonzalo N, Villagran E, de Hoyos A, Mejia-Renteria H, Macaya F, Carnero M, Vilacosta I, Fernández-Ortiz A, Escaned J, Maroto L, and Macaya C

Subjects
Aged, 80 and over, Aortic Valve surgery, Humans, Risk Factors, Treatment Outcome, Aortic Valve Stenosis surgery, Heart Valve Prosthesis Implantation, Transcatheter Aortic Valve Replacement
Abstract

Objective: The heart team (HT) approach plays a key role in selecting the optimal treatment strategy for patients with aortic stenosis (AS). However, little is known about the HT decision process and its impact on outcomes. The aim of this study was to identify the factors associated with the HT decision and evaluate clinical outcomes according to the treatment choice., Methods: The study included a total of 286 consecutive patients with AS referred for discussion in the weekly HT meeting in a cardiovascular institute over 2 years. Patients were stratified according to the selected therapeutic approach: medical treatment (MT), surgical (SAVR), or transcatheter (TAVR) aortic valve replacement. Baseline characteristics involved in making a therapeutic choice were identified and a decision-making tree was built using classification and regression tree methodology., Results: Based on HT discussion, 53 patients were assigned to SAVR, 210 to TAVR, and 23 to MT. Older patients (≥88 years old) were mainly assigned to TAVR or MT according to the logistic EuroSCORE (

Published
2021
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