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Your search keyword '"Al-Hijji, Mohammed A."' showing total 13 results
Start Over Author "Al-Hijji, Mohammed A." Publisher wiley-blackwell
13 results on '"Al-Hijji, Mohammed A."'

1. The impact of pulmonary hypertension on outcomes of transcatheter mitral valve replacement in mitral annular calcification.

Author

Cajigas, Hector R., Kaptzan, Tatiana, Lewis, Bradley, El‐Sabbagh, Abdallah, Al‐Hijji, Mohammed, Eleid, Mackram, Alkhouli, Mohamad, Wang, Dee Dee, Eng, Marvin, Kodali, Susheel, George, Isaac, Chakravarty, Tarun, Pershad, Ashish, O'Hair, Daniel, Jones, Noah, Makkar, Raj, Reisman, Mark, Leon, Martin, O'Neill, William, and Rihal, Charanjit

Published
2022
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13. Outcomes of Patients With Severe Symptomatic Aortic Valve Stenosis After Chest Radiation: Transcatheter Versus Surgical Aortic Valve Replacement.

Author

Zhang D, Guo W, Al-Hijji MA, El Sabbagh A, Lewis BR, Greason K, Sandhu GS, Eleid MF, Holmes DR, and Herrmann J

Subjects
Aged, Aged, 80 and over, Aortic Valve diagnostic imaging, Aortic Valve physiopathology, Aortic Valve radiation effects, Aortic Valve Stenosis diagnostic imaging, Aortic Valve Stenosis etiology, Aortic Valve Stenosis mortality, Female, Humans, Length of Stay, Male, Middle Aged, Postoperative Complications etiology, Postoperative Complications mortality, Radiation Injuries diagnostic imaging, Radiation Injuries etiology, Radiation Injuries mortality, Radiotherapy adverse effects, Recovery of Function, Registries, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome, Aortic Valve surgery, Aortic Valve Stenosis surgery, Heart Valve Prosthesis Implantation adverse effects, Heart Valve Prosthesis Implantation mortality, Mediastinum radiation effects, Radiation Injuries therapy, Transcatheter Aortic Valve Replacement adverse effects, Transcatheter Aortic Valve Replacement mortality
Abstract

Background Patients with symptomatic severe aortic stenosis and a history of chest radiation therapy represent a complex and challenging cohort. It is unknown how transcatheter aortic valve replacement ( TAVR ) compares with surgical aortic valve replacement in this group of patients, which was the objective of this study. Methods and Results We retrospectively reviewed all patients with severe aortic stenosis who underwent either TAVR or surgical aortic valve replacement at our institution with a history of mediastinal radiation (n=55 per group). End points were echocardiographic and clinical outcomes in-hospital, at 30 days, and at 1 year. Inverse propensity weighting analysis was used to account for intergroup baseline differences. TAVR patients had a higher STS score than surgical aortic valve replacement patients (5.1% [3.2, 7.7] versus 1.6% [0.8, 2.6], P<0.001) and more often ( P<0.01 for all) a history of atrial fibrillation (45.5% versus 12.7%), chronic lung disease (47.3% versus 7.3%), peripheral arterial disease (38.2% versus 7.3%), heart failure (58.2% versus 18.2%), and pacemaker therapy (23.6% versus 1.8%). Postoperative atrial fibrillation was less frequent (1.8% versus 27.3%; P<0.001) and hospital stay was shorter in TAVR patients (4.0 [2.0, 5.0] versus 6.0 [5.0, 8.0] days; P<0.001). The ratio of observed-to-expected 30-day mortality was lower after TAVR as was 30-day mortality in inverse propensity weighting-adjusted Kaplan-Meier analyses. Conclusions In patients with severe aortic stenosis and a history of chest radiation therapy, TAVR performs better than predicted along with less adjusted 30-day all-cause mortality, postoperative atrial fibrillation, and shorter hospitalization compared with surgical aortic valve replacement. These data support further studies on the preferred role of TAVR in this unique patient population.

Published
2019
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