Table 2.
Variable | SAVR | TAVR | P-value |
---|---|---|---|
N | 545 (79.4%) | 141 (20.6%) | |
Demographics | |||
Age | 74 (64, 82) | 82 (77, 86) | < 0.001 |
Female | 209 (38.3%) | 62 (44.0%) | 0.262 |
Race/Ethnicity | 0.248 | ||
White | 483 (88.6%) | 132 (93.6%) | |
Black | 54 (9.9%) | 8 (5.7%) | |
Other | 8 (1.5%) | 1 (0.7%) | |
BSA | 2 (1.8, 2.1) | 1.9 (1.7, 2.1) | 0.163 |
Comorbidities | |||
EF | 50 (50, 50) | 55 (46.2, 55) | 0.451 |
Creatinine | 1 (0.8, 1.2) | 1.2 (1, 1.4) | 0.4 |
History of Smoking | 93 (17.2%) | 40 (28.4%) | 0.004 |
CVD | 63 (11.6%) | 28 (19.9%) | 0.014 |
PVD | 33 (6.1%) | 35 (24.8%) | < 0.001 |
COPD | 37 (6.8%) | 48 (34%) | < 0.001 |
Diabetes | 165 (30.3%) | 60 (42.6%) | 0.008 |
Hypertension | 439 (80.6%) | 122 (86.5%) | 0.130 |
AS | 493 (90.8%) | 126 (98.4%) | 0.002 |
AR (≥ moderate) | 99 (18.2%) | 15 (11.0%) | 0.062 |
MR (≥ moderate) | 31 (5.7%) | 14 (10.3%) | 0.082 |
CHF (NYHA class I-III) | 503 (92.3%) | 120 (85.1%) | 0.013 |
CHF (NYHA class IV) | 40 (7.3%) | 16 (11.8%) | 0.132 |
Previous sternotomy | 115 (21.1%) | 68 (48.9%) | < 0.001 |
STS-PROM, mean (SD) | 3.8% (2.8%) | 9.3% (5.3%) | < 0.001 |
STS-PROM <12% | 535 (98.2%) | 87 (79.1%) | <0.001 |
Reason for not getting SAVR among those with STS PROM<12% | |||
Frailty | NA | 45 (51.7%) | |
Severe pulmonary disease | NA | 10 (11.5%) | |
Cirrhosis | NA | 2 (2.3%) | |
Redo TAVR | NA | 3 (3.4%) | |
Porcelain aorta | NA | 18 (20.7%) | |
Hostile mediastinum | NA | 9 (10.3%) | |
Outcomes | |||
30-day mortality | 8 (1.5%) | 4 (2.8%) | 0.281 |
Categorical data represented as frequency (%). Continuous data represented as median (IQR –interquartile range). Abbreviations as follows: SAVR –surgical aortic valve replacement, TAVR –transcatheter aortic valve replacement, BSA –body surface area, EF –ejection fraction, CVD –cerebrovascular disease, PVD –peripheral vascular disease, COPD –chronic obstructive pulmonary disease, AS –aortic stenosis, AR –aortic regurgitation, MS –mitral stenosis, MR –mitral regurgitation, TR –tricuspid regurgitation, MI –myocardial infarction, CHF –congestive heart failure, NYHA –New York Heart Association. AS was defined as any degree of stenosis.