ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2025
Mitral regurgitation and in-hospital outcomes of percutaneous left atrial appendage closure.
Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSignificant mitral regurgitation (MR), is associated with unfavorable perioperative and periprocedural outcomes in patients undergoing cardiac and noncardiac interventions. This may be especially important in left atrial procedures. However, information regarding its impact on percutaneous left atrial appendage closure (LAAC) procedures is scarce.
methodsWe utilized the National Inpatient Sample (NIS) database to identify patients who underwent percutaneous LAAC and had an MR diagnosis between the years 2016 and 2021 in the US, using ICD-10 codes. Clinical and sociodemographic data, in-hospital procedures and outcomes were collected. Baseline characteristics and outcomes were compared between patients with and without MR. Multivariable logistic regression models were used to identify predictors of in-hospital complications.
resultsAn estimated total of 123,785 patients underwent percutaneous LAAC between 2016 and 2021 in the US. Of them, 7,325 (5.9%) patients had an MR diagnosis. Compared to non-MR patients, MR patients were older and had higher CHA
conclusionIn patients undergoing percutaneous LAAC, MR was independently associated with an increased risk for AKI, but not for cardiac and vascular complications or in-hospital mortality in a US nationwide, all-comer registry.
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