#EACTS2020
Important π¬π§ data on mitral valve repair over a 15 year period, from 2002/03 - 2015/16
(Presented yesterday)
@SCTSUK @ctsnetorg @HeartValveOrg @BrHeartValveSoc @escardio @EACTS @BritishCardioSo
Important π¬π§ data on mitral valve repair over a 15 year period, from 2002/03 - 2015/16
(Presented yesterday)
@SCTSUK @ctsnetorg @HeartValveOrg @BrHeartValveSoc @escardio @EACTS @BritishCardioSo
Over past 15yrs, the number of MV operations has increased and % performed as repair has also increased...
Repair rate in ELECTIVE mitral surgery is β¬οΈ
Recently, the repair rate in URGENT and EMERGENCY mitral surgery has β¬οΈ slightly
Recently, the repair rate in URGENT and EMERGENCY mitral surgery has β¬οΈ slightly
OUTCOMES
Elective MV repair in-hospital mortality overall is ~2% and has β¬οΈ with time
Elective MV replacement in-hospital mortality is ~5%
Urgent & emergency MV operations have also seen β¬οΈ mortality, despite predicted mortality β¬οΈ (i.e. lines divergent on graph)
Elective MV repair in-hospital mortality overall is ~2% and has β¬οΈ with time
Elective MV replacement in-hospital mortality is ~5%
Urgent & emergency MV operations have also seen β¬οΈ mortality, despite predicted mortality β¬οΈ (i.e. lines divergent on graph)
Impressive data. Key questions:
(1) Is it better to have a high-quality MVR rather than reasonable quality repair? This data tells us that repair operations are β¬οΈ but doesn't tell us how good the repairs are (i.e. quantity known, quality unknown) - that's a different study!
(1) Is it better to have a high-quality MVR rather than reasonable quality repair? This data tells us that repair operations are β¬οΈ but doesn't tell us how good the repairs are (i.e. quantity known, quality unknown) - that's a different study!
(2) Why has non-elective repair rate β¬οΈ recently? More complex valve damage (e.g. endocarditis destruction, MitraClip explants, desire to avoid any risk of re-do...)
(3) Despite these gains, do we need to concentrate MV repair more in the hands of dedicated mitral surgeons only?
(3) Despite these gains, do we need to concentrate MV repair more in the hands of dedicated mitral surgeons only?
@SABOURETCardio @VictorDayan1 @dompagano @JessicaLuc1 @mariovar55 @ovidiogarciav @M_Pompeu_Sa_MD @iamritu @JGrapsa @MadalinaGarbi @hannahzr @Chestcracker @pomyers @tomcnguyen @purviparwani @schneida42 @difersan2 @MMarinCuartas
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