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Table 4 Hospital outcome

From: Transfemoral versus transapical approach for transcatheter aortic valve implantation: hospital outcome and risk factor analysis.

  Overall
(N = 180)
TA-TAVI (N = 90) TF-TAVI
(N = 90)
p
Hospital mortality 17 (9%) 8 (9%) 9 (10%) 0.799*
Cause of death
 Respiratory failure 3 (2%) 3 (3%) 0 (0%)  
 Cardiac tamponade for annulus rupture 2 (1%) 0 (0%) 2 (2%)  
 Valve migration 1 (1%) 0 (0%) 1 (1%)  
 Myocardial infarction 1 (1%) 1 (1%) 0 (0%)  
 Heart failure 1 (1%) 0 (0%) 1 (1%)  
 Sudden death 1 (1%) 1 (1%) 0 (0%)  
 Cardiac arrest 2 (1%) 0 (0%) 2 (2%)  
 Life-threatening bleeding 1 (1%) 1 (1%) 0 (0%)  
 Multiple organ failure 1 (1%) 1 (1%) 0 (0%)  
 Disabling stroke 4 (2%) 1 (1%) 3 (3%)  
Complications
 Major vascular complications (including access related vascular complication, aortic rupture and dissection, leg ischemia) 13 (7%) 3 (3%) 10 (11%) 0.081
 Valve migration 3 (2%) 1 (1%) 2 (2%) 1
 Major/life-threatening bleeding (including cardiac tamponade for aortic rupture or ventricular tear) 7 (4%) 3 (3%) 4 (4%) 1
 Disabling Stroke 5 (3%) 2 (2%) 3 (3%) 1
 Coronary occlusion 1 (1%) 1 (1%) 0 (0%) 1
 Bailout Sapien-in-Sapien for stent-valve migration or malpositioning 7 (4%) 3 (3%) 4 (4%) 1
 Pneumonia 6 (3%) 5 (6%) 1 (1%) 0.211
 Rethoracotomy for bleeding (TA)/pericardial drainage for tamponade (TF) 5 (3%) 3 (3%) 2 (2%) 1
 Postoperative acute renal failure 4 (2%) 3 (3%) 1 (1%) 0.621
 Dialysis 3 (2%) 3 (3%) 0 (0%) 0.246
 New pacemaker for conduction abnormality 7 (4%) 2 (2%) 5 (6%) 0.444
 Conversion to sternotomy 2 (1%) 2 (2%) 0 (0%) 0.497
 Bailout cardiopulmonary bypass 4 (2%) 4 (4%) 0 (0%) 0.121
 Early extubation 123 (68%) 40 (44%) 83 (92%) <0.001*
 Intensive Care Unit stay (days) 1.4 ± 4.1 (median:0) 2.6 ± 5.5 (median:1) 0.2 ± 0.7 (median:0) <0.001
 Hospital stay (days) 11.7 ± 9.1 (median:9) 13.9 ± 9.5 (median:10) 9.4 ± 8.2 (median:8) <0.001
 Postoperative peak gradient (mmHg) 17.6 ± 9.5 16.7 ± 9.4 18.5 ± 9.5 0.219
 Postoperative mean gradient (mmHg) 9.5 ± 5.3 9.2 ± 5.1 9.7 ± 5.5 0.563
 Paravalvular leak: mild to severe 28 (16%) 5 (6%) 23 (26%) <0.001*
 Trace of paravalvular leak 48 (27%) 15 (17%) 33 (37%)  
 Mild paravalvular leak 25 (14%) 5 (5%) 20 (22%)  
 Moderate paravalvular leak 2 (1%) 0 (0%) 2 (2%)  
 Severe paravalvular leak 1 (1%) 0 (0%) 1 (1%)  
  1. Data presented as mean ± SD or N (%)
  2. *Chi2 value, otherwise it’s a Fischer test or a T-Test value