Septal rupture closure: Still a challenge
Key Points
Review of the Medicare database shows that over the past 16 years the incidence of post‐ myocardial infarction (MI) ventricular septal rupture (VSR) has decreased but mortality for all post‐MI VSR hospitalizations remains unchanged and high
During the study period, the 30‐day VSR repair rate decreased from 49.9% in 1999 to 33.3% in 2014. Unadjusted mortality was lower for patients undergoing repair procedures than for those not undergoing repair both at 30 days and at 1‐year.
Most VSR patients underwent surgical repair (82.9%) and only a minority underwent transcatheter repair (17.1%). Regardless of the approach, outcomes remain unsatisfac tory.
Source: Catheterization and Cardiovascular Interventions - Category: Cardiovascular & Thoracic Surgery Authors: Norihiko Kamioka,
Peter C. Block Tags: Coronary Artery Disease Source Type: research
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