Review Article

Cognitive Outcomes following Transcatheter Aortic Valve Implantation: A Systematic Review

Table 2

Summary of TAVI patient population characteristics at baseline in current studies.

ParameterOrvin et al., 2014 [8]Ghanem et al., 2013 [6]Kahlert et al., 2012 [9]Knipp et al., 2013 [10]Rodés-Cabau et al., 2011 [11]Kahlert et al., 2010 [12]

3611183276022 (ES)10 (MCV)

Demographics
Age, mean ± SD82.2 ± 4.280 ± 680.6 (79.3–81.8)82.2 ± 4.783 ± 778.3 (76.4–80.2)83.8 (79.2–88.4)
Male gender, % ()52.8 (19)54 (60)57.8% (35)74.1 (20)50 (30)36 (14)60 (4)

Risk scores
Logistic EuroSCORE, mean ± SD14.9 ± 11.424.3 ± 14.720.7 (17.8–23.5)36.4 ± 13.218.9 ± 12.822.8 (16.5–29.2)17.9 (12.0–23.7)
Society of Thoracic Surgeons Score7.4 ± 4.18.5 ± 5.46.7 (5.7–7.7)7.7 ± 4.6

Cognitive status
Mini-mental status exam, mean ± SD25.9 ± 3.325.4 ± 3.427.9 (27.5–28.3)28 (17–30)28.9 (28.2–29.6)28.1 (26.7–29.5)
Mild cognitive impairment, % ()27 (30)

Comorbidities
Coronary artery disease, % ()63 (71)55.4 (46)55.5 (15)73 (44)64 (14)50 (5)
Renal dysfunction, % ()30.5 (11)16.9 (14)88 (53)a32 (7)10 (1)

Cardiovascular risk factors
Obesity, % ()50.6 (42)88 (53)41 (9)0 (0)
Smoking, % ()18 (20)21.7 (18)29.6 (8)2 (1)23 (5)20 (2)
Diabetes, % ()30.5 (11)31 (35)30.1 (25)29.6 (8)25 (15)27 (6)40 (4)
Hypertension, % ()88.9 (32)98 (109)97.6 (81)100 (27)75 (45)95 (21)90 (9)
Dyslipidemia, % ()83.3 (30)81 (90)72.3 (60)74.1 (20)73 (44)86 (19)50 (5)

= number, TAVI = transcatheter aortic valve implantation, SD = standard deviation, ES = Edwards-SAPIEN, MCV = Medtronic CoreValve.
aRenal dysfunction indicated by estimated glomerular filtration rate <60 mL/min.