Clinical Study

Transcatheter Mitral Valve Repair in Surgical High-Risk Patients: Gender-Specific Acute and Long-Term Outcomes

Table 4

Postprocedural outcome, echocardiographic variables.


BaselineDischarge12 months24 months
Men ()Women () valueMen ()Women () valueMen ()Women () valueMen ()Women () value

MR severity No. (%)0.160.210.770.21
 000001 (1)1 (1.6)1.001 (1.3)1 (1.9)1.00
 100177 (49.9)94 (41.0)0.04631 (30.7)15 (24.2)0.4726 (34.2)12 (23.1)0.25
 200140 (39.4)107 (46.7)0.09860 (59.4)37 (59.7)1.0043 (56.6)29 (55.8)1.00
 3187 (51.7)111 (43.3)0.4723 (6.5)18 (7.9)0.648 (7.9)8 (12.9)0.446 (7.9)10 (19.2)0.10
 4175 (48.3)117 (50.9)0.618 (2.3)3 (1.3)0.611 (1)1 (1.6)1.0000
Total stroke volume (mL)69.0 (53.7–87.4)60.2 (46.1–75.0)<0.00164.0 (54.0–78.4)55.0 (47.2–65.8)<0.00167.1 (55.3–84.0)65.3 (56.9–69.1)0.2068.8 (55.7–80.7)57.1 (46.4–75.9)0.11
Forward stroke volume (mL)40.8 (31.2–52.0)37.3 (29.5–45.4)0.002352.0 (41.6–62.4)45.4 (37.3–53.2)<0.00154.3 (43.7–66.0)53.2 (43.7–58.9)0.3658.0 (48.0–68.7)51.6 (38.0–61.2)0.026
Regurgitant fraction (%) 42.5 (31.6–53.2)38.7 (27.1–48.2)0.01618.0 (9.2–27.1)18.0 (10.0–28.7)0.5919.3 (13.8–26.3)19.4 (10.1–27.5)0.2316.2 (9.4–24.4)24.1 (10.5–30.8)0.078
Regurgitant volume (mL) 29.3 (18.7–43.9)23.7 (13.1–36.0)<0.00111.3 (4.8–17.4)9.6 (5.2–17.5)0.5413.5 (9.0–20.3)11.7 (6.0–18.2)0.1210.1 (6.2–18.5)12.7 (3.6–20.4)0.45
Mitral valve orifice area (cm2)3.8 (3.2–4.6)3.7 (3.1–4.6)0.902.9 (2.5–3.4)2.9 (2.4–3.5)0.773.0 (2.3–3.8)2.8 (2.3–3.5)0.693.0 (2.2–3.6)2.8 (2.4–3.2)0.35
LV end-systolic volume (mL) 113.8 (72.6–192.0)63.4 (44.6–102.8)<0.001126.0 (78.4–201.3)64.8 (41.8–128.1)<0.001113.3 (70.5–188.6)66.8 (48.4–112.1)<0.001133.3 (92.2–184.3)62.6 (48.1–115.0)<0.001
LV end-systolic diameter (mm) 53.0 (45.0–63.0)42.0 (36.0–52.6)<0.00156.0 (46.0–63.0)46.0 (37.0–54.6)<0.00152.5 (43.0–62.6)44.5 (35.8–54.6)0.001354.0 (45.7–63.3)45.0 (38.0–56.8)0.010
LV end-diastolic volume (mL) 184.5 (139.4–259.9)124.8 (95.7–169.0)<0.001190.0 (151.4–265.4)131.2 (96.2–178.3)<0.001197.0 (145.8–245.0)141.6 (117.5–175.8)<0.001202.0 (163.5–261.9)140.4 (110.7–186.3)<0.001
LV end-diastolic diameter (mm) 66.0 (59.0–74.0)58.0 (51.0–64.0)<0.00166.5 (60.0–74.0)57.5 (52.0–66.0)<0.00165.0 (57.9–72.2)59.5 (54.0–67.0)0.01365.0 (60.0–73.6)59.5 (54.9–67.0)0.0026
LV ejection fraction (%)39.0 ± 15.346.5 ± 15.1<0.00135.7 ± 14.444.2 ± 15.5<0.00138.9 ± 15.846.4 ± 15.00.009234.8 ± 11.845.6 ± 16.2<0.001

LV = left ventricular; MR = mitral regurgitation.