Research Article

Clinical Factors and Outcomes When Real-World Heart Teams Overruled STS Risk Scores in TAVR Cases

Table 2

Reasons for recommending transcatheter aortic valve replacement surgery for patients with STS PROM ≤3%.

ReasonN% of patients

Total638100.0%
Frailty23656.9%
Hostile chest9222.2%
Severe lung disease6615.9%
Obesity5212.5%
Risk of stroke389.2%
Cirrhosis327.7%
Bleeding concern297.0%
Malignancy286.7%
Cognitive impairment225.3%
Need for urgent noncardiac surgery133.1%
Malnutrition92.2%
Others81.9%
Unknown133.1%
# of factorsN% of patients
Patients with 1 factor21952.8%
Patients with 2 factors14935.9%
Patients with 3 factors286.7%
Patients with 4 factors61.4%

More than one reason could be recommended per case. Percent was calculated based on the total number of patients included in this analysis (n = 415).