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%.
| Reason | N | % of patients |
| Total | 638 | 100.0% | Frailty | 236 | 56.9% | Hostile chest | 92 | 22.2% | Severe lung disease | 66 | 15.9% | Obesity | 52 | 12.5% | Risk of stroke | 38 | 9.2% | Cirrhosis | 32 | 7.7% | Bleeding concern | 29 | 7.0% | Malignancy | 28 | 6.7% | Cognitive impairment | 22 | 5.3% | Need for urgent noncardiac surgery | 13 | 3.1% | Malnutrition | 9 | 2.2% | Others | 8 | 1.9% | Unknown | 13 | 3.1% | | | | # of factors | N | % of patients | Patients with 1 factor | 219 | 52.8% | Patients with 2 factors | 149 | 35.9% | Patients with 3 factors | 28 | 6.7% | Patients with 4 factors | 6 | 1.4% |
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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).
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