{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T18:07:37Z","timestamp":1777486057052,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T00:00:00Z","timestamp":1617580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Urgent transcatheter aortic valve implantation (TAVI) is a feasible option for aortic stenosis (AS) patients with decompensated heart failure (HF) and cardiogenic shock (CS) as compared to the more traditional urgent balloon aortic valvuloplasty (BAV).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We conducted a retrospective analysis to compare risk and cause of readmission in these two high\u2010risk groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nationwide Readmission Database (NRD) 2011\u20132014 was retrospectively analyzed to identify patients with AS having either urgent TAVI or urgent BAV using appropriate ICD\u20109 codes. Propensity scores were used to match patients with urgent TAVI as compared to patients with urgent BAV. Statistical analysis was performed using the Stata 15.1 software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified a weighted sample of 6,670 patients with urgent BAV and 6,964 patients with urgent TAVI. The all\u2010cause 30\u2010 and 90\u2010day readmission was lower in the urgent TAVI group compared to urgent BAV (15.4 vs. 22.5%, (aHR): 0.92 [0.90\u20130.95] <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). 30\u2010day readmission due to CV cause and HF was also lower in the urgent TAVI group (aHR, 0.93: <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001 and aHR, 0.98: <jats:italic>p<\/jats:italic>\u00a0=\u00a0.040, respectively). The 30\u2010day gastrointestinal (GI) bleed readmission rate was three times higher in urgent TAVI group (aHR, 3.00:95% CI (1.23\u20137.33), <jats:italic>p<\/jats:italic>\u00a0=\u00a0.016), but was not statistically significant at 90\u2010days. Cardiac causes of readmission were the predominant cause of readmission in both groups, but more pronounced in urgent BAV group (60.3 vs. 40.5%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urgent TAVI appears beneficial in patients with AS and decompensated HF or CS driven by roughly 10 and 25% reductions in overall readmissions at 30 and 90\u2009days, and marked reductions in reintervention, although offset partially by higher risk of readmission due to GI bleeding at 30\u2009days.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29690","type":"journal-article","created":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T07:54:37Z","timestamp":1617609277000},"page":"607-612","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Readmission following urgent transcatheter aortic valve implantation versus urgent balloon aortic valvuloplasty in patients with decompensated heart failure or cardiogenic shock"],"prefix":"10.1002","volume":"98","author":[{"given":"Sandipan","family":"Chakraborty","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine Miami Valley Hospital  Dayton Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neelkumar","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Interfaith Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0709-4324","authenticated-orcid":false,"given":"Dhrubajyoti","family":"Bandyopadhyay","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Icahn School of Medicine at Mount Sinai\/Mount Sinai St Luke's Roosevelt Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrija","family":"Hajra","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Jacobi Medical Center\/Albert Einstein College of Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birendra","family":"Amgai","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Interfaith Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Zaid","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Westchester Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parija","family":"Sharedalal","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Westchester Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Westchester Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin B.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Westchester Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2560-0155","authenticated-orcid":false,"given":"J. Dawn","family":"Abbott","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srihari S.","family":"Naidu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Westchester Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004481"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2016.12.012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12090"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28563"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.03.002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.09.020"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004472"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.08.052"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.02.033"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29690","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29690","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T12:14:25Z","timestamp":1692706465000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,5]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/ccd.29690"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29690","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,5]]},"assertion":[{"value":"2020-08-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}