{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T09:57:23Z","timestamp":1766138243386,"version":"3.37.3"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,5]],"date-time":"2023-02-05T00:00:00Z","timestamp":1675555200000},"content-version":"vor","delay-in-days":4,"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":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Limited data exist regarding the performance of the Society of Thoracic Surgeons (STS) risk score among transcatheter mitral edge\u2010to\u2010edge repair (TEER) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Evaluate STS score accuracy, and the incremental value of post\u2010procedural left atrial pressure (LAP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of TEER patients between 2013 and 2020. Patients were allocated into 3 groups: high (\u22658% [<jats:italic>n<\/jats:italic>\u2009=\u2009298, 31%]), intermediate (4%\u22128% [<jats:italic>n<\/jats:italic>\u2009=\u2009318, 33%]), and low (&lt;4% [<jats:italic>n<\/jats:italic>\u2009=\u2009344, 36%]). Primary outcomes included 1\u2010year mortality or cardiovascular hospitalizations. Cox proportional hazards regression modeling was used to determine the hazard ratio of the primary outcome, and STS score accuracy was assessed by receiver operating characteristic. A spline curve was used to display the relationship between LAP and the primary endpoint. Continuous net reclassification improvement (NRI) was used to determine the incremental value of LAP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 960 patients, primarily elderly (79 [70\u221285]), with a median STS risk of 5.6 (3\u22129). High\u2010risk patients were older (83 [75\u221289], 81 [74\u221287], 72 [64\u221279], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and had more comorbidities compared to intermediate and low\u2010risk groups. Upon Cox regression, STS score (high vs. low: HR 2.5 [1.7\u22123.8]; Intermediate vs. low: HR 1.8 [1.2\u22122.7] and LAP HR 1.03 [1.01\u22121.06], <jats:italic>p<\/jats:italic>\u2009=\u20090.007) were associated with the outcome. C statistics analysis revealed low accuracy of the STS score (AUC\u20100.61 [0.58\u22120.65, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001]). Continuous NRI analysis indicated an improvement in risk prediction of 17% (6.9\u221226.2), <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>STS risk score has low accuracy in predicting clinical outcomes after TEER. Adding LAP measurements can improve reclassification and identify those prone to adverse outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30552","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T01:24:01Z","timestamp":1675646641000},"page":"596-604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Society of thoracic surgeons risk score and left atrial pressure for predicting clinical outcomes among transcatheter mitral edge\u2010to\u2010edge repair patients"],"prefix":"10.1002","volume":"101","author":[{"given":"Sharon Shalom","family":"Natanzon","sequence":"first","affiliation":[{"name":"Cedars\u2010Sinai Medical Center Smidt Heart Institute  Los Angeles California USA"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv 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USA"},{"name":"Bruce Rappaport Faculty of Medicine Technion Israel Institute of Technology  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Patel","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Medical Center Smidt Heart Institute  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9670-4026","authenticated-orcid":false,"given":"Alon","family":"Shechter","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Medical Center Smidt Heart Institute  Los Angeles California USA"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Fardman","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Sheba Medical Center Leviev Heart and Vascular Center  Tel Hashomer 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