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Septal rupture closure: Still a challenge
Author(s) -
Kamioka Norihiko,
Block Peter C.
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27956
Subject(s) - medicine , myocardial infarction , cardiology , incidence (geometry) , surgery , closure (psychology) , physics , optics , market economy , economics
Key Points Review of the Medicare database shows that over the past 16 years the incidence of post‐ myocardial infarction (MI) ventricular septal rupture (VSR) has decreased but mortality for all post‐MI VSR hospitalizations remains unchanged and high During the study period, the 30‐day VSR repair rate decreased from 49.9% in 1999 to 33.3% in 2014. Unadjusted mortality was lower for patients undergoing repair procedures than for those not undergoing repair both at 30 days and at 1‐year. Most VSR patients underwent surgical repair (82.9%) and only a minority underwent transcatheter repair (17.1%). Regardless of the approach, outcomes remain unsatisfactory.