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Mitral Transcatheter Edge-to-Edge Repair In-Hospital Outcomes and Mitral Valve Surgery Readmission Trends: National
Abdul Rahman Akkawi1, Syed Zaid2, Taha Hatab3
1Department of Internal Medicine, University of Kansas School of Medicine, Wichita, Kansas.
Structural Heart : the Journal of the Heart Team
|March 24, 2025
Summary
Transcatheter edge-to-edge repair for mitral valve issues has a low 1.1% readmission rate for surgery. Younger patients may face higher risks of readmission after this procedure.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Health Services Research
Background:
- Transcatheter edge-to-edge repair (TEER) is an evolving treatment for mitral valve (MV) disease.
- Understanding post-TEER outcomes, including readmission for MV surgery, is crucial for patient management.
Purpose of the Study:
- To analyze the incidence, trends, and predictors of 180-day readmission for mitral valve surgery after TEER.
- To assess the in-hospital mortality and morbidity associated with such readmissions.
Main Methods:
- Retrospective analysis of the National Readmission Database (2018-2020).
- Inclusion of patients aged over 18 who underwent TEER.
- Evaluation of readmission for MV surgery within 180 days post-TEER.
Main Results:
- The 180-day readmission rate for MV surgery post-TEER was 1.1%.
- In-hospital mortality post-readmission MV surgery was 9.7%, with high rates of acute kidney injury (51%) and bleeding (15.7%).
- Readmission rates declined significantly from 1.8% in 2018 to 0.8% in 2020.
Conclusions:
- Readmission for MV surgery after TEER is infrequent but associated with significant morbidity and mortality.
- Younger age emerged as an independent predictor for readmission.
- The declining trend in readmissions suggests improving management or patient selection over time.
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