Incidental detection of malignancy during pre-procedural workup for transcatheter aortic valve implantation: a longitudinal cohort study.

Demirel, Caglayan; Tomii, Daijiro; Heg, Dik; Okuno, Taishi; Wieser, Fabian; Suter, Thomas M; Gräni, Christoph; Windecker, Stephan; Pilgrim, Thomas (2023). Incidental detection of malignancy during pre-procedural workup for transcatheter aortic valve implantation: a longitudinal cohort study. American Heart Journal, 261, pp. 51-54. Elsevier 10.1016/j.ahj.2023.03.011

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The aim of this retrospective analysis was to investigate the prevalence and prognostic importance of incidental malignancy detected during pre-TAVI computed tomography. Among 579 patients, CT-work-up for TAVI exposed previously undetected malignancy in 4.5% of patients. TAVI patients with a new malignancy had a 2.9-fold increased risk of death at one year, and a 16 month shorter mean survival time compared to patients with no malignancy.

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