Performance of a Machine Learning Algorithm in Predicting Outcomes of Aortic Valve Replacement

Author(s):  
Arman Kilic ◽  
Anshul Goyal ◽  
James K. Miller ◽  
Thomas G. Gleason ◽  
Artur Dubrawksi
2021 ◽  
Vol 11 (11) ◽  
pp. 1062
Author(s):  
Ena Hasimbegovic ◽  
Laszlo Papp ◽  
Marko Grahovac ◽  
Denis Krajnc ◽  
Thomas Poschner ◽  
...  

Transcatheter aortic valve replacement (TAVR) has rapidly become a viable alternative to the conventional isolated surgical aortic valve replacement (iSAVR) for treating severe symptomatic aortic stenosis. However, data on younger patients is scarce and a gap exists between data-based recommendations and the clinical use of TAVR. In our study, we utilized a machine learning (ML) driven approach to model the complex decision-making process of Heart Teams when treating young patients with severe symptomatic aortic stenosis with either TAVR or iSAVR and to identify the relevant considerations. Out of the considered factors, the variables most prominently featured in our ML model were congestive heart failure, established risk assessment scores, previous cardiac surgeries, a reduced left ventricular ejection fraction and peripheral vascular disease. Our study demonstrates a viable application of ML-based approaches for studying and understanding complex clinical decision-making processes.


2019 ◽  
Vol 12 (14) ◽  
pp. 1328-1338 ◽  
Author(s):  
Dagmar F. Hernandez-Suarez ◽  
Yeunjung Kim ◽  
Pedro Villablanca ◽  
Tanush Gupta ◽  
Jose Wiley ◽  
...  

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