Temporal Trends in Adoption and Outcomes of Transcatheter Aortic Valve Implantation: A Swisstavi Registry Analysis.

Détails

ID Serval
serval:BIB_2585BF5A1AD4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Temporal Trends in Adoption and Outcomes of Transcatheter Aortic Valve Implantation: A Swisstavi Registry Analysis.
Périodique
European heart journal. Quality of care & clinical outcomes
Auteur(s)
Stortecky S., Franzone A., Heg D., Tueller D., Noble S., Pilgrim T., Jeger R., Toggweiler S., Ferrari E., Nietlispach F., Taramasso M., Maisano F., Grünenfelder J., Muller O., Huber C., Roffi M., Carrel T., Wenaweser P., Windecker S.
ISSN
2058-1742 (Electronic)
ISSN-L
2058-1742
Statut éditorial
Publié
Date de publication
09/10/2018
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Résumé
To describe temporal trends in adoption and performance of transcatheter aortic valve implantation (TAVI) in Switzerland over a period of 5 years.
Between 2011 and 2015, a total of 3'493 patients were consecutively included in the SwissTAVI Registry (NCT01368250) and analyzed for the purpose of this study. The primary outcome measure was all-cause mortality at 1-year after TAVI. Over the five-year period, a six-fold increase in the number of procedures was observed, whereas the baseline surgical risk estimated by the Society of Thoracic Surgeon (STS) score declined (from 6.8 ± 4.4% to 4.6 ± 3.6, p < 0.001). Overall, 1-year mortality amounted to 12.8%; mortality was highest in the first annual cohorts (14.6%, 14.8% and 15.9% in 2011, 2012 and 2013, respectively) and decreased to 13.4% in 2014 and 9.7% in 2015, with a significant temporal trend. While rates of cerebrovascular events, peri-procedural myocardial infarction, moderate/severe paravalvular regurgitation and stage 3 acute kidney injury did not significantly change over time, a significant reduction in life threatening or major bleeding was noted during the latest compared with earlier years of recruitment.
This long-term recruitment analysis of a national TAVI registry showed rapid adoption paralleled by a progressive decrease of patients' baseline risk profile. Early and late survival significantly improved over time as did the rate of life threatening or major bleeding.
Pubmed
Création de la notice
17/10/2018 9:21
Dernière modification de la notice
21/08/2019 6:36
Données d'usage