Temporal trends in transcatheter and surgical aortic valve replacement : An analysis of aortic valve replacements in Germany during 2012-2014.
Herz
; 42(3): 316-324, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-27491767
ABSTRACT
This analysis of the data of the obligatory quality assurance programme AQUA shows the perioperative risk as well as the procedural outcome evaluated by the observed versus expected in-hospital mortality ratio (O/E ratio) of 62,872 patients undergoing isolated surgical (sAVR), transcatheter transvascular (TV-), or transapical (TA-) aortic valve replacement (TAVI) from 2012 to 2014 in Germany. The number of TAVI procedures increased from 9,352 in 2012 to 13,278 in 2014, whereas the number of sAVR remained constant (2012 9,949; 2014 9,953). Between 2012 and 2014, the number of TAVI implanted in patients with a logistic EuroScore I (logESI) of ≤10 % (2012 21 %; 2014 26 %) as well as with a logESI <20 % (2012 57 %; 2014 64 %) increased. In-hospital mortality in TAVI patients decreased from 5.2 % (TV 5.0 %; TA 7.4 %) in 2012 to 4.2 % (TV 3.8 %; TA 5.5 %) in 2014, whereas it was stable for sAVR patients (2012 2.8 %; 2014 2.6 %). The O/E ratio of TAVI patients decreased from 0.91 (TV 0.79; TA 1.2) to 0.73 (TV 0.69; TA 0.89), whereas this ratio remained constant for sAVR patients (2012 0.92; 2014 0.93). In summary, estimated surgical risk, in-hospital mortality, as well as the O/E ratio for patients undergoing TAVI declined constantly during the last 3 years.
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Base de dados:
MEDLINE
Assunto principal:
Estenose da Valva Aórtica
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Mortalidade Hospitalar
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Anuloplastia da Valva Cardíaca
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Substituição da Valva Aórtica Transcateter
Tipo de estudo:
Clinical_trials
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Prevalence_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Herz
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Alemanha