Transcatheter Versus Rapid-Deployment Aortic Valve Replacement: A Propensity-Matched Analysis From the German Aortic Valve Registry.

JACC. Cardiovascular Interventions
Mohamed Abdel-WahabGARY Executive Board

Abstract

This study sought to compare patient characteristics, procedural outcomes, and valve hemodynamics of surgical aortic valve replacement (SAVR) with current-generation rapid-deployment valves (RDVs) versus transcatheter aortic valve replacement (TAVR) with current-generation transcatheter heart valves (THVs). The patient population currently treated with RDVs may have potential similarities with the current TAVR population, but comparative studies in a large patient population remain scarce. A total of 16,473 patients who underwent isolated SAVR using current-generation RDVs or isolated transfemoral TAVR with current-generation THVs between 2011 and 2017 were enrolled into the German Aortic Valve Registry. Baseline, procedural, and in-hospital outcome parameters were analyzed for RDVs and THVs before and after 1:1 propensity score matching. Furthermore, RDVs and THVs with similar design characteristics were compared with each other. A total of 1,743 patients received SAVR with an RDV, whereas 14,730 patients were treated with transfemoral TAVR. Patients treated with TAVR were significantly older and had higher surgical risk scores. Following valve replacement, patients treated with an RDV had a significantly higher rate of disabl...Continue Reading

References

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Citations

Aug 28, 2021·Journal of Clinical Medicine·Stefano Rosato On Behalf Of The Observant Ii Research Group
Oct 6, 2021·Circulation. Cardiovascular Interventions·Victoria VilaltaJosep Rodés-Cabau
Nov 21, 2020·JACC. Cardiovascular Interventions·Ron Waksman, Giorgio A Medranda

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