Aortic valve replacement –
TAVI and sAVR in comparison
04 May 2021
| The German Aortic Valve Registry already counts more than 18 000 implantations of aortic valves. However, long-term comparison of the procedures so far is only possible to a limited extent, mainly because TAVI patients are on average 12 years older than sAVR patients. | |
| In accordance with the selection criteria, 13 223 patients remained in the Of these, 4 157 underwent TAVI and 9 066 underwent sAVR in 2011 and 2012. The main endpoint of the evaluation was 5-year all-cause mortality.The in-hospital mortality of TAVI versus sAVR was 4.1% versus 3.7% (P=0.669). During 5-year follow-up, 763 deaths were reported (41.9%) among patients treated with TAVI compared with 552 compared with 552 (30.3%) deaths after sAVR. There were no significant differences in the endpoints of in-hospital stroke, myocardial infarction, or temporary or chronic need for dialysis. As already found in other studies, TAVI patients were much more likely to have an in-hospital stroke (13.7 %) than sAVR patients (4.4%) with pacemaker preoperatively. This group had a worse prognosis than TAVI patients without a pacemaker. The access – transfemoral or transapical – had no prognostic significance. |
|
| Author(s) | Source |
| Beyersdorf F, Bauer T, Freemantle N et al. | European Journal of Cardio-Thoracic Surgery, November 2021, https://doi.org/10.1093/ejcts/ezab216 |
| This is a post of a scientific or business information. The information given here is checked thoroughly by “Implant-Register”. However we can´t be responsible for the content. The content usually is shortened to make it understandable for many. Read the linked original text if you are interested. Contact the publisher, if you have questions. You may inform us about changes of the information to improve the Register. | |
| Comments: n/a let us know |
|
Find NEWS and PUBLICATIONS here according to your interests or use the search box.
