Time trend in transcatheter aortic valve implantation: an analysis of the Spanish TAVI registry

被引：5

作者：

Jimenez-Quevedo, Pilar ^{[1
]}

Munoz-Garcia, Antonio ^{[2
]}

Trillo-Nouche, Ramiro ^{[3
]}

del Valle, Raquel ^{[4
]}

de la Torre Hernandez, Jose Maria ^{[5
]}

Salido, Luisa ^{[6
]}

Gutierrez, Enrique ^{[7
]}

Pan, Manuel ^{[8
]}

Sanchez-Gila, Joaquin ^{[9
]}

Garcia del Blanco, Bruno ^{[10
]}

Moreno, Raul ^{[11
]}

Blanco Mata, Roberto ^{[12
]}

Francisco Oteo, Juan ^{[13
]}

Amat-Santos, Ignacio ^{[14
]}

Regueiro, Ander ^{[15
]}

Ten, Francisco ^{[16
]}

Manuel Nogales, Juan ^{[17
]}

Fernandez-Nofrerias, Eduard ^{[18
]}

Andraka, Leire ^{[19
]}

Cruz Ferrer, Maria ^{[20
]}

Pinar, Eduardo ^{[21
]}

Romaguera, Rafael ^{[22
]}

Cuellas Ramon, Carlos ^{[23
]}

Alfonso, Fernando ^{[24
]}

Garcia-Blas, Sergio ^{[25
]}

Pinero, Antonio ^{[26
]}

Ignasi, Julia ^{[27
]}

Diaz Mendez, Rocio ^{[28
]}

Bordes, Pascual ^{[29
]}

Meseguer, Juan ^{[29
]}

Nombela-Franco, Luis ^{[1
]}

机构：

[1] Hosp Clin San Carlos, Inst Invest Sanitaria San Carlos IdISSC, Serv Cardiol, Madrid, Spain

[2] Hosp Univ Virgen de la Victoria, Serv Cardiol, Malaga, Spain

[3] Complejo Hosp Univ Santiago de Compostela, Serv Cardiol, Santiago De Compostela, A Coruna, Spain

[4] Hosp Cent Asturias, Serv Cardiol, Oviedo, Asturias, Spain

[5] Hosp Univ Marques de Valdecilla, Serv Cardiol, IDIVAL, Santander, Cantabria, Spain

[6] Hosp Ramon & Cajal, Serv Cardiol, Madrid, Spain

[7] Univ Carlos III, Hosp Gregorio Maranon, Serv Cardiol, CIBERCV, Madrid, Spain

[8] Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed Cordoba IMIBIC, Serv Cardiol, Cordoba, Spain

[9] Hosp Univ Virgen de las Nieves, Serv Cardiol, Granada, Spain

[10] Hosp Univ Vall dHebron, Serv Cardiol, Barcelona, Spain

[11] Hosp Univ La Paz, Serv Cardiol, Madrid, Spain

[12] Hosp Gen Univ Valencia, Serv Cardiol, Valencia, Spain

[13] Hosp Puerta de Hierro, Serv Cardiol, Madrid, Spain

[14] Hosp Clin Univ Valladolid, Serv Cardiol, Valladolid, Spain

[15] Hosp Clin Barcelona, Serv Cardiol, Barcelona, Spain

[16] Hosp Univ & Politecn La Fe, Serv Cardiol, Valencia, Spain

[17] Hosp Univ Badajoz, Serv Cardiol, Badajoz, Spain

[18] Hosp Germans Trias i Pujol, Serv Cardiol, Barcelona, Spain

[19] Hosp Univ Basurto, Serv Cardiol, Bilbao, Bizkaia, Spain

[20] Hosp Univ Miguel Servet, Serv Cardiol, Zaragoza, Spain

[21] Hosp Clin Univ Virgen de la Arrixaca, Serv Cardiol, Murcia, Spain

[22] Hosp Univ Bellvitge, Serv Cardiol, Barcelona, Spain

[23] Hosp Univ Leon, Serv Cardiol, Leon, Spain

[24] Hosp Univ La Princesa, Serv Cardiol, Madrid, Spain

[25] Hosp Clin Univ Valencia, Serv Cardiol, Valencia, Spain

[26] Hosp Univ Fdn Jimenez Diaz, Serv Cardiol, Madrid, Spain

[27] Hosp Germans Trias i Pujol, Serv Cirug Cardiaca, Barcelona, Spain

[28] Hosp Cent Asturias, Serv Cirug Cardiaca, Oviedo, Asturias, Spain

[29] Hosp Gen Univ Alicante, Serv Cardiol & Cirug Cardiaca, Alicante, Spain

来源：

REC-INTERVENTIONAL CARDIOLOGY | 2020年 / 2卷 / 02期

关键词：

Transcatheter Treatment of the Aortic Valve; Records; Severe Aortic Stenosis;

D O I：

10.24875/RECICE.M20000104

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction and objectives: This study primary endpoint was to present the in-hospital all-cause mortality of the Spanish TAVI registry from its inception until 2018. Secondary endpoints included other in-hospital clinical events, 30-day all-cause mortality, and an assessment of the time trend of this registry. Methods: All consecutive patients included in the Spanish TAVI registry were analyzed. In this time-based analysis, the population was been divided into patients treated before 2014 (cohort A: 2009-2013) and patients treated between 2014 and 2018 (cohort B). Results: From August 2007 to June 2018, 7180 patients were included. The mean age was 81.2 +/- 6.5 years and 53% were women. The logistic EuroSCORE was 12% (8-20). Transfemoral access was used in 89%. In-hospital and 30-day all-cause mortality was 4.7% and 5.7%, respectively. On the time-based analyses during the hospital stay, the rate of myocardial infarction, stroke, need for pacemakers, tamponade, coronary obstruction, and vascular complications was similar between both groups. However, cohort B showed less need for conversion to surgery and malapposition of the valve. Also, the implant success rate increased from 93% to 96% (P <.001). In-hospital and 30-day all-cause mortality was significantly lower in cohort B, ([OR, 0.65; IC95%, 0.48-0.86; P =.003] and [OR, 0.71; IC95%, 0.54-0.92; P =.002], respectively). Conclusions: The time trend analysis of the Spanish TAVI registry showed a change in the patients' clinical profile and an improvement in the in-hospital clinical outcomes and 30-day all-cause mortality in patients treated more recently.

引用

页码：98 / 105

页数：8

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