Transcatheter Aortic Valve Implantation vs. Surgical Aortic Valve Replacement for Severe Aortic Stenosis in Real-World Clinical Practice

被引：12

作者：

Takeji, Yasuaki ^{[1
]}

Taniguchi, Tomohiko ^{[2
]}

Morimoto, Takeshi ^{[4
]}

Saito, Naritatsu ^{[1
]}

Ando, Kenji ^{[2
]}

Shirai, Shinichi ^{[2
]}

Sakaguchi, Genichi ^{[3
]}

Arai, Yoshio ^{[3
]}

Fuku, Yasushi ^{[5
]}

Kawase, Yuichi ^{[5
]}

Komiya, Tatsuhiko ^{[6
]}

Ehara, Natsuhiko ^{[7
]}

Kitai, Takeshi ^{[7
]}

Koyama, Tadaaki ^{[8
]}

Watanabe, Shin ^{[1
]}

Watanabe, Hirotoshi ^{[1
]}

Shiomi, Hiroki ^{[1
]}

Minamino-Muta, Eri ^{[1
]}

Matsuda, Shintaro ^{[1
]}

Yaku, Hidenori ^{[1
]}

Yoshikawa, Yusuke ^{[1
]}

Yamazaki, Kazuhiro ^{[9
]}

Kawatou, Masahide ^{[9
]}

Sakamoto, Kazuhisa ^{[9
]}

Tamura, Toshihiro ^{[10
]}

Miyake, Makoto ^{[10
]}

Sakaguchi, Hisashi ^{[11
]}

Murata, Koichiro ^{[12
]}

Nakai, Masanao ^{[13
]}

Kanamori, Norio ^{[14
]}

Izumi, Chisato ^{[15
]}

Mitsuoka, Hirokazu ^{[16
]}

Kato, Masashi ^{[17
]}

Hirano, Yutaka ^{[18
]}

Inada, Tsukasa ^{[19
]}

Nagao, Kazuya ^{[19
]}

Mabuchi, Hiroshi ^{[20
]}

Takeuchi, Yasuyo ^{[21
]}

Yamane, Keiichiro ^{[22
]}

Tamura, Takashi ^{[23
]}

Toyofuku, Mamoru ^{[23
]}

Ishii, Mitsuru ^{[24
]}

Inoko, Moriaki ^{[25
]}

Ikeda, Tomoyuki ^{[26
]}

Ishii, Katsuhisa ^{[27
]}

Hotta, Kozo ^{[28
]}

Jinnai, Toshikazu ^{[29
]}

Higashitani, Nobuya ^{[29
]}

Kato, Yoshihiro ^{[30
]}

Inuzuka, Yasutaka ^{[31
]}

机构：

[1] Kyoto Univ, Grad Sch Med, Dept Cardiovasc Med, Kyoto, Japan

[2] Kokura Mem Hosp, Div Cardiol, Kitakyushu, Fukuoka, Japan

[3] Kokura Mem Hosp, Div Cardiovasc Surg, Kitakyushu, Fukuoka, Japan

[4] Hyogo Coll Med, Dept Clin Epidemiol, Nishinomiya, Hyogo, Japan

[5] Kurashiki Cent Hosp, Dept Cardiol, Kurashiki, Okayama, Japan

[6] Kurashiki Cent Hosp, Dept Cardiovasc Surg, Kurashiki, Okayama, Japan

[7] Kobe City Med Ctr Gen Hosp, Dept Cardiovasc Med, Kobe, Hyogo, Japan

[8] Kobe City Med Ctr Gen Hosp, Dept Cardiovasc Surg, Kobe, Hyogo, Japan

[9] Kyoto Univ, Grad Sch Med, Dept Cardiovasc Surg, Kyoto, Japan

[10] Tenri Hosp, Dept Cardiol, Tenri, Nara, Japan

[11] Tenri Hosp, Dept Cardiovasc Surg, Tenri, Nara, Japan

[12] Shizuoka City Shizuoka Hosp, Dept Cardiol, Shizuoka, Japan

[13] Shizuoka City Shizuoka Hosp, Dept Cardiovasc Surg, Shizuoka, Japan

[14] Shimada Municipal Hosp, Div Cardiol, Shimada, Japan

[15] Natl Cerebral & Cardiovasc Ctr, Dept Cardiovasc Med, Suita, Osaka, Japan

[16] Kindai Univ, Nara Hosp, Fac Med, Div Cardiol, Ikoma, Japan

[17] Mitsubishi Kyoto Hosp, Dept Cardiol, Kyoto, Japan

[18] Kindai Univ Hosp, Dept Cardiol, Osakasayama, Japan

[19] Osaka Red Cross Hosp, Dept Cardiovasc Ctr, Osaka, Japan

[20] Koto Mem Hosp, Dept Cardiol, Higashiomi, Japan

[21] Shizuoka Prefectural Gen Hosp, Dept Cardiol, Shizuoka, Japan

[22] Nishikobe Med Ctr, Dept Cardiol, Kobe, Hyogo, Japan

[23] Japanese Red Cross Wakayama Med Ctr, Dept Cardiol, Wakayama, Japan

[24] Natl Hosp Org Kyoto Med Ctr, Dept Cardiol, Kyoto, Japan

[25] Kitano Hosp, Cardiovasc Ctr, Tazuke Kofukai Med Res Inst, Osaka, Japan

[26] Hikone Municipal Hosp, Dept Cardiol, Hikone, Japan

[27] Kansai Elect Power Hosp, Dept Cardiol, Osaka, Japan

[28] Hyogo Prefectural Amagasaki Gen Med Ctr, Dept Cardiol, Amagasaki, Hyogo, Japan

[29] Japanese Red Cross Otsu Hosp, Dept Cardiol, Otsu, Shiga, Japan

[30] Saiseikai Noe Hosp, Dept Cardiol, Osaka, Japan

[31] Shiga Med Ctr Adults, Dept Cardiol, Moriyama, Japan

[32] Hirakata Kohsai Hosp, Dept Cardiol, Hirakata, Osaka, Japan

来源：

CIRCULATION JOURNAL | 2020年 / 84卷 / 05期

关键词：

Aortic stenosis; Surgical aortic valve replacement; Transcatheter aortic valve implantation; HIGH-RISK PATIENTS; 2-YEAR OUTCOMES; SURGERY; SURVIVAL; SOCIETY; LESS;

D O I：

10.1253/circj.CJ-19-0951

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: There are no data comparing transcatheter aortic valve implantation (TAVI) with surgical aortic valve replacement (SAVR) outcomes in real clinical practice in Japan. Methods and Results: We combined 2 independent registries, the K-TAVI Registry (a 6-center prospective registry of consecutive patients who underwent TAVI) and the CURRENT AS Registry (a large, 27-center registry of 3,815 consecutive patients with severe aortic stenosis [AS]). In the K-TAVI Registry, 338 patients underwent TAVI with SAPIEN XT balloon-expandable valves from October 2013 to January 2016, whereas in the CURRENT AS Registry 237 patients with severe AS underwent SAVR from January 2003 to December 2011. Propensity score matching was conducted, with final cohort comprising 306 patients. The cumulative 2-year incidence of all-cause death and heart failure (HF) hospitalization did not differ significantly between the TAVI and SAVR groups (13.7% vs. 12.4% [P=0.81] and 7.9% vs 3.9% [P=0.13], respectively). After adjusting for residual confounders, there were no significant differences between the TAVI and SAVR groups in the risk for all-cause death (hazard ratio [HR] 0.74; 95% confidence interval [CI] 0.35-1.58; P=0.43) or HF hospitalization (HR 1.27; 95% CI 0.40-4.59; P=0.69). Conclusions: These findings from 2 independent Japanese registries suggest that the 2-year risk of all-cause mortality and HF does not differ significantly between TAVI and SAVR groups in real-world practice in Japan.

引用

页码：806 / +

页数：32

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