STS-ACC TVT Registry of Transcatheter Aortic Valve Replacement

被引：98

作者：

Carroll, John D.

Mack, Michael J.

Vemulapalli, Sreekanth

Herrmann, Howard C.

Gleason, Thomas G.

Hanzel, George

Deeb, G. Michael

Thourani, Vinod H.

Cohen, David J.

Desai, Nimesh

Kirtane, Ajay J.

Fitzgerald, Susan

Michaels, Joan

Krohn, Carole

Masoudi, Frederick A.

Brindis, Ralph G.

Bavaria, Joseph E.

机构：

[1] Univ Colorado, Div Cardiol, Dept Med, Sch Med, Aurora, CO 80045 USA

[2] Baylor Scott & White Hlth Heart Hosp Plano, Plano, TX USA

[3] Duke Univ Hlth Care Syst, Duke Clin Res Inst, Durham, NC USA

[4] Duke Univ Hlth Care Syst, Div Cardiol, Dept Med, Durham, NC USA

[5] Univ Penn, Cardiovasc Div, Dept Med, Perelman Sch Med, Philadelphia, PA USA

[6] Brigham & Womens Hosp, Div Cardiac Surg, Boston, MA USA

[7] Harvard Med Sch, Boston, MA 02115 USA

[8] Beaumont Hosp, Dept Cardiovasc Med, Royal Oak, MI USA

[9] Univ Michigan, Dept Cardiac Surg, Ann Arbor, MI USA

[10] Piedmont Hosp, Dept Surg, Atlanta, GA USA

[11] Univ Missouri, Kansas City Sch Med, Kansas City, MO USA

[12] Univ Penn, Div Cardiovasc Surg, Philadelphia, PA USA

[13] Columbia Univ, Cardiovasc Res Fdn, New York, NY USA

[14] Columbia Univ, Dept Med, New York, NY USA

[15] Amer Coll Cardiol, Washington, DC USA

[16] Soc Thorac Surg, Chicago, IL USA

[17] Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA USA

来源：

ANNALS OF THORACIC SURGERY | 2021年 / 111卷 / 02期

基金：

美国国家卫生研究院;

关键词：

SURGERY; THERAPY;

D O I：

10.1016/j.athoracsur.2020.09.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The STS-ACC TVT Registry (Society of Thoracic Surgeons-American College of Cardiology Transcatheter Valve Therapy Registry) from 2011 to 2019 has collected data on 276,316 patients undergoing transcatheter aortic valve replacement (TAVR) at sites in all U.S. states. Volumes have increased every year, exceeding surgical aortic valve replacement in 2019 (72,991 vs. 57,626), and it is now performed in all U.S. states. TAVR now extends from extreme- to low-risk patients. This is the first presentation on 8,395 low-risk patients treated in 2019. In 2019, for the entire cohort, femoral access increased to 95.3%, hospital stay was 2 days, and 90.3% were discharged home. Since 2011, the 30-day mortality rate has decreased (7.2% to 2.5%), stroke has started to decrease (2.75% to 2.3%), but pacemaker need is unchanged (10.9% to 10.8%). Alive with acceptable patient-reported outcomes is achieved in 8 of 10 patients at 1 year. The Registry is a national resource to improve care and analyze TAVR's evolution. Real-world outcomes, site performance, and the impact of coronavirus disease 2019 will be subsequently studied. (C) 2021 by The Society of Thoracic Surgeons and the American College of Cardiology Foundation

引用

页码：701 / 722

页数：22

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