Short and long-term clinical impact of transcatheter aortic valve implantation in Portugal according to different access routes: Data from the Portuguese National Registry of TAVI

Autor: Cláudio Guerreiro, Pedro Carrilho Ferreira, Rui Campante Teles, Pedro Braga, Pedro Canas da Silva, Lino Patrício, João Carlos Silva, José Baptista, Manuel de Sousa Almeida, Vasco Gama Ribeiro, Bruno Silva, João Brito, Eduardo Infante Oliveira, Duarte Cacela, Sérgio Madeira, João Silveira
Jazyk: English<br />Portuguese
Rok vydání: 2020
Předmět:
Zdroj: Revista Portuguesa de Cardiologia, Vol 39, Iss 12, Pp 705-717 (2020)
Druh dokumentu: article
ISSN: 0870-2551
DOI: 10.1016/j.repc.2020.02.014
Popis: Introduction: The Portuguese National Registry of Transcatheter Aortic Valve Implantation records prospectively the characteristics and outcomes of transcatheter aortic valve implantation (TAVI) procedures in Portugal. Objectives: To assess the 30-day and one-year outcomes of TAVI procedures in Portugal. Methods: We compared TAVI results according to the principal access used (transfemoral (TF) vs. non-transfemoral (non-TF)). Cumulative survival curves according to access route, other procedural and clinical variables were obtained. The Valve Academic Research Consortium-2 (VARC-2) composite endpoint of early (30-days) safety was assessed. VARC-2 predictors of 30-days and 1-year all-cause mortality were identified. Results: Between January 2007 and December 2018, 2346 consecutive patients underwent TAVI (2242 native, 104 valve-in-valve; mean age 81±7 years, 53.2% female, EuroSCORE-II - EuroS-II, 4.3%). Device success was 90.1% and numerically lower for non-TF (87.0%). Thirty-day all-cause mortality was 4.8%, with the TF route rendering a lower mortality rate (4.3% vs. 10.1%, p=0.001) and higher safety endpoint (86.4% vs. 72.6%, p5% (p5% (p
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