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The 2011-2012 pilot European Society of Cardiology Sentinel Registry of Transcatheter Aortic Valve Implantation: 12-month clinical outcomes
- Source :
- EuroIntervention. 12:79-87
- Publication Year :
- 2016
- Publisher :
- Europa Digital & Publishing, 2016.
-
Abstract
- AIMS Our aim was to assess one-year outcomes of patients enrolled in the pilot European Sentinel Registry of Transcatheter Aortic Valve Implantation (TAVI). METHODS AND RESULTS One-year outcomes of 4,571 patients (81.4±7.2 years, 2,291 [50.1%] male) receiving TAVI with the SAPIEN XT (57.3%) or CoreValve prosthesis at 137 European centres were analysed using Kaplan-Meier and Cox proportional hazards regression techniques. At one year, 3,341 patients were alive, 821 had died, and 409 were lost to follow-up. Of 2,125 patients who underwent functional assessment, 1,916 (90%) were in New York Heart Association (NYHA) Class I/II at one year, with functional improvement from baseline noted in 1,682 patients (88%). One-year survival based on 4,564 patients was estimated at 79.1%. Independent baseline predictors of mortality were increasing age and logistic EuroSCORE, the presence of NYHA III/IV, chronic obstructive pulmonary disease, and atrial fibrillation. Female gender was associated with a 4% survival benefit at one year. Vascular access routes other than transfemoral were associated with poorer survival. Procedural failure and major periprocedural complications had an adverse impact on survival. CONCLUSIONS Contemporary European experience attests to the effectiveness of routine TAVI in unselected elderly patients.
- Subjects :
- Male
Registrie
Aortic valve
Cardiac Catheterization
Aortic stenosi
Survival
medicine.medical_treatment
030204 cardiovascular system & hematology
Prosthesis
Transcatheter aortic valve implantation (TAVI)
Postoperative Complications
0302 clinical medicine
Risk Factors
80 and over
Registries
030212 general & internal medicine
Cardiac catheterization
Aged, 80 and over
Heart Valve Prosthesis Implantation
aortic stenosis
registry
survival
transcatheter aortic valve implantation (TAVI)
Aged
Aortic Valve
Aortic Valve Stenosis
Female
Follow-Up Studies
Heart Valve Prosthesis
Humans
Pilots
Treatment Outcome
Transcatheter Aortic Valve Replacement
Pilot
Atrial fibrillation
3. Good health
medicine.anatomical_structure
Aortic valve stenosis
Cardiology
Cardiology and Cardiovascular Medicine
Human
Registry
medicine.medical_specialty
Logistic euroscore
Transcatheter aortic
Vascular access
Follow-Up Studie
03 medical and health sciences
Internal medicine
medicine
business.industry
Risk Factor
medicine.disease
Aortic Valve Stenosi
Surgery
Heart Valve Prosthesi
Postoperative Complication
business
Subjects
Details
- ISSN :
- 1774024X
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- EuroIntervention
- Accession number :
- edsair.doi.dedup.....0d30644c7194970236c860cba5b33bd2