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Annual Outcomes With Transcatheter Valve Therapy: From the STS/ACC TVT Registry.

Publication ,  Journal Article
Holmes, DR; Nishimura, RA; Grover, FL; Brindis, RG; Carroll, JD; Edwards, FH; Peterson, ED; Rumsfeld, JS; Shahian, DM; Thourani, VH; Tuzcu, EM ...
Published in: Ann Thorac Surg
February 2016

BACKGROUND: The Society of Thoracic Surgeons (STS)/American College of Cardiology (ACC) Transcatheter Valve Therapy (TVT) Registry has been a joint initiative of the STS and the ACC in concert with multiple stakeholders. The TVT Registry has important information regarding patient selection, delivery of care, science, education, and research in the field of structural valvular heart disease. OBJECTIVES: This report provides an overview on current U.S. TVT practice and trends. The emphasis is on demographics, in-hospital procedural characteristics, and outcomes of patients having transcatheter aortic valve replacement (TAVR) performed at 348 U.S. centers. METHODS: The TVT Registry captured 26,414 TAVR procedures as of December 31, 2014. Temporal trends between 2012 and 2013 versus 2014 were compared. RESULTS: Comparison of the 2 time periods reveals that TAVR patients remain elderly (mean age 82 years), with multiple comorbidities, reflected by a high mean STS predicted risk of mortality (STS PROM) for surgical valve replacement (8.34%), were highly symptomatic (New York Heart Association functional class III/IV in 82.5%), frail (slow 5-m walk test in 81.6%), and have poor self-reported health status (median baseline Kansas City Cardiomyopathy Questionnaire score of 39.1). Procedure performance is changing, with an increased use of moderate sedation (from 1.6% to 5.1%) and increase in femoral access using percutaneous techniques (66.8% in 2014). Vascular complication rates are decreasing (from 5.6% to 4.2%), whereas site-reported stroke rates remain stable at 2.2%. CONCLUSIONS: The TVT Registry provides important information on characteristics and outcomes of TAVR in contemporary U.S. clinical practice. It can be used to identify trends in practice and opportunities for quality improvement.

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Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

February 2016

Volume

101

Issue

2

Start / End Page

789 / 800

Location

Netherlands

Related Subject Headings

  • United States
  • Transcatheter Aortic Valve Replacement
  • Societies, Medical
  • Respiratory System
  • Registries
  • Outcome Assessment, Health Care
  • Male
  • Humans
  • Heart Valve Prosthesis Implantation
  • Female
 

Citation

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Holmes, D. R., Nishimura, R. A., Grover, F. L., Brindis, R. G., Carroll, J. D., Edwards, F. H., … STS/ACC TVT Registry, . (2016). Annual Outcomes With Transcatheter Valve Therapy: From the STS/ACC TVT Registry. Ann Thorac Surg, 101(2), 789–800. https://doi.org/10.1016/j.athoracsur.2015.10.049
Holmes, David R., Rick A. Nishimura, Frederick L. Grover, Ralph G. Brindis, John D. Carroll, Fred H. Edwards, Eric D. Peterson, et al. “Annual Outcomes With Transcatheter Valve Therapy: From the STS/ACC TVT Registry.Ann Thorac Surg 101, no. 2 (February 2016): 789–800. https://doi.org/10.1016/j.athoracsur.2015.10.049.
Holmes DR, Nishimura RA, Grover FL, Brindis RG, Carroll JD, Edwards FH, et al. Annual Outcomes With Transcatheter Valve Therapy: From the STS/ACC TVT Registry. Ann Thorac Surg. 2016 Feb;101(2):789–800.
Holmes, David R., et al. “Annual Outcomes With Transcatheter Valve Therapy: From the STS/ACC TVT Registry.Ann Thorac Surg, vol. 101, no. 2, Feb. 2016, pp. 789–800. Pubmed, doi:10.1016/j.athoracsur.2015.10.049.
Holmes DR, Nishimura RA, Grover FL, Brindis RG, Carroll JD, Edwards FH, Peterson ED, Rumsfeld JS, Shahian DM, Thourani VH, Tuzcu EM, Vemulapalli S, Hewitt K, Michaels J, Fitzgerald S, Mack MJ, STS/ACC TVT Registry. Annual Outcomes With Transcatheter Valve Therapy: From the STS/ACC TVT Registry. Ann Thorac Surg. 2016 Feb;101(2):789–800.
Journal cover image

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

February 2016

Volume

101

Issue

2

Start / End Page

789 / 800

Location

Netherlands

Related Subject Headings

  • United States
  • Transcatheter Aortic Valve Replacement
  • Societies, Medical
  • Respiratory System
  • Registries
  • Outcome Assessment, Health Care
  • Male
  • Humans
  • Heart Valve Prosthesis Implantation
  • Female