Transapical Versus Transfemoral Aortic Valve Implantation: A Multicenter Collaborative Study

Boon, Robert M.A. van der; Marcheix, Bertrand; Tchétché, Didier; Chieffo, Alaide; Mieghem, Nicolás M. Van; Dumonteil, Nicolas; Vahdat, Olivier; Maisano, Francesco; Serruys, Patrick W.; Kappetein, Arie Pieter; Fajadet, Jean; Colombo, Antonio; Carrié, Didier; Domburg, Ron T. van; Jaegere, Peter P.T. de

doi:10.1016/j.athoracsur.2013.09.088

Cited by 64 publications

(60 citation statements)

References 29 publications

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“…This finding is contrary to that reported in other studies . However, most of the case series are inclusive of the reporting‐center's entire experience . This is an important point because the learning curves of the two techniques may be different.…”

Section: Resultscontrasting

confidence: 79%

Beyond the Learning Curve: Transapical Versus Transfemoral Transcatheter Aortic Valve Replacement in the Treatment of Severe Aortic Valve Stenosis

et al. 2014

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Section: Resultscontrasting

confidence: 79%

Beyond the Learning Curve: Transapical Versus Transfemoral Transcatheter Aortic Valve Replacement in the Treatment of Severe Aortic Valve Stenosis

et al. 2014

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“…CHB, Complete heart block; TAVR, transcatheter aortic valve replacement many studies have compared transapical and endovascular approach and the risk of PPM. 10,23,[26][27][28] Most of them showed no statistically significant difference in the need for PPM based on approach. However, parallel to our findings, the study by Fadahunsi et al 23 which included over 9,000 TAVR procedures, showed higher PPM use with endovascular compared to transapical approach.…”

Section: Discussionmentioning

confidence: 96%

Trends in complete heart block after transcatheter aortic valve replacement: A population based analysis

Al‐Ogaili

Fugar

Okoh

et al. 2019

Cathet Cardio Intervent

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Objectives To define the national rate of complete heart block (CHB) after transcatheter aortic valve replacement (TAVR) and its impact on procedural mortality, overall cost, and length of hospital stay. Background CHB leading to permanent pacemaker (PPM) implantation is one of the most common complications post TAVR. National data on the temporal trend of CHB post TAVR are lacking. Methods We queried the 2012–2014 National Inpatient Sample databases to identify all patients who underwent TAVR. Patients with preoperative pacemakers or implantable cardioverter‐defibrillators were excluded. Association between CHB and outcomes, and overall trends in rate of CHB, PPM implantation, and inpatient mortality were examined. Results Of 35,500 TAVR procedures, 3,675 (10.4%) had CHB. Overall, occurrence of CHB significantly increased from 8.4% in 2012 to 11.8% in 2014 (adjusted OR per year: 1.23; 95% confidence interval [CI]: 1.17–1.29, P trend <0.001). During the same period, PPM implantation increased from 9.5 to 13.7% (adjusted OR per year: 1.22; 95% CI: 1.16–1.28, P trend <0.001). Patients with CHB had higher odds of in‐hospital mortality when compared to patients without CHB (5.9% vs. 4.2%, adjusted OR: 1.32; 95% CI: 1.12–1.56; p = 0.001). Moreover, CHB was also associated with longer length of stay (LOS) and higher hospitalization cost. Conclusions There was a significant increase in rates of CHB and PPM implantation over the study period. Development of CHB was associated with increased in‐hospital mortality, LOS, and hospitalization cost.

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“…26 These studies underscore the principal difficulty of studying the effect of PAD on TAVR outcomes – PAD is strongly correlated with non-TF access for TAVR, which has a strong association, across multiple studies, with inferior outcomes. 22, 27, 28 …”

Section: Discussionmentioning

confidence: 99%

Peripheral Artery Disease and Transcatheter Aortic Valve Replacement Outcomes

Wang

Manandhar

Holmes

et al. 2017

Circ: Cardiovascular Interventions

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Background Peripheral artery disease (PAD) is associated with increased cardiovascular mortality, and PAD risk factors overlap with those for aortic stenosis (AS). The prevalence of and outcomes associated with PAD in a population undergoing transcatheter aortic valve replacement (TAVR) is unknown. Methods and Results Using the STS/TVT Registry linked to Medicare claims data, we identified patients ≥ 65 years old undergoing TAVR from 2011-2015. We calculated hazard ratios (HR) for 1-year adverse outcomes, including mortality, readmission, and bleeding, for patients with PAD compared with those without, adjusting for baseline characteristics and post-procedure medications. Analyses were performed separately by access site (transfemoral [TF] and non-TF). Of 19,660 patients undergoing TF TAVR, 4,810 (24.5%) had PAD; 3,730 (47.9%) of 7,780 patients undergoing non-TF TAVR had PAD. In both groups, patients with PAD were significantly more likely to have coronary and carotid artery disease. At 1-year follow-up, patients with PAD undergoing TAVR via TF access had a higher incidence of death (16.8 vs. 14.4%; adjusted HR 1.14, p = 0.01), readmission (45.5 vs, 42.1%; HR 1.11, p < 0.001), and bleeding (23.1 vs. 19.7%; HR 1.18, p < 0.001) compared with patients without PAD. Patients with PAD undergoing TAVR via non-TF access did not have significantly higher rates of 1-year mortality or readmission compared with patients without PAD. Conclusions PAD is common among patients undergoing commercial TAVR via TF and non-TF access. Among patients undergoing TF TAVR, PAD is associated with a higher incidence of 1-year adverse outcomes compared with absence of PAD.

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Transapical Versus Transfemoral Aortic Valve Implantation: A Multicenter Collaborative Study

Cited by 64 publications

References 29 publications

Beyond the Learning Curve: Transapical Versus Transfemoral Transcatheter Aortic Valve Replacement in the Treatment of Severe Aortic Valve Stenosis

Beyond the Learning Curve: Transapical Versus Transfemoral Transcatheter Aortic Valve Replacement in the Treatment of Severe Aortic Valve Stenosis

Trends in complete heart block after transcatheter aortic valve replacement: A population based analysis

Peripheral Artery Disease and Transcatheter Aortic Valve Replacement Outcomes

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