Trends in Aortic Valve Replacement Procedures Between 2009 and 2015: Has Transcatheter Aortic Valve Replacement Made a Difference?

Culler, Steven D.; Cohen, David J.; Brown, Phillip P.; Kugelmass, Aaron D.; Reynolds, Matthew R.; Ambrose, Karen; Schlosser, Michael L.; Simon, April W.; Katz, Marc

doi:10.1016/j.athoracsur.2017.10.057

Cited by 72 publications

(68 citation statements)

References 14 publications

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“…In the past 15 years, there has been a substantial increase in the number of heart valve surgeries in Spain. This increase is in line with the trend observed in other European countries and in the United States [3,6,10,11] . A retrospective study found that the number of procedures increased from 47.5 to 88.9 per 100,000 Medicare beneficiaries between 2009 and 2015 [11] .…”

Section: Discussionsupporting

confidence: 91%

National Trends in Utilization and In-Hospital Outcomes of Surgical Aortic Valve Replacements in Spain, 2001-2015

Jiménez‐García¹,

Pérez-Farinós²,

Miguel-Díez³

et al. 2020

Braz J Cardiovasc Surg

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Objective: The aims of this study were to examine the incidence and in-hospital outcomes of surgical aortic valve replacement (SAVR) and to identify factors associated with in-hospital mortality (IHM) among patients according to the type of implanted valve used in SAVR. Methods: We performed a retrospective study using the Spanish National Hospital Discharge Database, 2001-2015. We included patients who had SAVR listed as a procedure in their discharge report. Results: We identified 86,578 patients who underwent SAVR (52.78% mechanical and 47.22% bioprosthetic). Incidence of SAVR coding increased significantly from 11.95 cases per 100,000 inhabitants in 2001 to 17.92 in 2015 (P<0.001). Age and comorbidities increased over time (P<0.001). There was a significant increase in the frequency of concomitant coronary artery bypass grafting (CABG) and in the use of pacemaker implantation. The use of mechanical SAVR decreased and the use of bioprosthetic valves increased over time. IHM decreased over time (from 8.13% in 2001-05 to 5.39% in 2011-15). Patients who underwent mechanical SAVR had higher IHM than those who underwent bioprosthetic SAVR (7.44% vs. 6%; P<0.05). Higher IHM rates were associated with advanced age, female sex, comorbidities, concomitant CABG, and the use of mechanical SAVR (OR 1.67; 95% CI 1.57-1.77). Conclusion: The number of SAVRs performed in Spain has increased since 2001. The use of mechanical SAVR has decreased and the use of bioprosthetic valves has increased over time. IHM has decreased over time for both types of valves and despite a concomitant increase in age and comorbidities of patients during the same period.

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Section: Discussionsupporting

confidence: 91%

National Trends in Utilization and In-Hospital Outcomes of Surgical Aortic Valve Replacements in Spain, 2001-2015

Jiménez‐García¹,

Pérez-Farinós²,

Miguel-Díez³

et al. 2020

Braz J Cardiovasc Surg

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show abstract

“…7 In the United States, the volume of TAVR more than doubled in the Medicare population between 2009 and 2015, from 27.5 to 88.9 per 100 000 Medicare beneficiaries. 8 Currently, TAVR is performed almost as frequently as surgical aortic valve replacement and more often in the elderly patient. Other applications of TAVR, such as valve-in valve placement for degenerated bioprosthetic valves, have been approved in the United States and have become the treatment of choice.…”

mentioning

confidence: 99%

Circulation: Cardiovascular Interventions

Faxon

Leopold

Abbott

et al. 2018

Circ: Cardiovascular Interventions

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“…5 Collective thought processes affecting valve therapy have further evolved such that percutaneous approaches are often preferred over surgery, especially for patients with an aortic valve and high-to intermediate-risk profiles. 6 Enthusiasm for transcatheter AVR has increased despite limited understanding of the ultimate efficacy, durability, or, for that matter, safety of percutaneous valve options over the long term.…”

Section: Kicking the Can Down The Road-for 42 Years! To The Editormentioning

confidence: 99%

“…5 Similar trends have been observed at our institution. both for patients aged less than 60 years (with an increase from 20% to more than 60%) 6 and for those aged less than 50 years (with an increase from 16% to 47%). 4 We therefore expect this trend to continue further in the years ahead.…”

Section: Kicking the Can Down The Road-for 42 Years! To The Editormentioning

confidence: 99%

Kicking the can down the road—For 42 years!

Atkins

Glower

Wolfe

2019

The Journal of Thoracic and Cardiovascular Surgery

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Trends in Aortic Valve Replacement Procedures Between 2009 and 2015: Has Transcatheter Aortic Valve Replacement Made a Difference?

Cited by 72 publications

References 14 publications

National Trends in Utilization and In-Hospital Outcomes of Surgical Aortic Valve Replacements in Spain, 2001-2015

National Trends in Utilization and In-Hospital Outcomes of Surgical Aortic Valve Replacements in Spain, 2001-2015

Circulation: Cardiovascular Interventions

Kicking the can down the road—For 42 years!

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