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The 2011-12 pilot European Sentinel Registry of Transcatheter Aortic Valve Implantation: in-hospital results in 4,571 patients.

Carlo Di Mario Helene Eltchaninoff Neil Moat Javier Goicolea Gian E2 80 Afpaolo Ussia Petr Kala Peter Wenaweser Marian Zembala Georg Nickenig Eduardo Alegria Barrero Thomas Snow Bernard Iung 1 Pepe Zamorano Gerhard Schuler Roberto Corti Ottavio Alfieri Bernard Prendergast Peter Ludman Stephan Windecker Manel Sabate Martine Gilard 2 Adam Witowski Haim Danenberg Erwin Schroeder Francesco Romeo 3 Carlos Macaya Genevieve Derumeaux 4 Aldo Maggioni Luigi Tavazzi
1 Service de cardiologie
2 ORPHY (EA 4324) - Optimisation des régulations physiologiques
3 DISG - Dipartimento di Ingegneria Strutturale e Geotecnica
4 Service de Cardiologie
Abstract : Aims: The aim of this prospective multinational registry is to assess and identify predictors of in-hospital outcome and complications of contemporary TAVI practice. Methods and results: The Transcatheter Valve Treatment Sentinel Pilot Registry is a prospective independent consecutive collection of individual patient data entered into a web-based case record form (CRF) or transferred from compatible national registries. A total of 4,571 patients underwent TAVI between January 2011 and May 2012 in 137 centres of 10 European countries. Average age was 81.4±7.1 years with equal representation of the two sexes. Logistic EuroSCORE (20.2±13.3), access site (femoral approach: 74.2%), type of anaesthesia and duration of hospital stay (9.3±8.1 days) showed wide variations among the participating countries. In-hospital mortality (7.4%), stroke (1.8%), myocardial infarction (0.9%), major vascular complications (3.1%) were similar in the SAPIEN XT and CoreValve (p=0.15). Mortality was lower in transfemoral (5.9%) than in transapical (12.8%) and other access routes (9.7%; p<0.01). Advanced age, high logistic EuroSCORE, pre-procedural ≥grade2 mitral regurgitation and deployment failure predicted higher mortality at multivariate analysis. Conclusions: Increased operator experience and the refinement of valve types and delivery catheters may explain the lower rate of mortality, stroke and vascular complications than in historical studies and registries.
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Journal articles
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https://hal.univ-brest.fr/hal-00811697
Contributor : François Guerrero <>
Submitted on : Thursday, April 11, 2013 - 12:46:44 AM
Last modification on : Sunday, October 25, 2020 - 7:04:25 AM

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  • HAL Id : hal-00811697, version 1
  • PUBMED : 23256965

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UNIV-PARIS7 | UNIV-BREST | UPEC-UPEM | USPC | ORPHY | IBSAM | UPEC | UNIV-PARIS | POLITIQUES-PUBLIQUES

Citation

Carlo Di Mario, Helene Eltchaninoff, Neil Moat, Javier Goicolea, Gian E2 80 Afpaolo Ussia, et al.. The 2011-12 pilot European Sentinel Registry of Transcatheter Aortic Valve Implantation: in-hospital results in 4,571 patients.. EuroIntervention , EuroPCR, 2012, epub ahead of print. ⟨hal-00811697⟩

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