The 2011-12 pilot European Sentinel Registry of Transcatheter Aortic Valve Implantation: in-hospital results in 4,571 patients. - Université de Bretagne Occidentale Access content directly
Journal Articles EuroIntervention Year : 2012

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

Carlo Di Mario
  • Function : Author
Helene Eltchaninoff
  • Function : Author
Neil Moat
  • Function : Author
Javier Goicolea
  • Function : Author
Gian E2 80 Afpaolo Ussia
  • Function : Author
Petr Kala
  • Function : Author
Peter Wenaweser
  • Function : Author
Marian Zembala
  • Function : Author
Georg Nickenig
  • Function : Author
Eduardo Alegria Barrero
  • Function : Author
Thomas Snow
  • Function : Author
Bernard Iung
Pepe Zamorano
  • Function : Author
Gerhard Schuler
  • Function : Author
Roberto Corti
  • Function : Author
Ottavio Alfieri
  • Function : Author
Bernard Prendergast
Peter Ludman
  • Function : Author
Stephan Windecker
Manel Sabate
  • Function : Author
Adam Witowski
  • Function : Author
Haim Danenberg
  • Function : Author
Erwin Schroeder
  • Function : Author
Carlos Macaya
  • Function : Author
Aldo Maggioni
Luigi Tavazzi
  • Function : Author

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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Dates and versions

hal-00811697 , version 1 (11-04-2013)

Identifiers

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

Cite

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 , 2012, epub ahead of print. ⟨hal-00811697⟩
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