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

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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Article dans une revue
EuroIntervention , Toulouse : Société Europa édition, c2005-, 2012, epub ahead of print
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https://hal.univ-brest.fr/hal-00811697
Contributeur : François Guerrero <>
Soumis le : jeudi 11 avril 2013 - 00:46:44
Dernière modification le : jeudi 29 novembre 2018 - 16:08:52

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

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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 , Toulouse : Société Europa édition, c2005-, 2012, epub ahead of print. 〈hal-00811697〉

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