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Recent publication of the PARTNER randomized trial findings (JW Cardiol Sep 22 2010) led to FDA approval of transcatheter aortic-valve replacement (TAVR) in the U.S. To monitor how TAVR is used in clinical practice, investigators in France established an industry-funded national registry among 34 authorized centers and now report on 3195 patients (mean age, 83; 49% women) who underwent TAVR between January 2010 and October 2011. Median follow-up was 114 days and 99.8% complete.
All patients were high-risk, with a mean Society of Thoracic Surgeons 30-day mortality estimate of 14.4%. Most (75%) procedures were performed in cardiac catheterization laboratories with SAPIEN (67%) or CoreValve (33%) devices inserted via transfemoral (75%), transap…