Should Transcatheter Aortic Valve Replacement Be Performed in Nonagenarians?: Insights From the STS/ACC TVT Registry

• Published in: Journal of the American College of Cardiology 2016-03, Vol.67 (12), p.1387-1395
• Main Authors: Arsalan, Mani, Szerlip, Molly, Vemulapalli, Sreekanth, Holper, Elizabeth M, Arnold, Suzanne V, Li, Zhuokai, DiMaio, Michael J, Rumsfeld, John S, Brown, David L, Mack, Michael J
• Format: Article
• Language: English
• Subjects: Age; Age Factors; Aged, 80 and over; Aortic Valve Stenosis - mortality; Aortic Valve Stenosis - surgery; Binomial distribution; Cardiology; Cardiomyopathy; Confidence intervals; Consortia; Decision Making; Female; Follow-Up Studies; Germany - epidemiology; Health risk assessment; Heart attacks; Heart failure; Hospitalization; Hospitals; Humans; Incidence; Male; Mortality; Patients; Postoperative Complications - epidemiology; Prognosis; Quality of Life; Questionnaires; Registries; Retrospective Studies; Risk Assessment - methods; Risk Factors; Stroke; Studies; Survival Rate - trends; Time Factors; Transcatheter Aortic Valve Replacement - methods; Treatment Outcome; United States - epidemiology
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2016.01.055

Data demonstrating the outcome of transcatheter aortic valve replacement (TAVR) in the very elderly patients are limited, as they often represent only a small proportion of the trial populations. The purpose of this study was to compare the outcomes of nonagenarians to younger patients undergoing TAVR in current practice. We analyzed data from the Society of Thoracic Surgeons/American College of Cardiology TVT (Transcatheter Valve Therapy) Registry. Outcomes at 30 days and 1 year were compared between patients ≥90 years versus