Elective versus urgent in‐hospital transcatheter aortic valve implantation

Background Transcatheter aortic valve implantation (TAVI) is maturing as a treatment option and is now often undertaken during an unscheduled index hospital admission. The aim of this study was to look at procedural and mid‐term outcomes of patients undergoing elective versus urgent in‐hospital tran...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2021-07, Vol.98 (1), p.170-175
Main Authors: Kabahizi, Alex, Sheikh, Azeem S., Williams, Timothy, Tanseco, Kristoffer, Myat, Aung, Trivedi, Uday, Belder, Adam, Cockburn, James, Hildick‐Smith, David
Format: Article
Language:English
Subjects:
Aortic stenosis
Aortic valve
Demography
Mortality
Patients
Regurgitation
severe aortic stenosis
Stenosis
TAVI
transcatheter aortic valve implantation
valve replacement
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Summary:Background Transcatheter aortic valve implantation (TAVI) is maturing as a treatment option and is now often undertaken during an unscheduled index hospital admission. The aim of this study was to look at procedural and mid‐term outcomes of patients undergoing elective versus urgent in‐hospital transcatheter aortic valve implantation. Methods We identified a total of 1,157 patients who underwent TAVI between November 2007 and November 2019 at the Sussex Cardiac Centre in the UK. We compared the demographics, procedural outcomes, 30‐day and 1‐year mortality between elective and urgent patients. Emergency and salvage TAVI cases were excluded. Results Of the 1,157 patients who underwent the procedure, 975 (84.3%) had elective while 182 (15.7%) had urgent TAVI. Predominant aortic stenosis was more frequent in elective patients (91.7% vs. 77.4%); p 
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.29638