Procedural and long‐term outcome among patients undergoing expedited trans‐catheter aortic valve replacement

• Published in: Catheterization and cardiovascular interventions 2022-11, Vol.100 (5), p.832-838
• Main Authors: Berkovitch, Anat, Segev, Amit, Guetta, Victor, Finkelstein, Ariel, Kornowski, Ran, Danenberg, Haim, Fefer, Paul, Assa, Hana Vaknin, Konigstein, Maayan, Merdler, Ilan, Perlman, Gidon, Maor, Elad, Carmiel, Rivka, Planer, David, Banai, Ariel, Shuvy, Mony, Assali, Abid R., Orvin, Katia, Barbash, Israel M.
• Format: Article
• Language: English
• Subjects: Aortic stenosis; Aortic valve; Aortic Valve - diagnostic imaging; Aortic Valve - surgery; Aortic Valve Stenosis - complications; Aortic Valve Stenosis - diagnostic imaging; Aortic Valve Stenosis - surgery; Catheters; Humans; Mortality; Multivariate analysis; Myocardial infarction; Original ‐ Clinical Science; Patients; Risk Factors; Severity of Illness Index; Survival analysis; transcatheter aortic valve replacement; Transcatheter Aortic Valve Replacement - adverse effects; Transcatheter Aortic Valve Replacement - methods; Treatment Outcome; Valvular and Structural Heart Diseases
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.30386

Objective Patients with rapidly deteriorating clinical status due to severe aortic stenosis are often referred for expedited transcatheter aortic valve replacement (TAVR). Data regarding the outcome of such interventions is limited. We aimed to evaluate the outcome of patients undergoing expedited TAVR. Design and Setting Data were derived from the Israeli Multicenter Registry. Subjects Subjects were divided into two groups based on procedure urgency: patients who were electively hospitalized for the procedure (N = 3140) and those who had an expedited TAVR (N = 142). Procedural and periprocedural complication rates were significantly higher among patients with an expedited indication for TAVR compared to those having an elective procedure: valve malposition 4.6% versus 0.6% (p