STS-ACC TVT Registry of Transcatheter Aortic Valve Replacement.

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Abstract

The STS-ACC TVT Registry (Society of Thoracic Surgeons-American College of Cardiology Transcatheter Valve Therapy Registry) from 2011 to 2019 has collected data on 276,316 patients undergoing transcatheter aortic valve replacement (TAVR) at sites in all U.S. states. Volumes have increased every year, exceeding surgical aortic valve replacement in 2019 (72,991 vs. 57,626), and it is now performed in all U.S. states. TAVR now extends from extreme- to low-risk patients. This is the first presentation on 8,395 low-risk patients treated in 2019. In 2019, for the entire cohort, femoral access increased to 95.3%, hospital stay was 2 days, and 90.3% were discharged home. Since 2011, the 30-day mortality rate has decreased (7.2% to 2.5%), stroke has started to decrease (2.75% to 2.3%), but pacemaker need is unchanged (10.9% to 10.8%). Alive with acceptable patient-reported outcomes is achieved in 8 of 10 patients at 1 year. The Registry is a national resource to improve care and analyze TAVR's evolution. Real-world outcomes, site performance, and the impact of coronavirus disease 2019 will be subsequently studied. (STS/ACC Transcatheter Valve Therapy Registry [TVT Registry]; NCT01737528).

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Author and article information

Journal

Journal ID (iso-abbrev): Ann Thorac Surg

Title: The Annals of thoracic surgery

Publisher: Elsevier BV

ISSN (Electronic): 1552-6259

ISSN (Print): 0003-4975

Publication date (Electronic): Feb 2021

Volume: 111

Issue: 2

Affiliations

[1 ] Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora Colorado. Electronic address: john.carroll@cuanschutz.edu.

[2 ] Baylor Scott and White Health Heart Hospital-Plano, Plano, Texas.

[3 ] Duke Clinical Research Institute and Division of Cardiology, Department of Medicine, Duke University Health Care System, Durham, North Carolina.

[4 ] Cardiovascular Division, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

[5 ] Division of Cardiac Surgery, Brigham & Women's Hospital & Harvard Medical School, Boston Massachusetts.

[6 ] Department of Cardiovascular Medicine, Beaumont Hospital, Royal Oak, Michigan.

[7 ] Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.

[8 ] Department of Surgery, Piedmont Hospital, Atlanta, Georgia.

[9 ] University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.

[10 ] Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.

[11 ] Cardiovascular Research Foundation and Department of Medicine, Columbia University, New York, New York.

[12 ] American College of Cardiology, Washington, DC.

[13 ] The Society of Thoracic Surgeons, Chicago, Illinois.

[14 ] Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora Colorado.

[15 ] Philip R. Lee Institute for Health Policy Studies, University of California-San Francisco, San Francisco, California.

Article

Publisher Item ID: S0003-4975(20)31514-9

DOI: 10.1016/j.athoracsur.2020.09.002

PubMed ID: 33213826

SO-VID: 31bf0cf8-5dc9-4de5-bd4e-47f07d47a0ea

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