In-hospital outcomes comparison of transfemoral vs transapical transcatheter aortic valve replacement in propensity-matched cohorts with severe aortic stenosis.

ABSTRACT:

Background

Transcatheter aortic valve replacement (TAVR) is the preferred option for high-risk patients with severe aortic stenosis. The preferred access for TAVR is transfemoral (TF). Alternatives include the transapical (TA), trans-subclavian (TS), and direct aortic (TAo) approaches.

Hypothesis

The TF approach is associated with lower in-hospital outcomes as well as shorter length of stay and lower cost of hospitalization.

Methods

The National Inpatient Sample database from 2012 through 2014 was used to obtain the TAVR study population. International Classification of Diseases, 9th Revision, Clinical Modification procedure codes were utilized to identify the 2 groups. In-hospital outcomes were compared in propensity-score-matched (1:3) cohorts, in which we took TA-T

SUBMITTER: Doshi R 

PROVIDER: S-EPMC6490061 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature