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. 2024 Oct 30:e244237. Online ahead of print. doi: 10.1001/jamacardio.2024.4237

Table 2. Unmatched Procedural Characteristics and In-hospital Outcomes.

No./total No. (%) P value
Age <65 y (n = 13 849) Age 65-80 y (n = 125 846)
Procedure details
Transfemoral approach 13 239/13 844 (95.6) 119 908/125 830 (95.3) .08
Type of anesthesia, moderate sedation 7507/13 840 (54.2) 72 629/125 722 (57.8) <.001
Total procedure time, mean (SD), min 71.5 (41.4) 68.6 (39.7) <.001
Fluoroscopy time, mean (SD), min 14.5 (10.9) 14.1 (9.7) <.001
Contrast volume, mean (SD), mL 91.0 (57.6) 85.5 (52.1) <.001
Implant success 13 750/13 845 (99.3) 124 809/125 821 (99.2) .14
Conversion to open heart surgery 30/13 828 (0.2) 302/125 712 (0.2) .59
Procedure status
Elective 11 747/13 848 (84.8) 114 919/125 823 (91.3) <.001
Urgent/emergency/salvage 2101/13 848 (15.2) 10 904/125 823 (8.7)
Heart team reason for procedure
Inoperable/extreme risk 761/13 763 (5.5) 4402/125 124 (3.5) <.001
High risk 3907/13 763 (28.4) 28 936/125 124 (23.1) <.001
Intermediate risk 3634/13 763 (26.4) 41 929/125 124 (33.5) <.001
Low risk 5461/13 763 (39.7) 49 857/125 124 (39.8) .70
Procedure complication
Annular dissection 14/13 849 (0.1) 140/125 846 (0.1) .73
Aortic dissection 13/13 849 (0.1) 96/125 846 (0.1) .48
Coronary compression or obstruction 16/13 849 (0.1) 102/125 846 (0.1) .19
Device embolization 3/13 849 (0.0) 149/125 846 (0.1) .001
Perforation with or without tamponade 33/13 849 (0.2) 515/125 846 (0.4) .002
THV size
20 mm 177/13 844 (1.3) 2330/125 799 (1.9) <.001
23 mm 3340/13 844 (24.1) 37 492/125 799 (29.8) <.001
26 mm 6252/13 844 (45.2) 56 283/125 799 (44.7) .35
29 mm 4075/13 844 (29.4) 29 694/125 799 (23.6) <.001
In-hospital outcomes
Index hospitalization length of stay, median (IQR), d 1.0 (1.0-2.0) 1.0 (1.0-2.0) <.001
ICU length of stay, mean (SD), h 20.5 (53.7) 17.8 (42.8) .002
Discharge to home 13 092/13 848 (94.5) 119 309/125 838 (94.8) .17
All-cause mortality 133/13 849 (1.0) 930/125 846 (0.7) .004
Cardiac death 93/13 849 (0.7) 581/125 846 (0.5) <.001
Stroke 118/13 849 (0.9) 1272/125 846 (1.0) .07
Aortic valve reintervention 8/13 849 (0.1) 95/125 846 (0.1) .47
Life-threatening bleeding, derived 133/13 849 (1.0) 1052/125 846 (0.8) .13
Major vascular complication 110/13 849 (0.8) 1242/125 846 (1.0) .03
New requirement for dialysis 40/13 849 (0.3) 323/125 846 (0.3) .48
New pacemaker without baseline pacemaker 566/13 268 (4.3) 6519/116 999 (5.6) <.001
Any readmissions 29/13 849 (0.2) 250/125 846 (0.2) .79
New onset of atrial fibrillation 145/11 937 (1.2) 1572/99 182 (1.6) .002