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 |