Table 2. Procedural characteristics and outcomes.
Overall (n=189) | Sapien XT (n=94) | Sapien 3 (n=95) | p value | |||
---|---|---|---|---|---|---|
Approach | 0.007 | |||||
TF | 182 (96.3) | 87 (92.6) | 95 (100.0) | |||
TA | 7 (3.7) | 7 (7.4) | 0 (0.0) | |||
Room | <0.001 | |||||
Hybrid room | 143 (75.7) | 83 (88.3) | 60 (63.2) | |||
Cath lab | 46 (24.3) | 11 (11.7) | 35 (36.8) | |||
Anesthesia | 0.121 | |||||
General | 185 (97.9) | 94 (100.0) | 91 (95.8) | |||
Conscious sedation | 4 (2.1) | 0 (0.0) | 4 (4.2) | |||
Valve size (mm) | 0.329 | |||||
23 | 76 (40.2) | 37 (39.4) | 39 (41.1) | |||
26 | 91 (48.1) | 48 (52.1) | 42 (44.2) | |||
29 | 22 (11.6) | 8 (8.5) | 14 (14.7) | |||
Device success | 178 (94.2) | 85 (90.4) | 93 (97.9) | 0.028 | ||
Pre-dilation | 115 (60.8) | 76 (80.9) | 39 (41.1) | <0.001 | ||
Post-dilation | 24 (12.7) | 13 (13.8) | 11 (11.6) | 0.642 | ||
Complications | ||||||
PPM implantation | 3 (1.6) | 2 (2.1) | 1 (1.1) | 0.621 | ||
Cardiac tamponade | 2 (1.1) | 2 (2.1) | 0 (0.0) | 0.246 | ||
Coronary obstruction | - | - | - | - | ||
MI | - | - | - | - | ||
New onset AF | 8 (4.2) | 4 (4.3) | 4 (4.2) | 1.000 | ||
LBBB | 10 (5.3) | 5 (5.3) | 5 (5.3) | 1.000 | ||
Transient | 6 (3.2) | 3 (3.2) | 3 (3.2) | |||
Persistent | 4 (2.1) | 2 (2.1) | 2 (2.1) | |||
RBBB | 3 (1.6) | 1 (1.1) | 2 (2.1) | 1.000 | ||
Major bleeding | 2 (1.1) | 2 (2.1) | 0 (0.0) | 0.246 | ||
Mitral injury | - | - | - | - | ||
Aortic dissection | - | - | - | - | ||
Annular rupture | 1 (0.5) | 1 (1.1) | 0 (0.0) | 0.497 | ||
LV perforation | - | - | - | - | ||
TAV-in-TAV | 4 (2.1) | 2 (2.1) | 2 (2.1) | 1.000 | ||
Valve malposition | 3 (1.6) | 3 (3.2) | 0 (0.0) | 0.121 | ||
Emergent operation | 2 (1.1) | 2 (2.1) | 0 (0.0) | 0.246 | ||
Procedure time (minutes) | 92.1±56.2 | 107.7±66.7 | 77.1±38.4 | <0.001 | ||
Hospital duration (days) | 12.1±11.2 | 13.6±13.8 | 10.5±7.4 | 0.053 |
Values are presented as number of patients (%) or mean±standard deviation.
AF = atrial fibrillation; LBBB = left bundle branch block; LV = left ventricular; MI = myocardial infarction; PPM = permanent pacemaker; RBBB = right bundle branch block; TA = transapical; TAV = transcatheter aortic valve; TF = transfemoral.