Valvular & structural heart disease

Incremental cost of complications after transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) in contemporary clinical practice

Am Heart JPublished Retrospective cohort study

Authors' conclusion

This study provides contemporary data on the incremental costs of specific peri-procedural complications associated with TAVR and SAVR.

Study context

Population
Medicare beneficiaries receiving SAVR or TAVR in the US, fiscal year 2021
Exposure
Complicated vs uncomplicated index hospitalisation after TAVR and SAVR
Outcome
Incremental cost and LOS for each complication
Methodological detailsMedicare 100% standard analytic file, multivariable analyses
  • Medicare 100% standard analytic file
  • Multivariable analyses

Main finding

As reported in the abstract

Index hospitalisation cost and LOS
GroupUncomplicated costUncomplicated length of stay (LOS)Cost with any complicationLOS with any complicationHighest incremental cost (prolonged ventilation)Highest attributable cost (pacemaker implantation)Highest attributable cost (prolonged ventilation)
TAVR$46,2572.2 days$66,6015.9 days$55,742$1,270
SAVR$58,4888.1 days$88,90013.4 days$69,728$2,580

Uncomplicated cost

TAVR$46,257
SAVR$58,488

Uncomplicated length of stay (LOS)

TAVR2.2 days
SAVR8.1 days

Cost with any complication

TAVR$66,601
SAVR$88,900

LOS with any complication

TAVR5.9 days
SAVR13.4 days

Highest incremental cost (prolonged ventilation)

TAVR$55,742
SAVR$69,728

Highest attributable cost (pacemaker implantation)

TAVR$1,270
SAVR— not stated in the abstract

Highest attributable cost (prolonged ventilation)

TAVR— not stated in the abstract
SAVR$2,580

Observational data: associations, not effects.

Original publication

Incremental cost of complications after TAVR and SAVR in contemporary clinical practice. Am Heart J. Published 12 July 2025. doi:10.1016/j.ahj.2025.07.001

Composed by AI from the published abstract and checked against it. How Briefs are made →

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