Valvular & structural heart disease

Long-term risk of reintervention after transcatheter aortic valve replacement

Am Heart JPublished Retrospective cohort study

Authors' conclusion

The 10-year risk of valve reintervention after TAVR is low and appears to be decreasing over time.

Study context

Population
Patients receiving Transcatheter Aortic Valve Replacement (TAVR), Medicare, July 2011–December 20201,880 reintervened
Participants
230,644 patients
Outcome
Cumulative probability of valve reintervention (surgical or transcatheter)
Follow-up
10 years
Methodological detailsMedicare Fee for Service 100% dataset, competing risk regression
  • Medicare Fee for Service 100% dataset
  • Competing risk regression

Main finding

As reported in the abstract

Valve reintervention after TAVR

Adjusted cumulative incidence of reintervention (competing risk of death and covariates)

1.63%

Crude reintervention rate (surviving cohort of 341)

0.59%

Observational data: associations, not effects.

Further findings

Risk-adjusted reintervention rate, early (2011-2016) vs later (2017-2020) period · 4 years

Characteristics of reintervened patients

Younger and more likely male

Original publication

Long-term risk of reintervention after transcatheter aortic valve replacement. Am Heart J. Published 21 October 2023. doi:10.1016/j.ahj.2023.10.002

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

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