Valvular & structural heart disease

One-year clinical outcomes of transcatheter aortic valve implantation with the latest iteration of self-expanding or balloonexpandable devices: insights from the OPERA-TAVI registry

EuroInterventionPublished Registry-based propensity-score matched cohort study

Authors' conclusion

One-year clinical outcomes of patients undergoing transfemoral TAVI and receiving PRO or ULTRA devices in the current clinical practice were similar, but PRO patients had higher rates of disabling stroke.

Study context

Population
Transcatheter aortic valve implantation (TAVI) patients with complete 1-year follow-up in the OPERA-TAVI registry
Participants
1,897 patients587 matched pairs
Exposure
Evolut PRO/PRO (PRO)/PRO+ vs SAPIEN 3 Ultra for TAVI
Outcome
Composite of:
  • All-cause death
  • Disabling stroke
  • Rehospitalisation for HF
Follow-up
1 year
Methodological details1:1 matching, prespecified subgroups
  • 1:1 matching
  • Prespecified subgroups

Main finding

As reported in the abstract

P = 0.27

Observational data: associations, not effects.

Further findings

Primary outcome across 5 prespecified anatomical subgroups

Consistent across all prespecified anatomical subsets
all pinteraction>0.10

Safety

Disabling stroke · 30 days

P = 0.004

KM estimate

OutcomePROULTRAP value
Disabling stroke · 1 yearLog-rank2.6%0.4%P = 0.001

Original publication

One-year clinical outcomes of transcatheter aortic valve implantation with the latest iteration of self-expanding or balloonexpandable devices: insights from the OPERA-TAVI registry. EuroIntervention. Published 1 January 2024. doi:10.4244/eij-d-23-00720

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