Valvular & structural heart disease

Quality of Life 5 Years Following Transfemoral Transcatheter Aortic Valve Replacement (TAVR) or Surgical Aortic Valve Replacement (SAVR) in Intermediate Risk Patients

JACC Cardiovasc IntervPublished Secondary analysis of the SURTAVI randomised trial

Authors' conclusion

In intermediate-risk AS patients, both transfemoral TAVR and SAVR resulted in comparable and durable health status benefits to 5 years.

Study context

Population
Intermediate-risk patients with symptomatic severe aortic stenosis (AS)included in analysis
Participants
1,584 patients
Comparison
Transfemoral TAVR vs SAVR
  • TAVRn = 805
  • SAVRn = 779reference
Primary endpoint
Disease-specific health status (KCCQ), change from baseline
Follow-up
Through 5 years

Primary result

As reported in the abstract

Mean change in KCCQ-OS from baseline · 5 years

TAVR

15.4

mean change · SD 25.1

SAVR

14.3

mean change · SD 24.2

Further findings

Mean change

OutcomeTAVRSAVR
Mean change in KCCQ-OS from baseline · 1 year20.5 (SD 22.4)20.5 (SD 22.2)

Mean change in KCCQ-OS from baseline · 1 year

Health status improved more rapidly after TAVR vs SAVR

Kansas City Cardiomyopathy Questionnaire (KCCQ) subscales

Similar findings; substantial attenuation of benefit in physical limitation subscale over time in both groups

Original publication

Quality of Life 5 Years Following Transfemoral TAVR or SAVR in Intermediate Risk Patients. JACC Cardiovasc Interv. Published 22 April 2024. doi:10.1016/j.jcin.2024.02.014

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

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