Valvular & structural heart disease

Validation of the Valve Academic Research Consortium High Bleeding Risk Definition in Patients Undergoing TAVR

Circ Cardiovasc IntervPublished Validation study

Authors' conclusion

The VARC-HBR consensus offered a pragmatic approach to guide bleeding risk stratification in transcatheter aortic valve replacement.

Study context

Population
Patients undergoing TAVR9,267 (88.7%) with ≥1 Valve Academic Research Consortium for High Bleeding Risk (VARC-HBR) criterion
Participants
10,449 patients
Comparison
VARC-HBR bleeding risk categories
Outcome
BARC type 3 or 5 bleeding (periprocedural ≤30 days or late >30 days)
Follow-up
1 year
Methodological detailsmulticentre
  • Multicentre

Performance

As reported in the abstract

BARC 3 or 5 bleeding
AUC
0.58

Further findings

OutcomeHR (95% CI)
All-cause mortality · 1 yearHigh riskvs Low risk1.33 (1.04–1.70)
All-cause mortality · 1 yearVery high riskvs Low risk1.97 (1.53–2.53)

Original publication

Validation of the Valve Academic Research Consortium High Bleeding Risk Definition in Patients Undergoing TAVR. Circ Cardiovasc Interv. Published 30 October 2024. doi:10.1161/circinterventions.124.014800

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