Clinical impact of sex differences and procedural setting in transcatheter aortic valve implantation

Clinical impact of sex differences and procedural setting in transcatheter aortic valve implantation

Transcatheter aortic valve implantation (TAVI) is a well-established treatment for symptomatic patients with aortic stenosis. Yet, the impact of sex differences and public vs. private procedural setting on TAVI outcomes remain uncertain. The RIBAC-NT (Brazilian Registry for Evaluation of Transcathet...

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Veröffentlicht in:Cardiovascular revascularization medicine 2024-09
Hauptverfasser: Ravani, Lis Victória, Ribeiro, Henrique Barbosa, Calomeni, Pedro, de Brito, Fábio Sandoli, Bernardi, Fernando, Lemos, Pedro, Feres, Fausto, Siqueira, Dimytri Alexandre, Costa, Ricardo, Sarmento-Leite, Rogério, Mangione, Fernanda, Mangione, José Armando, Thiago, Luiz Eduardo Koenig São, de Lima, Valter Correia, Oliveira, Adriano Dias Dourado, Marino, Marcos Antônio, Cardoso, Carlos José Francisco, Caramori, Paulo Ricardo Avancini, Tumelero, Rogério Tadeu, Portela, Antenor Lages Fortes, Prudente, Maurício Lopes, Henriques, Leônidas Alvarenga, de Freitas Souza, Fabio Solano, Bezerra, Cristiano Guedes, de Almeida Prado Junior, Guy Fernandes, de Freitas, Leandro Zacarias Figueiredo, Nogueira, Ederlon Ferreira, Meirelle, George César Ximenes, Pope, Renato Bastos, Guérios, Ênio Eduardo, de Andrade, Pedro Beraldo, de Moura Santos, Luciano, de Sá Marchi, Mauricio Felippi, Esteves, Vinicius Borges Cardozo, Abizaid, Alexandre
Format: Artikel
Sprache:eng
Schlagworte:
Aortic stenosis
Healthcare disparities
Sex characteristics
Transcatheter aortic valve implantation
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Zusammenfassung:Transcatheter aortic valve implantation (TAVI) is a well-established treatment for symptomatic patients with aortic stenosis. Yet, the impact of sex differences and public vs. private procedural setting on TAVI outcomes remain uncertain. The RIBAC-NT (Brazilian Registry for Evaluation of Transcatheter Aortic Valve Replacement Outcomes) dataset included 3194 TAVI patients from 2009 to 2021. This retrospective analysis explored disparities in baseline characteristics, procedural and in-hospital outcomes stratifying patients by sex and procedural setting. Temporal trends were also investigated. We included 1551 (49 %) female and 1643 (51 %) male patients. Women were older (83 [78–87] vs. 81 [75–85] years; p 
ISSN:1553-8389
1878-0938
1878-0938
DOI:10.1016/j.carrev.2024.09.014