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Updated: Jan 23, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
14.6K
Transvascular transcatheter aortic valve implantation in 2017
Luise Gaede1,2, Johannes Blumenstein1, Christoph Liebetrau3,4,5
1Department of Internal Medicine I, St. Johannes-Hospital Dortmund, Johannesstrasse 9-13, 44137, Dortmund, Germany.
Summary
Transcatheter aortic valve implantation (TAVI) shows declining complication rates and favorable outcomes, even in high-risk patients. In 2017, TAVI mortality was comparable to surgical repair, with better results than previous years.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Transcatheter aortic valve implantation (TAVI) is increasingly the standard of care for severe aortic stenosis.
- Recent TAVI outcomes are favorable, even in patients with low procedural risk.
Purpose of the Study:
- To analyze TAVI procedure volume, complication rates, and in-hospital mortality in Germany in 2017.
- To compare transvascular TAVI (TV-TAVI) outcomes with isolated surgical aortic valve replacement (iSAVR) across different risk groups.
Main Methods:
- Analysis of all isolated aortic valve replacement procedures in Germany in 2017.
- Stratification of patients into risk classes (low, intermediate, high, very high) using the German Aortic Valve Score (AKL).
- Focus on transvascular TAVI (TV-TAVI) and comparison with iSAVR.
Main Results:
- 17,956 TV-TAVI and 9,011 iSAVR procedures were performed in 2017.
- TV-TAVI showed decreased arterial vascular complications (6.0% vs. 7.1%) and pacemaker implantations (9.6% vs. 11.4%) compared to 2016.
- In-hospital mortality was equal (2.7%) for TV-TAVI and iSAVR, with a more favorable observed-to-expected mortality ratio for TV-TAVI (0.89 vs. 1.14).
Conclusions:
- Major complication rates, including bleeding and pacemaker implantation, continue to decline for TV-TAVI.
- In 2017, TV-TAVI demonstrated an observed-to-expected mortality ratio below 1, indicating improved outcomes compared to previous years and iSAVR.
- TV-TAVI outcomes were favorable across all risk groups stratified by the German Aortic Valve Score.
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