Related Experiment Video
Updated: Jul 14, 2025
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
14.1K
All-cause procedural readmissions following transcatheter aortic valve replacement
Paige Newell1, Hoda Javadikasgari1, Mehida Rojas-Alexandre1
1Division of Cardiac Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
JTCVS Open
|October 9, 2023
Summary
Subsequent procedural readmissions are common after transcatheter aortic valve replacement (TAVR) but do not impact patient survival. These interventions, both cardiac and non-cardiac, can be safely pursued when necessary following TAVR.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Health Services Research
Background:
- Transcatheter aortic valve replacement (TAVR) eligibility is expanding to patients with longer life expectancies.
- Subsequent procedures after TAVR are increasingly common and necessitate evaluation.
Purpose of the Study:
- To investigate the incidence and outcomes of patients undergoing procedural readmissions after TAVR.
- To determine if these readmissions affect long-term survival.
Main Methods:
- Retrospective analysis of 1092 patients undergoing TAVR from 2012-2019.
- Evaluation of mortality and hospital readmissions for procedures lasting over 1 day.
- Survival analysis using Cox proportional hazard models and competing risk analysis.
Main Results:
- 20% of patients experienced 244 procedural readmissions (260 procedures) within a median follow-up of 34 months.
- Cardiac procedures included pacemaker implantation and PCI; non-cardiac included orthopedic and GI interventions.
- Procedural readmissions were not associated with a survival penalty across surgical risk groups (HR 1.25, P=.17).
Conclusions:
- Procedural interventions post-TAVR are frequent, often occurring within the first year.
- Subsequent procedural readmissions do not appear to confer a survival disadvantage.
- Necessary procedures after TAVR should be pursued to address patient needs.
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