title: Temporal trends in transcatheter and surgical aortic valve replacement : An analysis of aortic valve replacements in Germany during 2012-2014.
abstract: This analysis of the data of the obligatory quality assurance programme AQUA shows the perioperative risk as well as the procedural outcome evaluated by the observed versus expected in-hospital mortality ratio (O/E ratio) of 62,872 patients undergoing isolated surgical (sAVR), transcatheter transvascular (TV-), or transapical (TA-) aortic valve replacement (TAVI) from 2012 to 2014 in Germany. The number of TAVI procedures increased from 9,352 in 2012 to 13,278 in 2014, whereas the number of sAVR remained constant (2012: 9,949; 2014: 9,953). Between 2012 and 2014, the number of TAVI implanted in patients with a logistic EuroScore I (logESI) of ≤10 % (2012: 21 %; 2014: 26 %) as well as with a logESI <20 % (2012: 57 %; 2014: 64 %) increased. In-hospital mortality in TAVI patients decreased from 5.2 % (TV: 5.0 %; TA: 7.4 %) in 2012 to 4.2 % (TV: 3.8 %; TA: 5.5 %) in 2014, whereas it was stable for sAVR patients (2012: 2.8 %; 2014: 2.6 %). The O/E ratio of TAVI patients decreased from 0.91 (TV: 0.79; TA: 1.2) to 0.73 (TV: 0.69; TA: 0.89), whereas this ratio remained constant for sAVR patients (2012: 0.92; 2014: 0.93). In summary, estimated surgical risk, in-hospital mortality, as well as the O/E ratio for patients undergoing TAVI declined constantly during the last 3 years.
authors: Dept. of Internal Medicine, St. Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Germany.|Medical Clinic II. Dept. of Cardiology and Angiology, Friedrich Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
authors: L
authors: L
authors: Gaede
authors: Dept. of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany.|Dept. of Cardiac Surgery, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany.
authors: W-K
authors: WK
authors: Kim
authors: Dept. of Internal Medicine, St. Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Germany.
authors: J
authors: J
authors: Blumenstein
authors: Dept. of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany.
authors: C
authors: C
authors: Liebetrau
authors: Medical Clinic I, Dept. of Cardiology and Angiology, University of Giessen, Giessen, Germany.
authors: O
authors: O
authors: Dörr
authors: Medical Clinic I, Dept. of Cardiology and Angiology, University of Giessen, Giessen, Germany.
authors: H
authors: H
authors: Nef
authors: Dept. of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany.|Medical Clinic I, Dept. of Cardiology and Angiology, University of Giessen, Giessen, Germany.
authors: C
authors: C
authors: Hamm
authors: Dept. of Cardiac Surgery, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany.
authors: T
authors: T
authors: Walther
authors: Medical Clinic II. Dept. of Cardiology and Angiology, Friedrich Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
authors: S
authors: S
authors: Achenbach
authors: Dept. of Cardiology, Klinikum Oldenburg, Oldenburg, Germany.
authors: A
authors: A
authors: Elsässer
authors: Dept. of Internal Medicine, St. Johannes-Hospital, Johannesstraße 9-13, 44137, Dortmund, Germany. moellmann@me.com.
authors: H
authors: H
authors: Möllmann
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000401:mortality* / Q000601:surgery*; D058385:Cardiac Valve Annuloplasty / Q000401:mortality* / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D005858:Germany / Q000453:epidemiology; D006350:Heart Valve Prosthesis / Q000706:statistics & numerical data; D017052:Hospital Mortality / Q000639:trends*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data / Q000639:trends; D015995:Prevalence; D015996:Survival Rate; D065467:Transcatheter Aortic Valve Replacement / Q000401:mortality* / Q000706:statistics & numerical data* / Q000639:trends; D016896:Treatment Outcome
keywords: Aortic valve stenosis; Germany; Mortality; Outcome; Transcatheter aortic valve replacement