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Transcatheter Aortic Valve Implantation and Surgical Aortic Valve Replacement for Aortic Stenosis in Japan ― Analysis of a Nationwide Inpatient Database ―

Background: Nationwide data on transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in Japan are scarce. Methods and Results: Using a nationwide inpatient database, we analyzed patients undergoing TAVI (n=8,338) or SAVR (n=16,298) due to aortic stenosis between...

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Detalles Bibliográficos
Autores principales: Kamon, Tatsuya, Kaneko, Hidehiro, Kiriyama, Hiroyuki, Itoh, Hidetaka, Fujiu, Katsuhito, Kumazawa, Ryosuke, Morita, Kojiro, Michihata, Nobuaki, Jo, Taisuke, Miura, Mizuki, Kodera, Satoshi, Uehara, Masae, Ando, Jiro, Inoue, Takafumi, Kinoshita, Osamu, Yamauchi, Haruo, Mori, Yoshiteru, Nakao, Tomoko, Daimon, Masao, Takeda, Norifumi, Morita, Hiroyuki, Ono, Minoru, Yasunaga, Hideo, Komuro, Issei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Circulation Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7937519/
https://www.ncbi.nlm.nih.gov/pubmed/33693206
http://dx.doi.org/10.1253/circrep.CR-20-0116
Descripción
Sumario:Background: Nationwide data on transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in Japan are scarce. Methods and Results: Using a nationwide inpatient database, we analyzed patients undergoing TAVI (n=8,338) or SAVR (n=16,298) due to aortic stenosis between 2014 and 2017. The annual number of TAVI increased rapidly from 2014 to 2017, particularly in older patients. In-hospital deaths were lower and the length of hospital stay was shorter for patients undergoing TAVI than SAVR. Conclusions: TAVI has been penetrating in Japan as an alternative therapeutic option for aortic stenosis and is associated with acceptable clinical outcomes.