Initial experience with the balloon expandable Edwards-SAPIEN Transcatheter Heart Valve in Australia and New Zealand: The SOURCE ANZ registry: Outcomes at 30days and one year
Abstract:TAVI in the ANZ clinical environment has demonstrated excellent outcomes for both the TA and TF approaches in highly selected patients. These results are consistent with those demonstrated in European, Canadian registries and the pivotal US clinical trials. ACTRN12611001026910.
“…19 The current study represents one of the largest single centre experiences from Australia and New Zealand, comprising outcomes involving procedures with three different valve systems and four access approaches. Our results compare favourably with registry data published in Australian multicentre registries, 5,20 and other smaller series from single sites. 6 Our study is unique in that it describes a relatively large experience with both femoral percutaneous and surgical (trans-apical and trans-aortic) TAVI.…”
TAVI with various valve systems, delivered through several approaches, is feasible in high surgical risk and inoperable patients with severe aortic stenosis, with acceptable outcomes at short-term and intermediate-term follow up.
“…19 The current study represents one of the largest single centre experiences from Australia and New Zealand, comprising outcomes involving procedures with three different valve systems and four access approaches. Our results compare favourably with registry data published in Australian multicentre registries, 5,20 and other smaller series from single sites. 6 Our study is unique in that it describes a relatively large experience with both femoral percutaneous and surgical (trans-apical and trans-aortic) TAVI.…”
TAVI with various valve systems, delivered through several approaches, is feasible in high surgical risk and inoperable patients with severe aortic stenosis, with acceptable outcomes at short-term and intermediate-term follow up.
“…The use of the Edwards Sapien TAVI have been reported locally by the ANZ investigators [6] and replicated the results of PARTNER trial. In this issue, the Australian and NZ Corevalve Investigators [7] demonstrate that excellent mid-term outcomes of this alternative TAVI technology may be obtained by locally trained heart valve teams.…”
“…Overall 14 studies (n = 2,772) reported stroke outcomes, of which 4 studies used the standardized VARC definition . The overall crude incidence of 30âday stroke in the pooled cohort was 4.0%.…”
This meta-analysis demonstrates a decreased 30-day and 1-year mortality in TF TAVR as compared to TA TAVR. Post-procedure acute kidney injury and the need for renal replacement therapy are also significantly lower in the TF group. These differences hold true even after utilizing the standardized Valve Academic Research Consortium criteria.
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