Race-Specific Impact of Conventional Surgical Risk Score on 1-Year Mortality After Transcatheter Aortic Valve Replacement

Unequal Treatment and Yentl Syndrome

“…Such inclusivity enriches the generalizability of the study’s findings. However, Kim et al 4 do recognize that there are limitations to this study, including its observational design, possible intersite variability, lack of long-term results, and limited database. Despite these limitations, there was still an effort made to investigate the presence of different clinical and anatomical characteristics of Asian patients compared with non-Asian patients and the impact of sex on the clinical outcomes of TAVR between these groups of patients.…”

“…A historical backdrop reveals that women undergoing surgical aortic valve replacement have traditionally faced higher risks and poorer outcomes. 3 However, in this issue of JACC: Asia , Kim et al 4 shed light on the complex narrative surrounding TAVR outcomes and unveil inconsistent findings regarding sex-specific differences. Some studies have reported comparable survival rates between men and women post TAVR, whereas other studies have suggested a potential survival advantage for women.…”

“…Some studies have reported comparable survival rates between men and women post TAVR, whereas other studies have suggested a potential survival advantage for women. Therefore, Kim et al 4 tried to assess whether sex-specific differences in baseline clinical and anatomical characteristics affect clinical outcomes after TAVR and investigated the impact of sex on clinical outcomes among different racial groups, particularly between Asians and non-Asians.…”

“…The observational study conducted by Kim et al 4 looked at 1,412 patients from the TP-TAVR (Trans-Pacific TAVR) Registry with severe AS who underwent TAVR at 2 major centers in the United States and 1 major center in South Korea. Data were retrospectively collected for cases performed before initiation and prospectively thereafter.…”

Racial Difference in Mortality After Transcatheter Aortic Valve Replacement

“…In this issue of JACC: Asia , Kim et al 6 demonstrated the results of a multinational multicenter registry-based study (Trans-Pacific TAVR Registry) comparing clinical outcomes between Asians and non-Asians according to low, intermediate, and high STS score stratification in 1,412 patients (581 Asians and 831 non-Asians). To our knowledge, this is the first large study to compare the clinical outcomes after TAVR according to racial differences.…”