Transcatheter aortic valve implantation in nonagenarians: insights from the German Aortic Valve Registry (GARY)

Blumenstein, Johannes; Möllmann, Helge; Bleiziffer, Sabine; Bauer, Timm; Ensminger, Stephan; Bekeredjian, Raffi; Walther, Thomas; Frerker, Christian; Beyersdorf, Friedhelm; Hamm, Christian W.; Beckmann, Andreas

doi:10.1007/s00392-020-01601-4

Cited by 19 publications

(13 citation statements)

References 36 publications

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“…The patient populations from previous western TAVR registries usually have a mean age of over 80 years. This is in accordance with data from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapies (TVT) database (median age, 84 years) and the German Aortic Valve Registry (GARY) study (mean age, 81 years) [14,15] . The low-risk Nordic Aortic Valve Intervention trial also had a mean age of 79 [16] .…”

Section: Discussionsupporting

confidence: 83%

“…This is in accordance with data from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapies (TVT) database (median age, 84 years) and the German Aortic Valve Registry (GARY) study (mean age, 81 years). [ 14 , 15 ] The low-risk Nordic Aortic Valve Intervention trial also had a mean age of 79. [ 16 ] The major findings from CARRY agree with those from the previous studies conducted in Chinese patients and show that there is a higher proportion of BAV in the younger population.…”

Section: Discussionmentioning

confidence: 99%

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Characteristics and outcomes following transcatheter aortic valve replacement in China: a report from China aortic valve transcatheter replacement registry (CARRY)

Xiong

et al. 2021

Chinese Medical Journal

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Characteristics and outcomes following transcatheter aortic valve replacement in China: a report from China aortic valve transcatheter replacement registry (CARRY)

Xiong

et al. 2021

Chinese Medical Journal

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“…In this obligatory structures, defined processes, and qualified personnel are precisely specified. 12 Further surveys for selected procedures, such as the legally compulsory quality assurance ( §135a SGB V) or the voluntary nationwide German Aortic Valve Registry (GARY), [13][14][15][16][17][18][19][20] provide various important findings and thus also contribute to an exceptional patient benefit.…”

Section: Methodsmentioning

confidence: 99%

German Heart Surgery Report 2019: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

Beckmann

Meyer

Lewandowski

et al. 2020

Thorac Cardiovasc Surg

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Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS) in 1980, well-defined data of all cardiac, thoracic, and vascular surgery procedures performed in 78 German heart surgery departments during the year 2019 are analyzed. For this period, a total of 175,705 procedures were submitted to the registry, 100,446 summarized as heart surgery procedures in a classical sense. The unadjusted in-hospital survival rate for the 34,224 isolated coronary artery bypass grafting procedures (relationship on-/off-pump 3.8:1) was 97.3%. For the 36,650 isolated heart valve procedures (16,625 transcatheter interventions included), it was 96.4%. Concerning short- and long-term circulatory support, a total of 2,716 extracorporeal life support/extracorporeal membrane oxygenation implantations, resp. 953 assist device implantations (L-/ R-/ BVAD, TAH) were registered. In 2019, the number of isolated heart transplantations increased to 333, a rise of 6.7% compared to the previous year. The isolated lung transplantations amounted to 311, a decrease of 8.5%. This annually updated registry of the GSTCVS represents voluntary public reporting by accumulating actual information for nearly all heart surgical procedures in Germany, constitutes advancements in heart medicine, and represents a basis for quality management for all participating institutions. In addition, the registry demonstrates that the provision of cardiac surgery in Germany is up to date, appropriate, and nationwide patient treatment is guaranteed all the time.

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“…On the basis of and in addition to the recommendations of international scientific guidelines and expert consensus on the management of valvular heart disease, respectively, 8-10 the German Federal Joint Committee (G-BA) implemented a quality assurance directive 11 for "minimally invasive heart valve interventions (TAVI, transcatheter mitral clip reconstruction)" in 2015, which is still under evaluation. Further surveys for selected procedures, such as the legally compulsory quality assurance ( §135a SGB V) or the voluntary nationwide German Aortic Valve Registry (GARY), [12][13][14][15][16][17][18][19][20][21][22][23][24][25] provide various important findings and thus also contribute to an exceptional patient benefit.…”

Section: Registry Data 2021mentioning

confidence: 99%

German Heart Surgery Report 2021: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

Beckmann

Lewandowski

Markewitz

et al. 2022

Thorac Cardiovasc Surg

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Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS) in 1980, well-defined data of all cardiac, thoracic and vascular surgery procedures performed in 78 German heart surgery departments during the year 2021 are analyzed. Under more than extraordinary conditions of the further ongoing worldwide coronavirus disease 2019 (COVID-19) pandemic, a total of 161,261 procedures were submitted to the registry. In total, 92,838 of these operations are summarized as heart surgery procedures in a classical sense. The unadjusted in-hospital survival rate for the 27,947 isolated coronary artery bypass grafting procedures (relationship on-/off-pump 3.2:1) was 97.3%. For the 36,714 isolated heart valve procedures (19,242 transcatheter interventions included) it was 96.7 and 99.0% for the registered pacemaker and International Classification of Diseases (ICD) procedures (19,490), respectively. Concerning short- and long-term circulatory support, a total of 3,404 ECLS/ECMO implantations and 750 assist device implantations (L-/ R-/ BVAD, TAH), respectively were registered. In 2021 329 isolated heart transplantations, 254 isolated lung transplantations, and one combined heart–lung transplantations were performed.This annually updated registry of the GSTCVS represents voluntary public reporting by accumulating actual information for nearly all heart surgical procedures in Germany, constitutes advancements in heart medicine and represents a basis for quality management for all participating institutions. In addition, the registry demonstrates that the provision of cardiac surgery in Germany is up to date, appropriate, and nationwide patient treatment is guaranteed all the time.

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Transcatheter aortic valve implantation in nonagenarians: insights from the German Aortic Valve Registry (GARY)

Cited by 19 publications

References 36 publications

Characteristics and outcomes following transcatheter aortic valve replacement in China: a report from China aortic valve transcatheter replacement registry (CARRY)

Characteristics and outcomes following transcatheter aortic valve replacement in China: a report from China aortic valve transcatheter replacement registry (CARRY)

German Heart Surgery Report 2019: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

German Heart Surgery Report 2021: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery

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