Cardiology Department, Queen Elizabeth Hospital, Birmingham B15 2TH, UK.
Heart. 2019 Mar;105(Suppl 2):s2-s5. doi: 10.1136/heartjnl-2018-313510.
The UK Transcatheter Aortic Valve Implantation (TAVI) registry has collected data about every TAVI procedure performed in the UK. The latest data are from 2016 when 3250 procedures (49.5 pmp) were performed. There has been no change in the mean age of patients but there has been a shift to lower risk with fall in mean Logistic Euroscore since 2012. The switch from general anaesthetic to conscious sedation has been rapid, and propensity-adjusted analysis has not shown a difference in outcomes. In-hospital mortality has fallen to 1.8% in 2016, and relative survival analysis has shown outcome the same as the matched general population to 3 years. The UK TAVI registry has provided valuable benchmarks, and a risk adjustment model that includes frailty measures has been successfully developed and is available online.
英国经导管主动脉瓣植入术（TAVI）注册中心收集了在英国进行的每一例 TAVI 手术的数据。最新数据来自 2016 年，当时进行了 3250 例手术（49.5 pmp）。患者的平均年龄没有变化，但自 2012 年以来，平均 logistic Euroscore 下降，风险降低。从全身麻醉到清醒镇静的转变非常迅速，且倾向性调整分析并未显示出结果存在差异。2016 年院内死亡率已降至 1.8%，相对生存分析显示，3 年生存率与匹配的普通人群相同。英国 TAVI 注册中心提供了有价值的基准，并且已经成功开发出包括脆弱性指标在内的风险调整模型，并可在线获取。
