Back to 2015 Annual Meeting Display Posters
INCREASED TAVR TEAM EXPERIENCE ASSOCIATED WITH DECREASE RESOURCES UTILIZATION AND IMPROVED OUTCOMES
Basel Ramlawi, MD, Odeaa Al Jabbari, MD, Walid K. Abu Saleh, MD, colin Barker, MD, Chun Lin, MD, Manuel Reyes, MD, Neal Kleiman, MD, Michael J. Reardon, MD.
Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, USA.
OBJECTIVE: Transcather aortic valve replacement surgery (TAVR) has been proven to be a safe and feasible procedure for patients who are listed as high or extreme risk for surgical aortic valve replacement (SAVR). We analyzed our outcomes with increasing TAVR team experience.
METHODS: The Methodist hospital database was reviewed from January 2011 till August 2014. This yielded 240 patients who we divided equally into 3 groups (A, B, C). Group A represent the initial experience while Group C represents the recent experience. Both direct aortic (DA) and transfemoral approach were included in the analysis. Both Medtronic Coevolve and Edward Sapien valve devices were included in this analysis. Valve Academic Research Consortium 2 (VARC-2) definitions were used.
RESULTS: The comparison among the 3 groups showed a significant decrease in operative time (P= 0.003), intraoperative blood transfusions (P= 0.014), intraoperative blood loss (P=0.037) and Improvement in perivalvular leak rate (P=0.018) with increasing experience. Refer to table for results.
CONCLUSIONS: TAVR outcomes improve with increasing experience of the multidisciplinary TAVR team. This may have implications on credentialing and centralization of TAVR care. 
Back to 2015 Annual Meeting Display Posters
