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Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.

Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.

期刊: BMJ open 日期: 2026-07-10 PMID: 42431661 DOI: 10.1136/bmjopen-2026-121596 浏览: 16
作者: Thim T, Nissen H, Freeman P, Sanchez Dahl J, Christiansen EH, Eftekhari A, Linde Nørgaard B, Povlsen JA, Poulsen SH, Jensen RV
T, T., H, N., P, F., J, S.D., EH, C., A, E., B, L.N., JA, P., SH, P., & RV, J. (2026). Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.. BMJ open. https://doi.org/10.1136/bmjopen-2026-121596
T T, H N, P F, J SD, EH C, A E, et al. Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.. BMJ open. 2026; doi: 10.1136/bmjopen-2026-121596
T T, H N, P F, et al. Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.[J]. BMJ open. 2026. DOI: 10.1136/bmjopen-2026-121596.
@article{t2026,
  author = {Thim T and Nissen H and Freeman P and Sanchez Dahl J and Christiansen EH and Eftekhari A and Linde Nørgaard B and Povlsen JA and Poulsen SH and Jensen RV},
  title = {Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.},
  journal = {BMJ open},
  year = {2026},
  doi = {10.1136/bmjopen-2026-121596},
  note = {PMID: 42431661},
}
TY  - JOUR
AU  - Thim T
AU  - Nissen H
AU  - Freeman P
AU  - Sanchez Dahl J
AU  - Christiansen EH
AU  - Eftekhari A
AU  - Linde Nørgaard B
AU  - Povlsen JA
AU  - Poulsen SH
AU  - Jensen RV
TI  - Transcatheter aortic valve implantation outcomes by patient age and sex in COMPARE-TAVI 1: a cohort study.
T2  - BMJ open
PY  - 2026
DO  - 10.1136/bmjopen-2026-121596
AN  - PMID:42431661
ER  - 

摘要

OBJECTIVES: To explore the outcomes among patients treated with TAVI (transcatheter aortic valve implantation) in the COMPARE-TAVI 1 trial by age groups and sex. DESIGN: Cohort study. SETTING: Three Danish university hospitals. PARTICIPANTS: Patients treated with TAVI in the COMPARE-TAVI 1 trial (N=1030), 60 (5.8%), 337 (32.7%), 592 (57.5%) and 41 (4.0%) were in the four age groups, < 70, 70-79, 80-89 and 90+ years while 414 (40.2%) and 616 (59.8%) were of female and male sex. INTERVENTIONS: Transfemoral TAVI with balloon-expandable valves (Sapien or Myval) performed between June 2020 and November 2023. OUTCOME MEASURES: Post hoc analyses of trial secondary outcomes that include end-point committee-adjudicated outcomes. RESULTS: In the four age groups, 1-year mortality rates were 8.3%, 5.6%, 5.6% and 7.3% while it was 5.8% in both sexes. Across the four age groups, 1-year stroke rates were 6.7%, 1.8%, 3.2% and 4.9%, and 5.1% among females and 4.7% among males. In the four age groups, 1-year new pacemaker rates were 7.5%, 15%, 19% and 13% while it was 15% among females and 18% among males. Females had smaller annuli than males and their gradients were higher and the effective orifice area lower after TAVI but their frequency of prosthesis-patient mismatch was similar at 1 year. CONCLUSION: While comorbidity levels varied between groups, clinical outcomes were similar across age groups and between sexes. TRIAL REGISTRATION NUMBER: NCT04443023.

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