October 10, 2017

Comparison of outcomes with surgical cut‐down versus percutaneous transfemoral transcatheter aortic valve replacement: TAVR transfemoral access comparisons between surgical cut‐down and percutaneous approach

Structured PICO

Does the percutaneous approach improve hospital length of stay and discharge disposition compared to surgical cut-down in patients undergoing transfemoral TAVR?

Population

Patients undergoing transfemoral transcatheter aortic valve replacement (TF TAVR)

Intervention

Percutaneous (PC) approach for transfemoral access

Comparator

Surgical cut-down (SC) approach for transfemoral access

Outcome

Hospital length of stay (LOS) and rate of direct discharge to homehard clinical

Percutaneous access for transfemoral TAVR optimizes healthcare utilization (shorter LOS, more home discharges) without compromising safety or 12-month mortality compared to surgical cut-down.

Abstract

For TF TAVR, the PC approach, when compared to the SC approach, is associated with a shorter hospital LOS and higher rate of direct discharge to home with similar risk of vascular complications, late vascular adverse events, and all-cause mortality at 12 months.

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