July 19, 2026Journal of the American College of Cardiology495 citations
View Full Paper2016 Annual Report of The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry
Key Result
From 2012 to 2015, observed in-hospital mortality for TAVR decreased from 5.7% to 2.9%, and 1-year mortality decreased from 25.8% to 21.6%, though 30-day pacemaker insertion increased to 12.0%.
Key Points
- The report aims to analyze the outcomes of transcatheter valve therapy procedures performed in 2016.
- Data collected from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry during 2016.
- Analysis of patient demographics and procedural outcomes across participating centers.
- Reports significant improvements in patient outcomes post-intervention.
- Highlights lower mortality rates associated with transcatheter procedures compared to traditional surgical methods.
Study Design
Type
Observational (n=57,687)
Multicenter
Yes
PICO
P
Population
57,687 patients undergoing transcatheter aortic and mitral valve procedures in the United States between 2012 and 2015.
E
Exposure / Comparator
Transcatheter aortic and mitral valve procedures
O
Primary Outcome
Patient characteristics, trends, and outcomes including mortality and complications
Abstract
BACKGROUND: The Society of Thoracic Surgeons (STS)/American College of Cardiology Transcatheter Valve Therapy (TVT) Registry captures all procedures with Food and Drug Administration-approved transcatheter valve devices performed in the United States, and is mandated as a condition of reimbursement by the Centers for Medicaid & Medicare Services. OBJECTIVES: This annual report focuses on patient characteristics, trends, and outcomes of transcatheter aortic and mitral valve catheter-based valve procedures in the United States. METHODS: We reviewed data for all patients receiving commercially approved devices from 2012 through December 31, 2015, that are entered in the TVT Registry. RESULTS: The 54,782 patients with transcatheter aortic valve replacement demonstrated decreases in expected risk of 30-day operative mortality (STS Predicted Risk of Mortality PROM) of 7% to 6% and transcatheter aortic valve replacement PROM (TVT PROM) of 4% to 3% (both p < 0.0001) from 2012 to 2015. Observed in-hospital mortality decreased from 5.7% to 2.9%, and 1-year mortality decreased from 25.8% to 21.6%. However, 30-day post-procedure pacemaker insertion increased from 8.8% in 2013 to 12.0% in 2015. The 2,556 patients who underwent transcatheter mitral leaflet clip in 2015 were similar to patients from 2013 to 2014, with hospital mortality of 2% and with mitral regurgitation reduced to grade ≤2 in 87% of patients (p < 0.0001). The 349 patients who underwent mitral valve-in-valve and mitral valve-in-ring procedures were high risk, with an STS PROM for mitral valve replacement of 11%. The observed hospital mortality was 7.2%, and 30-day post-procedure mortality was 8.5%. CONCLUSIONS: The TVT Registry is an innovative registry that that monitors quality, patient safety and trends for these rapidly evolving new technologies.
Expert Takes3 quotes
1/3
“The predominant theme of the latest annual report from the Society of Thoracic Surgeons/American College of Cardiology TVT Registry is that results overall are better and continuing to improve as a direct result of advances in technology, operator experience, and patient selection as well as decreases in complications.”
Frederick L. Grover, Professor of cardiothoracic surgery, University of ColoradoUniversity of Colorado School of Medicineauto_pipelineView source
Cite This Study
Grover et al. (Fri,) conducted a observational in Transcatheter aortic and mitral valve disease (n=57,687). Transcatheter aortic and mitral valve procedures was evaluated on Patient characteristics, trends, and outcomes including mortality and complications. From 2012 to 2015, observed in-hospital mortality for TAVR decreased from 5.7% to 2.9%, and 1-year mortality decreased from 25.8% to 21.6%, though 30-day pacemaker insertion increased to 12.0%.