October 22, 2015Catheterization and Cardiovascular Interventions
Streamlining the learning process for TAVI: Insight from a comparative analysis of the OCEAN‐TAVI and the massy registries
Why the study?
Does transfemoral TAVI in a Japanese cohort utilizing unique support systems achieve similar clinical and safety outcomes compared to an experienced European cohort?
Population
312 patients who underwent transfemoral transcatheter aortic valve implantation, comprising 134 patients…
Comparison
Transfemoral TAVI in the Japanese cohort… vs Transfemoral TAVI in the French cohort.
Design
Cohort
Follow-up
30-day
Authors
Discussion
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Member takes
Implication
Japanese TAVI outcomes with proctoring systems matched French registry data; leaves open whether these accelerate safe adoption elsewhere.
Structured PICO
Does transfemoral TAVI in a Japanese cohort utilizing unique support systems achieve similar clinical and safety outcomes compared to an experienced European cohort?
P
Population
312 patients who underwent transfemoral transcatheter aortic valve implantation (TAVI), comprising 134 patients from the OCEAN-TAVI registry (Japan) and 178 patients from the Massy registry (France).
I
Intervention
Transfemoral TAVI in the Japanese cohort, utilizing unique supporting systems (e.g., on-site proctor and web-based screening systems) to facilitate the learning process.
C
Comparator
Transfemoral TAVI in the French cohort (experienced European institute).
O
Outcome
All-cause 30-day mortality and 30-day combined safety endpoint based on the Valve Academic Research Consortium 2 (VARC2) criteria.safety
Transfemoral TAVI in Japan, supported by unique learning systems, achieved excellent 30-day safety outcomes comparable to an experienced European center despite smaller patient anatomy.
Cite This Study
Inohara et al. (2015) studied this question.