Changing trends in aortic valve procedures over the past ten years—from mechanical prosthesis via stented bioprosthesis to TAVI procedures—analysis of 50,846 aortic valve cases based on a Polish National Cardiac Surgery Database
Key result
Over a 10-year period, aortic valve procedures increased by 46%, and overall in-hospital mortality significantly decreased from 10.9% in 2006 to 8.3% in 2016.
Why the study?
Aortic valve replacement is one of the most common cardiac surgeries, but real-life trends over the last decade needed presentation from a national registry.
Population
50,846 consecutive adult patients undergoing AVR between January 2006 and August 2016 in Poland
Comparison
Trends across aortic valve procedures including isolated AVR, combination procedures, and TAVI over 10 years
Design
Multicentre national registry database study
Follow-up
In-hospital
Authors
Discussion
Loading...
Member takes
Implication
Declining aortic valve procedure mortality amid rising volumes supports evolving standards; leaves open causal drivers and long-term outcomes.
Study Design
Type
Observational (n=50,846)
Multicenter
Yes
Structured PICO
P
Population
50,846 consecutive adult patients who underwent aortic valve procedures between 2006 and 2016 in Poland.
E
Exposure
Aortic valve procedures including isolated surgical AVR, combination procedures (AVR+CABG, AVR+MVR), and transcatheter aortic valve implantation (TAVI)
O
Outcome
Changes in the number of valves, characteristics of valves, operative details, and in-hospital mortalityhard clinical
Main Result
Absolute Event Rate: 8.3% vs 10.9%
Over a 10-year period in Poland, aortic valve procedure volume increased by 46% and bioprosthesis use increased significantly, while in-hospital mortality decreased despite an aging patient population.
Cite This Study
Bartuś et al. (2019) conducted an observational in Aortic valve disease (n=50,846). Aortic valve procedures vs. Historical cohort (2006) was evaluated on Changes in procedure volume, characteristics, and in-hospital mortality. Over a 10-year period, aortic valve procedures increased by 46%, and overall in-hospital mortality significantly decreased from 10.9% in 2006 to 8.3% in 2016.