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Temporal changes in aortic valve replacement according to age in Denmark: nationwide data from 2008 to 2020

Title: Temporal changes in aortic valve replacement according to age in Denmark: nationwide data from 2008 to 2020
Authors: Graversen, P L; Butt, J H; Oestergaard, L; Jensen, A D; Warming, P E; Strange, J E; Moeller, C H; Schou, M; Backer, O D; Koeber, L; Fosboel, E L
Source: European Heart Journal ; volume 43, issue Supplement_2 ; ISSN 0195-668X 1522-9645
Publisher Information: Oxford University Press (OUP)
Publication Year: 2022
Description: Background Since the introduction of transcatheter aortic valve implantation (TAVI), the management of symptomatic severe aortic stenosis has changed. Recent published European guidelines (2021) favours TAVI over surgical aortic valve replacements (SAVR) in patients with older age (≥75 years of age) or patients with high surgical risk. The study of nationwide practice patterns for AVR is important and renders the possibility to evaluate whether clinical practice differs from current guidelines. Purpose To evaluate temporal changes in use of isolated aortic valve replacement (AVR) procedures according to age in the era of TAVI in Denmark. Methods We identified all first-time aortic valve replacement procedures (TAVI or SAVR) from 2008 until the end of 2020 through administrative registries in Denmark. Patients with no prior diagnosis of aortic stenosis at time of AVR were excluded. Patients with prior AVR or valve repair were excluded. SAVR was divided according to type of prostheses: surgical bioprostheses and mechanical prostheses. To evaluate changes according to age the study cohort was divided into two age groups:
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/eurheartj/ehac544.1625
Availability: https://doi.org/10.1093/eurheartj/ehac544.1625; https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.1625/46365590/ehac544.1625.pdf
Rights: https://academic.oup.com/pages/standard-publication-reuse-rights
Accession Number: edsbas.BAF4EC22
Database: BASE