Thread by @hmkyale

Glad to be part of an in-depth analysis of aortic valve replacement in US elderly, led by remarkable @mori_md & @aakriti_15 w/interdisciplinary team of cardiologists & cardiac surgeons. Findings highlight key trends in the TAVR era. jacc.org/doi/10.1016/j.… @JACCJournals @YaleMed

@mori_md @aakriti_15 @JACCJournals @YaleMed First, the Medicare beneficiaries receiving a new aortic value increased 60% from 2012, with increasing TAVR (percutaneous procedure) and decreasing SAVR (aortic valve surgery). TAVR up 680%; SAVR down 40%. Marked practice change. @YaleCardiology @ArnarGeirssonMD @ajaykirtane

@mori_md @aakriti_15 @JACCJournals @YaleMed @YaleCardiology @ArnarGeirssonMD @ajaykirtane This study took an approach to investigate total aortic valve replacement; often we are looking at the two procedures and comparing them, but missing overall growth of the total procedures and trends in outcomes. More people getting them…and mortality and readmission dropping.

@mori_md @aakriti_15 @JACCJournals @YaleMed @YaleCardiology @ArnarGeirssonMD @ajaykirtane Interestingly, readmission and 1-year mortality trended lower over time for TAVR and SAVR; more people survived both procedures. In this period, patient age remained stead and there was a slightly increasing comorbidity profile.

@mori_md @aakriti_15 @JACCJournals @YaleMed @YaleCardiology @ArnarGeirssonMD @ajaykirtane Trends in Transcatheter and Surgical Aortic Valve Replacement Among Older Adults in the United States. Here is a link to the paper outside the firewall, which is much appreciated. authors.elsevier.com/a/1e7Th2d9GHow…
@ElsevierConnect @JACCJournals