Avoiding the Learning Curve for Transcatheter Aortic Valve Replacement
Joint Authors
Raveendran, Ganesh
Gurevich, Sergey
John, Ranjit
Kelly, Rosemary F.
Helmer, Gregory
Yannopoulos, Demetris
Biring, Timinder
Oestreich, Brett
Garcia, Santiago
Source
Cardiology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-26
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objectives.
To evaluate whether collaboration between existing and new transcatheter aortic valve replacement (TAVR) programs could help reduce the number of cases needed to achieve optimal efficiency.
Background.
There is a well-documented learning curve for achieving procedural efficiency and safety in TAVR procedures.
Methods.
A multidisciplinary collaboration was established between the Minneapolis VA Medical Center (new program) and the University of Minnesota (established program since 2012, n=219) 1 year prior to launching the new program.
Results.
269 patients treated with TAVR (50 treated in the first year at the new program).
Mean age was 76 (±18) years and STS score was 6.8 (±6).
Access included transfemoral (n=35, 70%), transapical (n=8, 16%), transaortic (n=2, 4%), and subclavian (n=5, 10%) types.
Procedural efficiency (procedural time 158±59 versus 148±62, p=0.27), device success (96% versus 87%, p=0.08), length of stay (5±3 versus 6±7 days, p=0.10), and safety (in hospital mortality 4% versus 6%, p=0.75) were similar between programs.
We found no difference in outcome measures between the first and last 25 patients treated during the first year of the new program.
Conclusions.
Establishing a partnership with an established program can help mitigate the learning curve associated with these complex procedures.
American Psychological Association (APA)
Gurevich, Sergey& John, Ranjit& Kelly, Rosemary F.& Raveendran, Ganesh& Helmer, Gregory& Yannopoulos, Demetris…[et al.]. 2017. Avoiding the Learning Curve for Transcatheter Aortic Valve Replacement. Cardiology Research and Practice،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1150978
Modern Language Association (MLA)
Gurevich, Sergey…[et al.]. Avoiding the Learning Curve for Transcatheter Aortic Valve Replacement. Cardiology Research and Practice No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1150978
American Medical Association (AMA)
Gurevich, Sergey& John, Ranjit& Kelly, Rosemary F.& Raveendran, Ganesh& Helmer, Gregory& Yannopoulos, Demetris…[et al.]. Avoiding the Learning Curve for Transcatheter Aortic Valve Replacement. Cardiology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1150978
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150978