Research Article

Changing Surgical Aortic Valve Size and Choices in the Transcatheter Aortic Valve Replacement Era

Table 2

Operative and postoperative characteristics.

Pre-TAVR era (n = 1,792)Early TAVR era (n = 2,422)Current-TAVR era (n = 2,231) value

Operative
 Mechanical valve13% (n = 230)8% (n = 200)16% (n = 348)<0.001
 Valve size (mm)23 (21–25)23 (21–25)23 (23–25)<0.001
 Annular enlargement4% (n = 75)5% (n = 123)8% (n = 168)<0.001
 Cross-clamp time (min)74 (59–92)74 (60–94)75 (60–95)0.4
 Bypass time (min)102 (85–125)104 (85–129)104 (84–130)0.7
Postoperative
 Ventilator time (hours)7.2 (4.8–14.2)5.6 (4.0–10.4)4.6 (3.4–6.9)<0.001
 ICU time (hours)44 (24–72)47 (26–76)48 (26–77)0.8
 In-hospital mortality2.5% (n = 45)1.2% (n = 30)0.9% (n = 20)<0.001
 Total cost ($)33,391 (27,766–43,257)34,377 (27,352–44,766)37,538 (30,537–50,366)<0.001

TAVR = transcatheter aortic valve replacement.