Outcomes after inhospital, subacute, and elective TAVI in COMPARE-TAVI 1

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ID: 315190
2026
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Abstract
Abstract Aims We aimed to compare procedural, echocardiographic, and clinical outcomes within the first year after transcatheter aortic valve implantation (TAVI) among inhospital and subacute patients to elective patients in the COMPARE-TAVI 1 cohort. Methods and Results Among 1030 patients treated with TAVI, 927 (90%) had an elective procedure, 63 (6.1%) had a subacute procedure, and 40 (3.9%) had an inhospital procedure. Procedural characteristics and outcomes were comparable. Among elective, subacute and inhospital patients, mortality at 30 days was 15 (1.6%), 0 (0%), and 0 (0%) and at 1 year 54 (5.8%), 4 (6.3%), 2 (5.0%). Stroke at 30 days was 28 (3.0%), 0 (0%) and 3 (7.5%) and at 1 year 42 (4.5%), 5 (7.9%) and 3 (7.5%). New pacemaker at 30 days was 119 (14%), 12 (21%) and 6 (17%) and at 1 year 130 (16%), 14 (25%) and 7 (19%). Elective, subacute and inhospital patients with LVEF ≤ 40%, improved their LVEF from 33% (28–37), 33% (27–37), and 28 % (22–33) before TAVI to 46% (35-60), 43% (33–52) and 42% (33–55) at 30-days, and 54% (45–62), 53% (43–61) and 49% (39–63) at 1-year. Differences between the groups were not statistically significant. Conclusions After transfemoral TAVI with balloon-expandable valves in COMPARE-TAVI 1, procedural, echocardiographic, and clinical outcomes were comparable among elective, subacute and inhospital patients within the first year.
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Authors Troels Thim, Henrik Nissen, P F Freeman, Jordi Sanchez Dahl, Rebekka Vibjerg Jensen, Evald Høj Christiansen, Ashkan Eftekhari, B L Norgaard, Jonas Agerlund Povlsen, Steen Hvidtfeldt Poulsen, Kristian Altern Øvrehus, Christian Juhl Terkelsen
Journal European Heart Journal Open
Year 2026
DOI
10.1093/ehjopen/oeag083
URL
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