%0 Journal Article %A Jimenez-Quevedo, Pilar %A Munoz-Garcia, Antonio %A Trillo-Nouche, Ramiro %A del Valle, Raquel %A de la Torre Hernandez, Jose Maria %A Salido, Luisa %A Gutierrez, Enrique %A Pan, Manuel %A Sanchez-Gila, Joaquin %A Garcia del Blanco, Bruno %A Moreno, Raul %A Blanco Mata, Roberto %A Francisco Oteo, Juan %A Amat-Santos, Ignacio %A Regueiro, Ander %A Ten, Francisco %A Manuel Nogales, Juan %A Fernandez-Nofrerias, Eduard %A Andraka, Leire %A Cruz Ferrer, Maria %A Pinar, Eduardo %A Romaguera, Rafael %A Cuellas Ramon, Carlos %A Alfonso, Fernando %A Garcia-Blas, Sergio %A Pinero, Antonio %A Ignasi, Julia %A Diaz Mendez, Rocio %A Bordes, Pascual %A Meseguer, Juan %A Nombela-Franco, Luis %A Spanish TAVI Registry %T Time trend in transcatheter aortic valve implantation: an analysis of the Spanish TAVI registry %D 2020 %@ 2604-7306 %U https://hdl.handle.net/10668/28327 %X Introduction and objectives: This study primary endpoint was to present the in-hospital all-cause mortality of the Spanish TAVI registry from its inception until 2018. Secondary endpoints included other in-hospital clinical events, 30-day all-cause mortality, and an assessment of the time trend of this registry. Methods: All consecutive patients included in the Spanish TAVI registry were analyzed. In this time-based analysis, the population was been divided into patients treated before 2014 (cohort A: 2009-2013) and patients treated between 2014 and 2018 (cohort B). Results: From August 2007 to June 2018, 7180 patients were included. The mean age was 81.2 +/- 6.5 years and 53% were women. The logistic EuroSCORE was 12% (8-20). Transfemoral access was used in 89%. In-hospital and 30-day all-cause mortality was 4.7% and 5.7%, respectively. On the time-based analyses during the hospital stay, the rate of myocardial infarction, stroke, need for pacemakers, tamponade, coronary obstruction, and vascular complications was similar between both groups. However, cohort B showed less need for conversion to surgery and malapposition of the valve. Also, the implant success rate increased from 93% to 96% (P %K Transcatheter Treatment of the Aortic Valve %K Records %K Severe Aortic Stenosis %~