Introduction: Definitive management of severe aortic stenosis has evolved rapidly. Indications for trans-catheter procedures have progressed from patients deemed inoperable to high risk and now to patients representing intermediate surgical risk. Health resource availability also are determinants on treatment received. Advanced age and high surgical risk impact resource use through higher costs and length of stay.
This study examines and compares the demographics and surgical risk scores of patients undergoing isolated surgical and trans-catheter aortic valve replacements at Royal Prince Alfred Hospital in Sydney.
Method: This retrospective cohort analysis examined 124 consecutive patients undergoing isolated aortic valve replacements at Royal Prince Alfred Hospital between October 2016 and January 2018. Patients were identified from a database of cardiothoracic and transcatheter procedures with additional demographics recorded from hospital medical records. Surgical risk scores were calculated using the Society of Thoracic Surgeons risk calculator.
Results: 124 consecutive patients between October 2016 and Jan 2018.
