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Impact of Transcatheter Technology on Surgical Aortic Valve Replacement Volume, Outcomes, and Cost
A statewide quality initiative database that included over 11,500 pts undergoing surgical AVR (SAVR) who were assessed for outcomes based on pre-TAVR and post-TAVR time periods (divided into early TAVR and commercial TAVR). SAVR rates increased with each time period, wheres predicted mortality rates decreased, observed mortality was lowest during the commercial era, and major morbidity decreased throughout the time periods. SAVR outcomes are improving, possibly because the highest risk patients are undergoing TAVR.