TAVR Use Patterns Across the Globe

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Presentation transcript:

TAVR Use Patterns Across the Globe Monday February 25, 2013 Time: 2:45-2:51 pm Washington, DC Nicolo Piazza MD, PhD, FRCPC, FESC German Heart Center, Munich, Cardiovascular Surgery McGill University Health Center, Montreal, Interventional Cardiology Darren Mylotte MD

Consulting: Medtronic CoreValve Nicolo Piazza, MD, PhD Consulting: Medtronic CoreValve

11-EU Countries Austria Netherlands Belgium Portugal Denmark Spain France Switzerland Germany United Kingdom Italy

TAVI implants per Annum across 11 European Nations

TAVI implants per Million

TAVI Centres in 11 European Nations

TAVI Centres per Country 53 TAVI centers/country Registry data

TAVI Centres per Million in 2011

Mean number of TAVI implants per center

Market penetration the degree to which a product is known and/or used Wikipedia No. of patients actually treated No. of treatable patients

TAVI Penetration Rates

Amount and source of healthcare spenditure GDP Amount and source of healthcare spenditure Reimbursement system

TAVI Reimbursement 14

Conclusion-1 Largest jump in TAVI numbers from 2009 to 2010 Currently performing 15 000 implants per year (EU-11) Average number of TAVI implants/center = 40 (EU-11) TAVI penetration rate 18% (EU-11)

Conclusion-2 Government health care spending and source of health funding appear to correlate with number of implants/million Variable reimbursement policies exist, specific funds for TAVI are increasing every year Penetration rates are expected to increase but all barriers need to be better investigated