Volume 385, Issue 9986, Pages (June 2015)

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Presentation transcript:

Volume 385, Issue 9986, Pages 2477-2484 (June 2015) 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial  Prof Michael J Mack, MD, Prof Martin B Leon, MD, Prof Craig R Smith, MD, Prof D Craig Miller, MD, Prof Jeffrey W Moses, MD, Prof E Murat Tuzcu, MD, Prof John G Webb, MD, Prof Pamela S Douglas, MD, William N Anderson, PhD, Eugene H Blackstone, MD, Susheel K Kodali, MD, Raj R Makkar, MD, Gregory P Fontana, MD, Prof Samir Kapadia, MD, Prof Joseph Bavaria, MD, Rebecca T Hahn, MD, Prof Vinod H Thourani, MD, Vasilis Babaliaros, MD, Prof Augusto Pichard, MD, Prof Howard C Herrmann, MD, David L Brown, MD, Mathew Williams, MD, Michael J Davidson, MD, Prof Lars G Svensson, MD  The Lancet  Volume 385, Issue 9986, Pages 2477-2484 (June 2015) DOI: 10.1016/S0140-6736(15)60308-7 Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 1 Trial profile Eligibility was based on whether the patient would benefit equally from either treatment. If the heart team judged that the patient was not equally served by either treatment, then they were not enrolled. Lost to follow-up was declared only after contact efforts by the sites; patients had the right to withdraw at any time without giving reasons. TAVR=transcatheter aortic valve replacement. SAVR=surgical aortic valve replacement. The Lancet 2015 385, 2477-2484DOI: (10.1016/S0140-6736(15)60308-7) Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 2 Mortality and cardiovascular outcomes Kaplan-Meier analysis of all-cause death in the intention-to-treat population (A) and by landmark analysis (B); stroke or transient ischaemic attack (C); and stroke, transient ischaemic attack, or death from any cause (D). HR=hazard ratio. TAVR=transcatheter aortic valve replacement. SAVR=surgical aortic valve replacement. The Lancet 2015 385, 2477-2484DOI: (10.1016/S0140-6736(15)60308-7) Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 3 Subgroup analyses The interaction terms result from using Cox regression with a trial arm × covariate interaction term. HR=hazard ratio. TAVR=transcatheter aortic valve replacement. SAVR=surgical aortic valve replacement. STS=Society of Thoracic Surgeons Predicted Risk of Mortality. BMI=body-mass index. MR=mitral regurgitation. CABG=coronary artery bypass graft. PCI=percutaneous coronary intervention. The Lancet 2015 385, 2477-2484DOI: (10.1016/S0140-6736(15)60308-7) Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 4 Echocardiographic findings Aortic valve area (A), mean gradient (B), and left ventricular mass regression (C). Points are means, bars are SDs. TAVR=transcatheter aortic valve replacement. SAVR=surgical aortic valve replacement. The Lancet 2015 385, 2477-2484DOI: (10.1016/S0140-6736(15)60308-7) Copyright © 2015 Elsevier Ltd Terms and Conditions