1. 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

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

4. 11-EU Countries Austria Netherlands Belgium Portugal Denmark Spain
France
Switzerland
Germany
United Kingdom
Italy

5. TAVI implants per Annum across 11 European Nations

6. TAVI implants per Million

7. TAVI Centres in 11 European Nations

8. TAVI Centres per Country
53 TAVI centers/country
Registry data

9. TAVI Centres per Million in 2011

10. Mean number of TAVI implants per center

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

12. TAVI Penetration Rates

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

14. TAVI Reimbursement 14

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

16. 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