Patients with transcatheter valve procedures admitted to contemporary cardiac intensive care units: insights from the CCCTN registry

Abstract Funding Acknowledgements Type of funding sources: None. Background Transcatheter cardiac valve procedures, including transcatheter aortic replacement (TAVR) and edge-to-edge repair (TEER), have increased in the recent years. Peri-procedural management strategies, whether there is a need for routine admission to intensive care units (CICUs), are not well defined. Purpose We aimed describe epidemiology patients with procedures admitted contemporary CICUs. Methods identified who underwent (TAVR or TEER) from CICUs North America 2017 2021 using data CCCTN (Critical Care Cardiology Trials Network) Registry. assessed patient characteristics reason triage CICU among those TAVR TEER. Among TEER, we further compared resource utilization outcomes between (1) an indication post-procedural monitoring alone versus (2) admissions following TEER other reasons. Results Of 17,852 admissions, 641 (3.6%) had TAVR/TEER leading during their stay. Compared without stay, procedure were older (median [IQR]: 80 [74-85] vs. 66 (55-75) years) history coronary artery disease (54% 36%, P<0.01). Monitoring alone, another at time admission, was most frequent (n= 474, 74%). Patients low rates any shock (2%) mechanical ventilation (3%) SOFA scores (2 [1-4]); Figure). In contrast, indications higher (26%) (25%) (4 [3-7]). There 0 cases circulatory support (MCS) use only. (0.2% 4.2%) in-hospital (1.5% 9.0%) mortality multifold lower beyond monitoring. Conclusions American CICUs, nearly 3 4 procedural alone. Need advanced therapies Given expected growth these over time, observations highlight potential opportunities redirect majority less costly hospital units.