{"id":5946,"date":"2025-03-16T15:30:31","date_gmt":"2025-03-16T12:30:31","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=5946"},"modified":"2025-03-16T15:30:31","modified_gmt":"2025-03-16T12:30:31","slug":"tavr-in-africa-high-success-rate-but-above-average-risks","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/tavr-in-africa-high-success-rate-but-above-average-risks\/","title":{"rendered":"TAVR in Africa: High Success Rate but Above-Average Risks"},"content":{"rendered":"<div>TAVR in Africa: High Success Rate but Above-Average Risks<\/div>\n<div><\/div>\n<div>Source: International journal of CARDIOLOGY| March 10, 2025 | \u00a0| TAVR<\/div>\n<div><\/div>\n<div>1.<span class=\"Apple-tab-span\"> <\/span>TAVR Adoption and New Findings<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Transcatheter aortic valve replacement (TAVR) adoption in Africa has been slower than in other regions.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>A new study published in the International Journal of Cardiology found that while procedural success rates are high, mortality and complication risks remain above average.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>2.<span class=\"Apple-tab-span\"> <\/span>Updated Guidelines and Need for Local Data<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>The South African Society of Cardiovascular Intervention and the Society of Cardiothoracic Surgeons of South Africa have updated their TAVR guidelines, stressing the importance of expanding access and analyzing local patient outcomes.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Evaluating TAVR results in diverse populations and healthcare systems is critical for improving patient selection and treatment strategies.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>3.<span class=\"Apple-tab-span\"> <\/span>Study Overview<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>A meta-analysis of seven observational studies (published through August 2024) examined 704 TAVR patients from South Africa, Egypt, Tunisia, and Algeria.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Patient demographics:<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Average age: 79 years<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Gender: 52% male<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Mean Logistic EuroScore: 25.57% (indicating a high-risk population)<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>4.<span class=\"Apple-tab-span\"> <\/span>Key Outcomes<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Procedural success rate: 91%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Average hospital stay: 5.2 days<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>In-hospital complications:<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Mortality: 5%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Stroke\/Transient Ischemic Attack (TIA): 2%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Major bleeding: 8%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Permanent pacemaker (PPM) implantation: 7%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>One-year outcomes:<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Mortality rate: 11%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Stroke\/TIA rate: 6%<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>5.<span class=\"Apple-tab-span\"> <\/span>Comparison with International Data<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>While TAVR success rates in Africa are comparable to global standards, complication rates (mortality, stroke, and bleeding) are higher than in the U.S. and Germany.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>The findings suggest disparities in cardiovascular care that need further investigation.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>6.<span class=\"Apple-tab-span\"> <\/span>Call for More Research and Global Equity<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>The study highlights the importance of continued research on TAVR outcomes in Africa and other regions with slow adoption.<\/div>\n<div><span class=\"Apple-tab-span\"> <\/span>\u2022<span class=\"Apple-tab-span\"> <\/span>Addressing these disparities is essential for improving cardiovascular care globally.<\/div>\n<div><\/div>\n<div>This research underscores the need for improved infrastructure, training, and post-procedural care to ensure that TAVR benefits all patients equally worldwide.<\/div>\n<div><a href=\"https:\/\/www.internationaljournalofcardiology.com\/article\/S0167-5273(25)00182-2\/fulltext\">https:\/\/www.internationaljournalofcardiology.com\/article\/S0167-5273(25)00182-2\/fulltext<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>TAVR in Africa: High Success Rate but Above-Average Risks Source: International journal of CARDIOLOGY| March 10, 2025 | \u00a0| TAVR 1. TAVR Adoption and New Findings \u2022 Transcatheter aortic valve replacement (TAVR) adoption in Africa has been slower than in other regions. \u2022 A new study published in the International Journal of Cardiology found that [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5946","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/5946","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=5946"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/5946\/revisions"}],"predecessor-version":[{"id":5947,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/5946\/revisions\/5947"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=5946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=5946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=5946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}