STSTVT-0822 - Metric 307 | Patients with Acceptable Quality of Life Outcome at 30 Days Based on KCCQ Summary Score-0822 - Metric 307 | Patients with Acceptable Quality of Life Outcome at 30 Days Based on KCCQ Summary Score

0822 - Metric 307 | Patients with Acceptable Quality of Life Outcome at 30 Days Based on KCCQ Summary Score

Video Transcription

Video Summary

In this video, the presenter discusses a case scenario from the STS ACC TVT Registry. The case involves an 87-year-old patient with severe aortic stenosis who underwent an elective transcatheter aortic valve replacement (TAVR) procedure. During the procedure, a significant paravalvular leak was observed, leading to the decision to perform balloon valvuloplasty. However, the patient experienced complications and ultimately died on the procedure table. The video then focuses on the question of whether this patient should be included in the denominator of metric 307, which measures patients with acceptable quality of life outcomes at 30 days based on KCCQ summary score. The answer is yes, despite the patient's death, as the metric first considers patients who are alive at their 30-day follow-up. The purpose of the metric is to identify patients who are alive and well since their procedure, and KCCQ results are only reviewed if the patient is alive.

Keywords

video

STS ACC TVT Registry

aortic stenosis

transcatheter aortic valve replacement

paravalvular leak