STSTVT-1024-Major or Disabling Bleeding-1024-Major or Disabling Bleeding

Video Transcription

Video Summary

In this STS-ACC TVT Registry case, an 80-year-old female undergoing a transcatheter aortic valve replacement experienced a tear in the femoral artery, leading to an emergency transfusion and surgical repair. The patient’s hemoglobin dropped by four grams. This event coded as a bleeding at access site since it met criteria for a confirmed event with transfusion and intervention. However, it did not qualify for the "bleeding disabling" metric as it didn’t meet the higher thresholds required. It did qualify under the observed bleed metric due to criteria for major bleeding. Differences in metrics come down to specific criteria thresholds.

Keywords

genitourinary bleeding

transcatheter mitral valve repair

hemoglobin levels

cystoscopy

medical coding

transcatheter aortic valve replacement

femoral artery tear

emergency transfusion

access site bleeding

TAVR 30-day risk

bleeding at access site

major bleeding criteria