A streamlined pathway for transcatheter aortic valve implantation: the BENCHMARK study
European Heart Journal
Abstract
There is significant potential to streamline the clinical pathway for patients undergoing transcatheter aortic valve implantation (TAVI). The purpose of this study was to evaluate the effect of implementing BENCHMARK best practices on the efficiency and safety of TAVI in 28 sites in 7 European countries.
This was a study of patients with severe symptomatic aortic stenosis (AS) undergoing TAVI with balloon-expandable valves before and after implementation of BENCHMARK best practices. Principal objectives were to reduce hospital length of stay (LoS) and duration of intensive care stay. Secondary objective was to document patient safety.
Between January 2020 and March 2023, 897 patients were documented prior to and 1491 patients after the implementation of BENCHMARK practices. Patient characteristics were consistent with a known older TAVI population and only minor differences. Mean LoS was reduced from 7.7 ± 7.0 to 5.8 ± 5.6 days (median 6 vs. 4 days;
Broad implementation of BENCHMARK practices contributes to improving efficiency of TAVI pathway reducing LoS and costs without compromising patient safety.
Contributors
Barbara Cefalo
Author
Elmar Kuhn
Author
Vera Wolf
Author
Vicente Peral Disdier
Author
Jaume Maristany Daunert
Author
Eric Durand
Author
Douglas F Muir
Author
Mark Spence
Author
Mariuca Vasa-Nicotera
Author
David Wood
Author
Cristóbal A Urbano-Carrillo
Author
Damien Bouchayer
Author
Vlad Anton Iliescu
Author
Christophe Saint Etienne
Author
Florence Leclercq
Author
Vincent Auffret
Author
Lluis Asmarats
Author
Aurelie Veugeois
Author
Jiri Maly
Author
Andreas Schober
Author
Luis Nombela-Franco
Author
Nikos Werner
Author
Julia Mascherbauer
Author
Thibaud Meurice
Author
Felix Mahfoud
Author
Tim Seidler
Author
Florian Leuschner
Author
Patrick Joly
Author
Jean-Philippe Collet
Author
Emilio Di Lorenzo
Author
Elmar Kuhn
Author
Vicente Peral Disdier
Author
Violetta Hachaturyan
Author
Claudia M Lüske
Author
Radka Rakova
Author
Wilbert Wesselink
Author
Jana Kurucova
Author
Peter Bramlage
Author
Gemma McCalmont
Author
Derk Frank
Author
Gemma McCalmont
Author
Peter Bramlage
Author
Claudia M Lüske
Author
Marie Zielinski
Author
Daniel Greinert
Author
Cornelia Deutsch
Author
Violetta Hachaturyan
Author
Eric Durand
Author
Sandra Lauck
Author
Douglas Muir
Author
Mark Spence
Author
Mariuca Vasa-Nicotera
Author
David Wood
Author
Francesco Saia
Author
Jana Kurucova
Author
Wilbert Wesselink
Author
Radka Rakova
Author
Martin Thoenes
Author
Cristóbal A Urbano-Carrillo
Author
Carlos Lara García
Author
Beatriz Chamorro
Author
Damien Bouchayer
Author
Jean-Philippe Claudel
Author
Hervé Perrier
Author
Viktoria Frebault
Author
Vlad Anton Iliescu
Author
Catalina Andreea Parasca
Author
Christophe Saint Etienne
Author
Katia Lassouani
Author
Florence Leclercq
Author
Wassim Zitouni
Author
Sonia Soltani
Author
Vincent Auffret
Author
Rosalie Le Gal
Author
Lluis Asmarats
Author
Elena Jimenez Xarrie
Author
Carlo Di Mario
Author
Niccolo Ciardetti
Author
Francesco Meucci
Author
Aurelie Veugeois
Author
Imane Bagdadi
Author
Jiri Maly
Author
Lenka Kolinova
Author
Andreas Schober
Author
Georg Delle-Karth
Author
Claudia Schuster
Author
Marie-Christine Leitgeb
Author
Luis Nombela-Franco
Author
Esther Bernardo García
Author
María Aránzazu Ortega Pozzi
Author
Nikos Werner
Author
Jürgen Leick
Author
Michael Lauterbach
Author
Hannah Waschbüsch
Author
Joan Antoni
Author
Guillem Muntané
Author
Mirela Butkovic
Author
Simona Popescu
Author
Giuseppe Musumeci
Author
Martina Perrero
Author
Nicolas Meneveau
Author
Stephanie Watbled
Author
Thibaud Meurice
Author
Maxence Delomez
Author
Felix Mahfoud
Author
Bruno Scheller
Author
Sebastian Ewen
Author
Ann-Kathrin Berger
Author
Christina Koch
Author
Alexandra Engel
Author
Federico De Marco
Author
Paolo Olivares
Author
Tim Seidler
Author
Frieder Wolf
Author
Carolin Müller
Author
Maren Hünermund
Author
Florian Leuschner
Author
Mathias Konstandin
Author
Lisa Linz
Author
Hannah Ulbricht
Author
Patrick Joly
Author
Sabrina Siame
Author
Jean-Philippe Collet
Author
Nassima Ait Amrane
Author
Ferdinand Vogt
Author
Dow Rosenzweig
Author
Emilio Di Lorenzo
Author
