Xavier Armario
Jennifer Carron
Mohamed Abdel-Wahab
Didier Tchetche
Sabine Bleiziffer
Thierry Lefevre
Thomas Modine
Alexander Wolf
Thomas Pilgrim
Pedro Villablanca, Henry Ford HealthFollow
Michael Cunnington
Nicolas Van Mieghem
Christian Hengstenberg
Lars Sondergaard
Martin Swaans
Bernard Prendergast
Marco Barbanti
John Webb
Neal Uren
Jon Resar
Mao Chen
David Hildick-Smith
Mark Spence
David Zweiker
Rodrigo Bagur
Hospital de Cruz
Flavio Ribichini
Duk-Woo Park
Pablo Codner
Joanna Wykrzykowska
Matjaz Bunc
Rodrigo Estevez-Loureiro
Karl Poon
Matthias Götberg
Hüseyin Ince
Azeem Latib
Erik Packer
Marco Angelillis
Yusuke Kobari
Luis Nombela-Franco
Yingqiang Guo
Mikko Savontaus
Amr A. Arafat
Chad Kliger
David Roy
Béla Merkely
Mariana Silva
Jonathon White
Masanori Yamamoto
Pedro Carrilho Ferreira
Stefan Toggweiler
Yohei Ohno
Ines Rodrigues
Soledad Ojeda
Vasileios Voudris
Marek Grygier
Khaled Almerri
Ignacio Cruz-Gonzalez
Viliam Fridrich
Jose De la Torre Hernandez
Nicolo Piazza
Stephane Noble
Dabit Arzamendi
Ibrahim H. Kurt
Johan Bosmans
Martins Erglis
Ivan Casserly
Fadi Sawaya
Ravinay Bhindi
Joelle Kefer
Wei-Hsian Yin
Liesbeth Rosseel
Hyo-Soo Kim
Stephen O'Connor
Farrel Hellig
Matias Sztejfman
Oscar Mendiz
Robert Xuereb
Fabio Brito Jr
Vilhelmas Bajoras
Mohammed Balghith
Michael Kang-Yin Lee
Guering Eid-Lidt
Bert Vandeloo
Vinicius Vaz
Mirvat Alasnag
Gian Paolo Ussia
Jorge Mayol
Gennaro Sardella
Wacin Buddhari
Hsien-Li Kao
Antonio Dager
Apostolos Tzikas
Ahmad Edris
Luis Gutierrez
Eduardo Arias
Mehmet Erturk
César Nicolás Conde Vela
Darko Boljevic
Adolfo Ferrero Guadagnoli
Ahmed ElGuindy
Luciano Santos
Luis Perez
Gabriel Maluenda
Ali Riza Akyüz
Imad Alhaddad
Haitham Amin
So Chak Yu
Arif Alnooryani
Juan Albistur
Quang Nguyen
Darren Mylotte

Document Type

Conference Proceeding

Publication Date


Publication Title

J Am Coll Cardio


Background: The COVID-19 pandemic had a considerable impact on the provision of structural heart intervention worldwide. Our objectives were: 1) to assess the impact of the COVID-19 pandemic on transcatheter aortic valve replacement (TAVR) activity globally; and 2) to determine the differences in the impact according to geographic region and the demographic, development, and economic status of diverse international health care systems.

Methods: We developed a multinational registry of global TAVR activity and invited individual TAVR sites to submit TAVR implant data before and during the COVID-19 pandemic. Specifically, the number of TAVR procedures performed monthly from January 2019 to December 2021 was collected. The adaptive measures to maintain TAVR activity by each site were recorded, as was a variety of indices relating to type of health care system and national economic indices. The primary subject of interest was the impact on TAVR activity during each of the pandemic waves (2020 and 2021) compared with the same period pre–COVID-19 (2019).

Results: Data were received from 130 centers from 61 countries, with 14 subcontinents and 5 continents participating in the study. Overall, TAVR activity increased by 16.7% (2,337 procedures) between 2018 and 2019 (ie, before the pandemic), but between 2019 and 2020 (ie, first year of the pandemic), there was no significant growth (–0.1%; –10 procedures). In contrast, activity again increased by 18.9% (3,085 procedures) between 2020 and 2021 (ie, second year of the pandemic). During the first pandemic wave, there was a reduction of 18.9% (945 procedures) in TAVR activity among participating sites, while during the second and third waves, there was an increase of 6.7% (489 procedures) and 15.9% (1,042 procedures), respectively. Further analysis and results of this study are ongoing and will be available at the time of the congress.

Conclusion: The COVID-19 pandemic initially led to a reduction in the number of patients undergoing TAVR worldwide, although health care systems subsequently adapted, and the number of TAVR recipients continued to grow in subsequent COVID-19 pandemic waves.

Categories: STRUCTURAL: Valvular Disease: Aortic





First Page


Last Page




To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.