{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T12:18:29Z","timestamp":1762604309424},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neth Heart J"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The coronavirus disease 2019 (COVID-19) pandemic has put tremendous pressure on healthcare systems. Most transcatheter aortic valve implantation (TAVI) centres have adopted different triage systems and procedural strategies to serve highest-risk patients first and to minimise the burden on hospital logistics and personnel. We therefore assessed the impact of the COVID-19 pandemic on patient selection, type of anaesthesia and outcomes after TAVI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We used data from the Netherlands Heart Registration to examine all patients who underwent TAVI between March 2020 and July 2020 (COVID cohort), and between March 2019 and July 2019 (pre-COVID cohort). We compared patient characteristics, procedural characteristics and clinical outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We examined 2131\u00a0patients who underwent TAVI (1020\u00a0patients in COVID cohort, 1111\u00a0patients in pre-COVID cohort). EuroSCORE\u00a0II was comparable between cohorts (COVID 4.5\u202f\u00b1\u20094.0 vs pre-COVID 4.6\u202f\u00b1\u20094.2, <jats:italic>p<\/jats:italic>\u202f=\u20090.356). The number of TAVI procedures under general anaesthesia was lower in the COVID cohort (35.2% vs 46.5%, <jats:italic>p<\/jats:italic>\u202f&lt;\u20090.001). Incidences of stroke (COVID 2.7% vs pre-COVID 1.7%, <jats:italic>p<\/jats:italic>\u202f=\u20090.134), major vascular complications (2.3% vs 3.4%, <jats:italic>p<\/jats:italic>\u202f=\u20090.170) and permanent pacemaker implantation (10.0% vs 9.4%, <jats:italic>p<\/jats:italic>\u202f=\u20090.634) did not differ between cohorts. Thirty-day and 150-day mortality were comparable (2.8% vs 2.2%, <jats:italic>p<\/jats:italic>\u202f=\u20090.359 and 5.2% vs 5.2%, <jats:italic>p<\/jats:italic>\u202f=\u20090.993, respectively).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>During the COVID-19 pandemic, patient characteristics and outcomes after TAVI were not different than before the pandemic. This highlights the fact that TAVI procedures can be safely performed during the COVID-19 pandemic, without an increased risk of complications or mortality.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s12471-022-01704-9","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T13:04:00Z","timestamp":1654088640000},"page":"503-509","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Transcatheter aortic valve implantation amid the COVID-19 pandemic: a\u00a0nationwide analysis of the first COVID-19 wave in the Netherlands"],"prefix":"10.1007","volume":"30","author":[{"given":"M. J. P.","family":"Rooijakkers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. W. L.","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. 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