{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:16:38Z","timestamp":1787670998508,"version":"build-2736575974"},"reference-count":24,"publisher":"Sociedade Brasileira de Cardiologia","issue":"5","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  O implante percut\u00e2neo de biopr\u00f3tese valvar a\u00f3rtica (TAVI) consolidou-se como op\u00e7\u00e3o terap\u00eautica da estenose a\u00f3rtica de grau importante. Dados sobre as caracter\u00edsticas evolutivas dos procedimentos e dos resultados obtidos com a t\u00e9cnica ao longo da \u00faltima d\u00e9cada, em escala nacional, s\u00e3o desconhecidos.  Objetivos  Analisar a tend\u00eancia temporal referente ao perfil demogr\u00e1fico, caracter\u00edsticas dos procedimentos e desfechos hospitalares de pacientes submetidos a TAVI na Rede D\u2019Or S\u00e3o Luiz.  M\u00e9todos  Registro observacional envolvendo 29 institui\u00e7\u00f5es nacionais. Comparou-se caracter\u00edsticas dos procedimentos realizados de 2012 a 2017 (Grupo 1) e de 2018 a 2023 (Grupo 2). Foram considerados significantes os resultados com valor de p &lt; 0,05.  Resultados  Foram analisados 661 casos, 95 pertencentes ao Grupo 1 e 566 ao Grupo 2. A m\u00e9dia de idade foi 81,1 anos. Observou-se no Grupo 1 maior preval\u00eancia de pacientes em classe funcional III ou IV e escore de risco &gt; 8%. Foi mais frequente o emprego de anestesia geral, monitoriza\u00e7\u00e3o ecocardiogr\u00e1fica transesof\u00e1gica e via de acesso por dissec\u00e7\u00e3o. Maior taxa de sucesso do procedimento (95,4% versus 89,5%; p = 0,018) foi aferida em implantes efetivados a partir de 2018, assim como menor mortalidade (3,9% versus 11,6%; p = 0,004) e necessidade de marcapasso definitivo (8,5% versus 17,9%; p = 0,008).  Conclus\u00f5es  A an\u00e1lise temporal de 10 anos do Registro TAVIDOR demonstra uma queda na complexidade cl\u00ednica dos pacientes. Al\u00e9m disso, o avan\u00e7o para t\u00e9cnicas de implante minimalistas, somadas \u00e0 evolu\u00e7\u00e3o tecnol\u00f3gica dos dispositivos, podem ter contribu\u00eddo para desfechos favor\u00e1veis dentre aqueles cujo implante ocorreu no \u00faltimo quinqu\u00eanio.<\/jats:p>","DOI":"10.36660\/abc.20230467","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T14:44:29Z","timestamp":1718981069000},"source":"Crossref","is-referenced-by-count":1,"title":["Tend\u00eancia Temporal no Implante Percut\u00e2neo de Biopr\u00f3tese A\u00f3rtica: An\u00e1lise de 10 Anos do Registro TAVIDOR"],"prefix":"10.36660","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1152-8946","authenticated-orcid":false,"given":"Vinicius","family":"Esteves","sequence":"first","affiliation":[{"name":"Rede D\u2019Or S\u00e3o Luiz,  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