{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:32:21Z","timestamp":1772253141671,"version":"3.50.1"},"reference-count":32,"publisher":"Sociedade Brasileira de Cardiologia","issue":"10","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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 transcateter de v\u00e1lvula a\u00f3rtica (TAVI) surgiu como o tratamento preferencial para estenose a\u00f3rtica (EA) grave e sintom\u00e1tica. No entanto, dados comparativos com a substitui\u00e7\u00e3o cir\u00fargica da v\u00e1lvula a\u00f3rtica (SAVR) no sistema p\u00fablico de sa\u00fade brasileiro (SUS) ainda s\u00e3o limitados.  Objetivo  Comparar os resultados cl\u00ednicos e realizar uma an\u00e1lise de custo de TAVI versus SAVR em pacientes do SUS.  M\u00e9todos  Este estudo retrospectivo, de centro \u00fanico, avaliou os resultados cl\u00ednicos e os custos m\u00e9dicos diretos, usando um limite de signific\u00e2ncia estat\u00edstica de 5%.  Resultados  Entre 01\/2018 e 12\/2022, 320 pacientes (139 TAVI, 181 SAVR) foram inclu\u00eddos. Os pacientes TAVI eram mais velhos (77,9 vs. 64,9 anos, p &lt; 0,001) e tinham maior risco cir\u00fargico (STS 3,62% vs. 1,64%, p &lt; 0,001). A mortalidade (2,9% vs. 5,0%) e as taxas de acidente vascular cerebral (AVC) (1,4% vs. 3,3%) foram numericamente menores para TAVI, mas n\u00e3o estatisticamente significativas. Em um desfecho composto ajustado ao risco (morte, AVC, re-hospitaliza\u00e7\u00e3o), TAVI mostrou potencial superioridade (5,8% vs. 12%, OR 2,68, IC 95% 1,04-7,65, p = 0,05), embora n\u00e3o estatisticamente significativa. TAVI foi associado a menor tempo de interna\u00e7\u00e3o hospitalar (2,0 vs. 8,0 dias, p&lt;0,001). O custo total do TAVI foi significativamente maior que o do SAVR (R$ 55.750,90 [52.345,30; 92.286,8] vs. R$ 22.518,10 [19.130,60; 25.875,10, - p&lt;0,001]).  Conclus\u00f5es  Neste estudo, o TAVI apresentou desfechos cl\u00ednicos semelhantes ao SAVR, embora tenha sido realizado em pacientes mais idosos e com maior risco cir\u00fargico. Do ponto de vista econ\u00f4mico, os custos do tratamento com TAVI foram significativamente maiores do que com SAVR, impulsionados principalmente pelos custos dos dispositivos, enquanto o tempo de interna\u00e7\u00e3o hospitalar foi significativamente menor. Com acompanhamento prolongado e custos de procedimento reduzidos, o TAVI pode se tornar uma op\u00e7\u00e3o custo-efetiva no SUS.<\/jats:p>","DOI":"10.36660\/abc.20250021","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:20:56Z","timestamp":1767972056000},"source":"Crossref","is-referenced-by-count":0,"title":["Implante de Valva A\u00f3rtica Transcateter vs. Cirurgia de Valva A\u00f3rtica em um Hospital Brasileiro do Sistema \u00danico de Sa\u00fade (SUS): Resultados e Custos Periprocedimentais"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0492-8936","authenticated-orcid":false,"given":"Gabriel Prado","family":"Saad","sequence":"first","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6887-1169","authenticated-orcid":false,"given":"Alberto Collella","family":"Cervone","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Henrique","family":"Delamain","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitor","family":"Belloti","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Paula Beck da Silva","family":"Etges","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giullia Sarabando","family":"Perez","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruna Bronhara","family":"Damiani","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Issa","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farid","family":"Samaan","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Auristela Isabel de Oliveira","family":"Ramos","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7180-5779","authenticated-orcid":false,"given":"Fausto","family":"Feres","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  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