{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:04:04Z","timestamp":1785175444664,"version":"3.55.0"},"reference-count":23,"publisher":"Sociedade Brasileira de Cardiologia","issue":"6","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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: A valva a\u00f3rtica bic\u00faspide (VAB) \u00e9 um fator de risco importante para estenose a\u00f3rtica. No entanto, os desfechos do implante de biopr\u00f3tese a\u00f3rtica transcateter (TAVI) permanecem pouco claros, j\u00e1 que a maioria dos ensaios cl\u00ednicos randomizados excluiu esses pacientes. Al\u00e9m disso, grande parte das evid\u00eancias publicadas sobre o TAVI em VAB adv\u00e9m de pa\u00edses de alta renda, o que pode n\u00e3o refletir a realidade de pa\u00edses em desenvolvimento.  Objetivos: Avaliar tend\u00eancias temporais, caracter\u00edsticas do procedimento e desfechos intra-hospitalares entre pacientes com VAB e valva a\u00f3rtica tric\u00faspide (VAT).  M\u00e9todos: Estudo observacional retrospectivo baseado em um registro multic\u00eantrico brasileiro de pacientes submetidos ao TAVI entre janeiro de 2009 e dezembro de 2021. Realizamos pareamento por escore de propens\u00e3o para ajustar as compara\u00e7\u00f5es. Um valor de p&lt;0,05 foi considerado estatisticamente significativo para todas as an\u00e1lises.  Resultados: Entre 2426 pacientes de 25 centros, 111 tinham VAB. Os procedimentos de TAVI aumentaram ao longo do tempo em ambos os grupos. Ap\u00f3s o pareamento na propor\u00e7\u00e3o de um para tr\u00eas, foram inclu\u00eddos 90 pacientes com VAB e 243 com VAT. N\u00e3o foram observadas diferen\u00e7as significativas nas taxas de complica\u00e7\u00f5es vasculares maiores (4% vs. 5%; p=0,99), sangramento maior ou com risco de vida (10% vs. 6%; p=0,34), acidente vascular cerebral (AVC) (2% vs. 0,4%; p=0,37) ou mortalidade intra-hospitalar (7% vs. 3%; p=0,21). Ao longo do tempo, houve redu\u00e7\u00e3o significativa na mortalidade intra-hospitalar (p&lt;0,01) e nas principais complica\u00e7\u00f5es do procedimento (p&lt;0,01 para eventos vasculares, sangramento e AVC), independentemente do tipo de valva.  Conclus\u00e3o: Durante o per\u00edodo do estudo, os procedimentos anuais de TAVI aumentaram tanto em pacientes com VAB quanto com VAT, embora a preval\u00eancia de VAB tenha permanecido relativamente baixa. N\u00e3o houve diferen\u00e7as significativas nos desfechos do procedimento ou cl\u00ednicos entre os grupos pareados por escore de propens\u00e3o, com redu\u00e7\u00e3o das complica\u00e7\u00f5es do procedimento e da mortalidade para ambos os tipos de valva ao longo do tempo.<\/jats:p>","DOI":"10.36660\/abc.20250750","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T17:30:33Z","timestamp":1785173433000},"source":"Crossref","is-referenced-by-count":0,"title":["Tend\u00eancias Temporais e Desfechos Intra-Hospitalares do Implante de Biopr\u00f3tese A\u00f3rtica Transcateter em Valvas A\u00f3rticas Bic\u00faspides no Brasil: Uma An\u00e1lise Pareada por Escore de Propens\u00e3o"],"prefix":"10.36660","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2066-0287","authenticated-orcid":false,"given":"Pedro","family":"Calomeni","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  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