Short- and Long-Term Outcomes After Transcatheter Aortic Valve Implantation in Public and Private Hospital Settings: A Propensity-Matched Analysis.

Objectives To compare short- and long-term outcomes after transcatheter aortic valve implantation (TAVI) in the public and private hospital setting. Design Propensity-matched, retrospective analysis of a prospective registry. Setting and Participants Patients with severe aortic stenosis who underwent TAVI at a tertiary public hospital (n=507) and an experienced private hospital (n=436). Main Outcome Measures The primary endpoint was all-cause mortality. Results Patients that underwent TAVI in the public hospital were younger than patients in the private hospital (82±8 years vs 84±6 years, p 4.0%: 43% vs 56%, p Conclusion Despite increased age and predicted mortality in private hospital patients, short- and long-term outcomes after TAVI were comparable between public and private hospital settings. This study demonstrates the feasibility of performing TAVI in a private hospital with a dedicated and experienced team and questions the current restricted access to TAVI in the private sector.