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Valve for Life - France

France joined the Initiative Valve for Life in August 2015 as pilot country. Its main focus is the conduct of two registries in order to show the real number of patients requiring TAVI or mitral percutaneous treatment (MR).



Country situation - challenges

In France, the number of implanted valves for aortic stenosis increased constantly from 150 in 2006 to 5500 in 2014. However, when compared to other European countries like Switzerland or Germany, the percentage of implanted patients in France is relatively low. In the same way, the percutaneous treatment of mitral regurgitation is also low. One of the main obstacles to this is the limited number of reimbursed procedures in France.


Thanks to Valve for Life (VFL) initiative and financial support, two registries  are being conducted in France in order to show the real number of patients requiring TAVI or mitral percutaneous treatment (MR) to the French Health Authority.

Expectations and Results

1. For TAVI, a prospective registry was conducted in 30 implanting centres in France in September and October 2016 gathering the relevant data for the patients hospitalized for aortic valve stenosis. Altogether, the data for 1 102 patients was registered during these two months. Baseline data and allocated treatment (surgery, TAVI or medical treatment) and 1 year survival rate will be accordingly analysed.
To better explain TAVI indications, the VFL Initiative France will organise various regional meetings between interventional cardiologists and general practitioners. In particular, these meetings will be organised in the regions where the prospective registry will demonstrate discrepancy between the number of aortic stenosis patients and the number of TAVI performed.

2. For Mitral Regurgitation (MR), a prospective registry MITRAGISTER is being conducted in the implanting centres (Mitraclip, percutaneous valve implantation etc) from September 2016 to September 2018. It will show the real number of patients requiring percutaneous mitral treatment, in case of primary or secondary MR, to the French Health Authority. All consecutive patients with a percutaneous Mitral valve treatment with a clinical and echographic follow-up will be included at 6, 12 and 24 months.

 

Country Champion: Prof. Martine Gilard
Last update: December 2016