When was this app last updated?

January 2024

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How is this app intended to be used?

The STS/ACC TAVR In-Hospital Mortality Risk App is intended to be used by physicians at the point-of-care to evaluate a patient’s potential risk of death while in the acute care setting from the TAVR procedure.

How was this app developed?

The STS/ACC TAVR In-Hospital Mortality Risk App was developed at the ACC in collaboration with STS using the STS/ACC TVT Registry risk-adjusted mortality model. Development of the App was overseen by a group of clinical leaders and experts representing the target audience. Technical experts designed and built the App. Several rounds of user testing were conducted by physicians, nurse practitioners, and others with sample patients.

Please see the Resources section of this app for links to additional references.

For Support
Call: (202) 375-6000, ext. 5603
or (800) 253-4636
Fax: (202) 375-7000
Email: resource@acc.org

Full Guidelines and other References

1. TAVR risk score for the prediction of mortality : Hans R. Figulla, Alexander Lauten; Christian Hamm; Rudiger Lange; Stefan Sack; Friedrich W. Mohr.Based on data from the German Aortic Valve Registry (GARY) a novel scoring system to predict 1year-mortality in patients undergoing transcatheter aortic valve replacement was developed. J Am Coll Cardiol. 2014; 64(11_S):. doi:10.1016/j.jacc.2014.07.787

2. STS/ACC TVT Registry News Story : One Year Outcomes From the STS/ACC TVT Registry Presentation. March 31, 2014

Clinician/Patient Resources

• Long-Term Results for Transcatheter Aortic Valve Replacement (TAVR) : Pablo Codner; Abid Asali; Hanna Vaknin-Assa; Yaron Shapira; Gabriel Greenberg; Katia Orbin; Marina Kupershmidt; Tamir Bental; Alexander Battler; Alexander Sagie; Ran Kornowski. TAVR is an emerging technique for the treatment of severe symptomatic aortic stenosis (AS). Few data reported the long-term outcomes of patients undergoing TAVR. J Am Coll Cardiol Intv. 2013;6(2_S):S44-S45. doi:10.1016/j.jcin.2013.01.063

TAVR License Agreement

This is a Legal Agreement ("Agreement") between the American College of Cardiology Foundation, affiliated entities, and ACCF's suppliers (collectively, "ACCF" or "we") and you and your agents ("you") for the use of the TAVR (the "Product"). The Product allows you to access certain content ("Content") relating to transcatheter aortic valve replacement therapies.

By using the Product, you accept and agree to be bound by all of the terms and conditions set forth in this Agreement . If you do not wish to accept the terms and conditions of this Agreement, do not proceed to use the Product.

ACCF may change the terms of this Agreement from time to time without further notice directly to you. When the terms are changed, ACCF will post a general conspicuous notice. If you do not agree with the revised terms, please discontinue use of the Product immediately .Your continued use of the Product following such notice constitutes your acceptance of any revised terms of the Agreement. This Agreement expressly incorporates by reference and includes rules or disclaimers that may be posted and updated within the Product or communicated to you from time to time.

Term and Termination

ACCF may terminate your access and/or the Product at any time. You agree that any termination of your access to the Product shall not result in any liability or other obligation of ACCF to you, your agent, or any third party in connection with such termination.

Intellectual Property Rights

This Product, including the information, text, graphics, images, audio and video files, trademarks and other materials that may be contained therein (collectively "Content"), is owned by ACCF and/or its suppliers and is protected by patents, copyrights, trademarks, and other proprietary rights. Except as specifically provided in this Agreement, your use of the Product shall be governed and constrained by applicable patent, copyright, trademark and other intellectual property laws.

ACCF grants you a limited, nonexclusive, nontransferable, revocable license to utilize and access the Product for your noncommercial, personal use according to the terms and conditions in this Agreement. You may not modify, publish, transmit, participate in the transfer or sale of, reproduce, create derivative works from, distribute, perform, display, incorporate into another website, or in any other way exploit the Service and/or any of the Content, in whole or in part. Except as expressly granted by this Agreement, you acquire no right, title or interest in the Product or the Content or other data or materials incorporated in the Product. ACCF, ACC or affiliates or licensors thereof shall retain all right, title and interest in the Product and Content.

Limitation of Liability

YOU EXPRESSLY UNDERSTAND AND AGREE THAT ACCF SHALL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES, INCLUDING WITHOUT LIMITATION, DAMAGES FOR LOSS OF PROFITS, GOODWILL, USE, DATA LOSS, OR OTHER LOSSES (EVEN IF ACCF HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES) RESULTING FROM: (i) THE USE OR INABILITY TO USE THE PRODUCT, (ii) THE COST OF ANY SUBSTITUTE PRODUCTS AND/OR SERVICES RESULTING FROM ANY PRODUCTS, DATA, INFORMATION OR SERVICES OBTAINED OR WHICH YOU WERE UNABLE TO OBTAIN OR TRANSACTIONS EFFECTED OR FAILED TO BE EFFECTED, (iii) THE USE OR INABILITY TO USE ANY THIRD PARTY APPLICATIONS CONTAINED WITHIN THE SERVICE, OR (iv) ANY MATTER OTHERWISE RELATED TO YOUR USE OF THE PRODUCT.

Disclaimer of Warranties

THE PRODUCT AND CONTENT ARE PROVIDED ON AN "AS IS" AND "AS AVAILABLE" BASIS. ACCF AND ITS SUPPLIERS EXPRESSLY DISCLAIM ALL WARRANTIES OF ANY KIND WITH RESPECT TO THE PRODUCT OR CONTENT, WHETHER EXPRESS OR IMPLIED, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT. ACCF MAKES NO WARRANTY THAT THE PRODUCT AND/OR ANY CONTENT THEREIN WILL MEET YOUR REQUIREMENTS, OR WILL BE UNINTERRUPTED, TIMELY, SECURE, CURRENT, ACCURATE, COMPLETE OR ERROR-FREE OR THE RESULTS THAT MAY BE OBTAINED BY USE OF THE PRODUCT OR ANY CONTENT THEREIN WILL BE ACCURATE OR RELIABLE. YOU UNDERSTAND AND ACKNOWLEDGE THAT YOUR SOLE AND EXCLUSIVE REMEDY WITH RESPECT TO ANY DEFECT IN OR DISSATISFACTION WITH THE PRODUCT IS TO CEASE ITS USE.

The Content on the Product are presented as an educational service intended for licensed healthcare professionals. While the Content in the Product is about specific medical and healthcare issues, the Content is not a substitute for or replacement of personalized medical advice and is not intended to be used as the sole basis for making individualized medical or health-related decisions.

The views and opinions expressed are those of the contributing authors and editors and do not necessarily represent the views of the ACCCF. The material is not intended to present the only, or necessarily best, methods or procedures for the medical situations addressed, but rather is intended to represent an approach, view, statement or opinion.

Although all advertising material on the Product is expected to conform to ethical and medical standards, inclusion on this Product does not constitute a guarantee or endorsement by the publisher of the quality or value of such product or of the claim made of it by its manufacturer.

In addition, any statements about commercial products are solely the opinion(s) of the author(s) and do not represent an ACCF endorsement or evaluation of these products. These statements should not be used in advertising or for any commercial purpose.

Force Majeure

Neither party shall be liable or considered in default under this Agreement when the failure or delay of performance is caused by circumstances beyond its reasonable control and occurring without its fault or negligence, including failure of suppliers, licensors, subcontractors, and carriers, acts of civil or military authorities, national emergencies, fire, flood, acts of God, threats or acts of terrorism, insurrection, and war, provided the party invoking this Section immediately provides notice thereof to the other and does everything reasonable possible to resume its performance hereunder.

No Assignment

This agreement is personal to you, and you may not assign your rights or obligations to anyone. No Waiver.

Neither failure nor delay on the part of any party to exercise any right, remedy, power or privilege hereunder nor course of dealing between the parties shall operate as a waiver thereof, or of the exercise of any other right, remedy, power or privilege. No term of this Agreement shall be deemed waived, and no breach consented to, unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. No waiver of any rights or consent to any breaches shall constitute a waiver of any other rights or consent to any other breach.

Severability

If any provision in this Agreement is held invalid or unenforceable under applicable law, the remaining provisions shall continue in full force and effect.

Indemnification

You hereby agree to indemnify, defend and hold ACCF, its directors, officers, shareholders, parents, subsidiaries, affiliates, agents and licensors harmless from and against any and all liability, losses, damages and costs, including, without limitation, reasonable attorneys' fees and costs, incurred in connection with any claim arising from your use of the Product or Content.

Governing Law

These Terms and Conditions will be governed by and construed exclusively in accordance with the laws of the District of Columbia, USA, without regard to its conflicts of law principles and, to the extent applicable, the federal laws of the United States. If a dispute arises between ACCF and you, we hereby agree to submit such dispute to non-binding mediation, followed by binding arbitration, if necessary. Both the mediation and arbitration will be conducted by JAMS applying the laws of the District of Columbia without regard to its conflicts of laws principles and in the District of Columbia as venue.