Transcatheter aortic valve-in-valve implantation in degenerative rapid deployment bioprostheses
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Transcatheter aortic valve-in-valve implantation in degenerative rapid deployment bioprostheses. / Landes, Uri; Dvir, Danny; Schoels, Wolfgang; Tron, Christopher; Ensminger, Stephan; Simonato, Matheus; Schäfer, Ulrich; Bunc, Matjaz; Aldea, Gabriel S; Cerillo, Alfredo; Windecker, Stephan; Marzocchi, Antonio; Andreas, Martin; Amabile, Nicolas; Webb, John; Kornowski, Ran.
In: EUROINTERVENTION, Vol. 15, No. 1, 20.05.2019, p. 37-43.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Transcatheter aortic valve-in-valve implantation in degenerative rapid deployment bioprostheses
AU - Landes, Uri
AU - Dvir, Danny
AU - Schoels, Wolfgang
AU - Tron, Christopher
AU - Ensminger, Stephan
AU - Simonato, Matheus
AU - Schäfer, Ulrich
AU - Bunc, Matjaz
AU - Aldea, Gabriel S
AU - Cerillo, Alfredo
AU - Windecker, Stephan
AU - Marzocchi, Antonio
AU - Andreas, Martin
AU - Amabile, Nicolas
AU - Webb, John
AU - Kornowski, Ran
PY - 2019/5/20
Y1 - 2019/5/20
N2 - AIMS: The aim of this study was to evaluate transcatheter aortic valve-in-valve (ViV) implantation performance in rapid deployment (ViVr) vs. conventional (ViVc) surgical heart valves.METHODS AND RESULTS: A multicentre registry was developed as part of the VIVID international registry. A total of 30 ViVr patients (Perceval, n=24, ATS 3f Enable™, n=5, and the INTUITY, n=1) were evaluated and compared with 2,288 ViVc patients. Propensity score (PS) matching was performed to adjust further for bias. Compared with ViVc, ViVr patients presented twice as early after surgical heart valve (SHV) implantation (55.2±36.1 vs. 118.4±57.7 months, p<0.001), were more commonly female (82.8% vs. 41.3%, p<0.001), and had shorter body stature and reduced body weight (p<0.05 for both) prior to PS. Implantation was successful in all ViVr cases and, compared with ViVc, was associated with equally favourable haemodynamic outcomes (mean gradient: 14.6±8.3 vs. 16.2±8.9 mmHg, p=0.356; regurgitation ≥mild: 3.7% vs. 5.2%, p=0.793). Periprocedural complication rates were similar and low in both groups. There was no coronary obstruction event in any ViVr case; one patient (3.6%) died during one year of follow-up.CONCLUSIONS: ViVr appears effective, safe and associated with favourable haemodynamic outcome.
AB - AIMS: The aim of this study was to evaluate transcatheter aortic valve-in-valve (ViV) implantation performance in rapid deployment (ViVr) vs. conventional (ViVc) surgical heart valves.METHODS AND RESULTS: A multicentre registry was developed as part of the VIVID international registry. A total of 30 ViVr patients (Perceval, n=24, ATS 3f Enable™, n=5, and the INTUITY, n=1) were evaluated and compared with 2,288 ViVc patients. Propensity score (PS) matching was performed to adjust further for bias. Compared with ViVc, ViVr patients presented twice as early after surgical heart valve (SHV) implantation (55.2±36.1 vs. 118.4±57.7 months, p<0.001), were more commonly female (82.8% vs. 41.3%, p<0.001), and had shorter body stature and reduced body weight (p<0.05 for both) prior to PS. Implantation was successful in all ViVr cases and, compared with ViVc, was associated with equally favourable haemodynamic outcomes (mean gradient: 14.6±8.3 vs. 16.2±8.9 mmHg, p=0.356; regurgitation ≥mild: 3.7% vs. 5.2%, p=0.793). Periprocedural complication rates were similar and low in both groups. There was no coronary obstruction event in any ViVr case; one patient (3.6%) died during one year of follow-up.CONCLUSIONS: ViVr appears effective, safe and associated with favourable haemodynamic outcome.
KW - Aortic Valve
KW - Aortic Valve Stenosis
KW - Bioprosthesis
KW - Female
KW - Heart Valve Prosthesis
KW - Heart Valve Prosthesis Implantation
KW - Humans
KW - Prosthesis Design
KW - Treatment Outcome
U2 - 10.4244/EIJ-D-18-00752
DO - 10.4244/EIJ-D-18-00752
M3 - SCORING: Journal article
C2 - 30777843
VL - 15
SP - 37
EP - 43
JO - EUROINTERVENTION
JF - EUROINTERVENTION
SN - 1774-024X
IS - 1
ER -