Simonato, Matheus, Whisenant, Brian, Ribeiro, Henrique Barbosa, Webb, John G., Kornowski, Ran, Guerrero, Mayra, Wijeysundera, Harindra, Sondergaard, Lars, De Backer, Ole ORCID: 0000-0002-9674-0278, Villablanca, Pedro, Rihal, Charanjit, Eleid, Mackram, Kempfert, Jorg, Unbehaun, Axel, Erlebach, Magdalena, Casselman, Filip, Adam, Matti, Montorfano, Matteo, Ancona, Marco, Saia, Francesco ORCID: 0000-0001-9969-2649, Ubben, Timm, Meincke, Felix, Napodano, Massimo, Codner, Pablo, Schofer, Joachim, Pelletier, Marc, Cheung, Anson, Shuvy, Mony, Palma, Jose Honorio, Gaia, Diego Felipe, Duncan, Alison, Hildick-Smith, David, Veulemans, Verena, Sinning, Jan-Malte, Arbel, Yaron, Testa, Luca, de Weger, Arend, Eltchaninoff, Helene, Hemery, Thibault, Landes, Uri, Tchetche, Didier, Dumonteil, Nicolas, Rodes-Cabau, Josep, Kim, Won-Keun ORCID: 0000-0002-0799-7478, Spargias, Konstantinos, Kourkoveli, Panagiota, Ben-Yehuda, Ori, Teles, Rui Campante, Barbanti, Marco, Fiorina, Claudia, Thukkani, Arun, Mackensen, G. Burkhard, Jones, Noah, Presbitero, Patrizia, Petronio, Anna Sonia, Allali, Abdelhakim, Champagnac, Didier, Bleiziffer, Sabine, Rudolph, Tanja, Iadanza, Alessandro ORCID: 0000-0002-6435-1155, Salizzoni, Stefano, Agrifoglio, Marco, Nombela-Franco, Luis ORCID: 0000-0003-3438-8907, Bonaros, Nikolaos, Kass, Malek, Bruschi, Giuseppe, Amabile, Nicolas, Chhatriwalla, Adnan, Messina, Antonio, Hirji, Sameer A., Andreas, Martin, Welsh, Robert, Schoels, Wolfgang, Hellig, Farrel, Windecker, Stephan, Stortecky, Stefan, Maisano, Francesco, Stone, Gregg W. and Dvir, Danny (2021). Transcatheter Mitral Valve Replacement After Surgical Repair or Replacement Comprehensive Midterm Evaluation of Valve-in-Valve and Valve-in-Ring Implantation From the VIVID Registry. Circulation, 143 (2). S. 104 - 117. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1524-4539

Full text not available from this repository.

Abstract

Background: Mitral valve-in-valve (ViV) and valve-in-ring (ViR) are alternatives to surgical reoperation in patients with recurrent mitral valve failure after previous surgical valve repair or replacement. Our aim was to perform a large-scale analysis examining midterm outcomes after mitral ViV and ViR. Methods: Patients undergoing mitral ViV and ViR were enrolled in the Valve-in-Valve International Data Registry. Cases were performed between March 2006 and March 2020. Clinical endpoints are reported according to the Mitral Valve Academic Research Consortium (MVARC) definitions. Significant residual mitral stenosis (MS) was defined as mean gradient >= 10 mm Hg and significant residual mitral regurgitation (MR) as >= moderate. Results: A total of 1079 patients (857 ViV, 222 ViR; mean age 73.5 +/- 12.5 years; 40.8% male) from 90 centers were included. Median STS-PROM score 8.6%; median clinical follow-up 492 days (interquartile range, 76-996); median echocardiographic follow-up for patients that survived 1 year was 772.5 days (interquartile range, 510-1211.75). Four-year Kaplan-Meier survival rate was 62.5% in ViV versus 49.5% for ViR (P<0.001). Mean gradient across the mitral valve postprocedure was 5.7 +/- 2.8 mm Hg (>= 5 mm Hg; 61.4% of patients). Significant residual MS occurred in 8.2% of the ViV and 12.0% of the ViR patients (P=0.09). Significant residual MR was more common in ViR patients (16.6% versus 3.1%; P<0.001) and was associated with lower survival at 4 years (35.1% versus 61.6%; P=0.02). The rates of Mitral Valve Academic Research Consortium-defined device success were low for both procedures (39.4% total; 32.0% ViR versus 41.3% ViV; P=0.01), mostly related to having postprocedural mean gradient >= 5 mm Hg. Correlates for residual MS were smaller true internal diameter, younger age, and larger body mass index. The only correlate for residual MR was ViR. Significant residual MS (subhazard ratio, 4.67; 95% CI, 1.74-12.56; P=0.002) and significant residual MR (subhazard ratio, 7.88; 95% CI, 2.88-21.53; P<0.001) were both independently associated with repeat mitral valve replacement. Conclusions: Significant residual MS and/or MR were not infrequent after mitral ViV and ViR procedures and were both associated with a need for repeat valve replacement. Strategies to improve postprocedural hemodynamics in mitral ViV and ViR should be further explored.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Simonato, MatheusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Whisenant, BrianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ribeiro, Henrique BarbosaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Webb, John G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kornowski, RanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guerrero, MayraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wijeysundera, HarindraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sondergaard, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
De Backer, OleUNSPECIFIEDorcid.org/0000-0002-9674-0278UNSPECIFIED
Villablanca, PedroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rihal, CharanjitUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eleid, MackramUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kempfert, JorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Unbehaun, AxelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Erlebach, MagdalenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Casselman, FilipUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Adam, MattiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Montorfano, MatteoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ancona, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Saia, FrancescoUNSPECIFIEDorcid.org/0000-0001-9969-2649UNSPECIFIED
Ubben, TimmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meincke, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Napodano, MassimoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Codner, PabloUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schofer, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pelletier, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cheung, AnsonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shuvy, MonyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Palma, Jose HonorioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gaia, Diego FelipeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Duncan, AlisonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hildick-Smith, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Veulemans, VerenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sinning, Jan-MalteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arbel, YaronUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Testa, LucaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Weger, ArendUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eltchaninoff, HeleneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hemery, ThibaultUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Landes, UriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tchetche, DidierUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dumonteil, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rodes-Cabau, JosepUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kim, Won-KeunUNSPECIFIEDorcid.org/0000-0002-0799-7478UNSPECIFIED
Spargias, KonstantinosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kourkoveli, PanagiotaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ben-Yehuda, OriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teles, Rui CampanteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barbanti, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fiorina, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thukkani, ArunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mackensen, G. BurkhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jones, NoahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Presbitero, PatriziaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Petronio, Anna SoniaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Allali, AbdelhakimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Champagnac, DidierUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bleiziffer, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rudolph, TanjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Iadanza, AlessandroUNSPECIFIEDorcid.org/0000-0002-6435-1155UNSPECIFIED
Salizzoni, StefanoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Agrifoglio, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nombela-Franco, LuisUNSPECIFIEDorcid.org/0000-0003-3438-8907UNSPECIFIED
Bonaros, NikolaosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kass, MalekUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bruschi, GiuseppeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Amabile, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chhatriwalla, AdnanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Messina, AntonioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hirji, Sameer A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andreas, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Welsh, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoels, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellig, FarrelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Windecker, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stortecky, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maisano, FrancescoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stone, Gregg W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dvir, DannyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-608271
DOI: 10.1161/CIRCULATIONAHA.120.049088
Journal or Publication Title: Circulation
Volume: 143
Number: 2
Page Range: S. 104 - 117
Date: 2021
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Place of Publication: PHILADELPHIA
ISSN: 1524-4539
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
HEART-VALVES; BIOPROSTHETIC VALVES; EUROPEAN ASSOCIATION; AMERICAN SOCIETY; REGURGITATION; OUTCOMES; ECHOCARDIOGRAPHY; RECOMMENDATIONS; ANNULOPLASTY; OBSTRUCTIONMultiple languages
Cardiac & Cardiovascular Systems; Peripheral Vascular DiseaseMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60827

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item