Bleiziffer, Sabine, Simonato, Matheus, Webb, John G., Rodes-Cabau, Josep, Pibarot, Philippe, Kornowski, Ran, Windecker, Stephan, Erlebach, Magdalena, Duncan, Alison, Seiffert, Moritz, Unbehaun, Axel, Frerker, Christian, Conzelmann, Lars, Wijeysundera, Harindra, Kim, Won-Keun, Montorfano, Matteo, Latib, Azeem, Tchetche, Didier, Allali, Abdelhakim, Abdel-Wahab, Mohamed, Orvin, Katia, Stortecky, Stefan, Nissen, Henrik, Holzamer, Andreas, Urena, Marina, Testa, Luca, Agrifoglio, Marco, Whisenant, Brian, Sathananthan, Janarthanan, Napodano, Massimo, Landi, Antonio, Fiorina, Claudia, Zittermann, Armin, Veulemans, Verena, Sinning, Jan-Malte, Saia, Francesco, Brecker, Stephen, Presbitero, Patrizia, De Backer, Ole, Sondergaard, Lars, Bruschi, Giuseppe, Franco, Luis Nombela, Petronio, Anna Sonia, Barbanti, Marco, Cerillo, Alfredo, Spargias, Konstantinos, Schofer, Joachim, Cohen, Mauricio, Munoz-Garcia, Antonio, Finkelstein, Ariel, Adam, Matti, Serra, Vicenc, Teles, Rui Campante, Champagnac, Didier, Iadanza, Alessandro, Chodor, Piotr, Eggebrecht, Holger, Welsh, Robert, Caixeta, Adriano, Salizzoni, Stefano, Dager, Antonio, Auffret, Vincent, Cheema, Asim, Ubben, Timm, Ancona, Marco, Rudolph, Tanja, Gummert, Jan, Tseng, Elaine, Noble, Stephane, Bunc, Matjaz, Roberts, David, Kass, Malek, Gupta, Anuj, Leon, Martin B. and Dvir, Danny (2020). Long-term outcomes after transcatheter aortic valve implantation in failed bioprosthetic valves. Eur. Heart J., 41 (29). S. 2731 - 2743. OXFORD: OXFORD UNIV PRESS. ISSN 1522-9645

Full text not available from this repository.

Abstract

Aims Due to bioprosthetic valve degeneration, aortic valve-in-valve (ViV) procedures are increasingly performed. There are no data on long-term outcomes after aortic ViV. Our aim was to perform a large-scale assessment of long-term survival and reintervention after aortic ViV. Methods and results A total of 1006 aortic ViV procedures performed more than 5 years ago [mean age 77.7 +/- 9.7 years; 58.8% mate; median STS-PROM score 7.3% (4.2-12.0)] were included in the analysis. Patients were treated with Medtronic self-expandable valves (CoreVatve/Evolut, Medtronic Inc., Minneapolis, MN, USA) (n = 523, 52.0%), Edwards balloo-nexpandable valves (EBEV, SAPIEN/SAPIEN XT/SAPIEN 3, Edwards Lifesciences, Irvine, CA, USA) (n=435, 43.2%), and other devices (n =48, 4.8%). Survival was tower at 8 years in patients with small-failed bioprostheses [internal diameter (ID) < 20 mm] compared with those with large-failed bioprostheses (ID > 20 mm) (33.2% vs. 40.5%, P= 0.01). Independent correlates for mortality included smaller-failed bioprosthetic valves [hazard ratio (HR) 1.07 (95% confidence interval (CI) 1.02-1.13)], age [HR 1.21 (95% CI 1.01-1.45)], and non-transfemoral access [HR 1.43 (95% CI 1.11-1.84)]. There were 40 reinterventions after ViV. Independent correlates for all-cause reintervention included pre-existing severe prosthesis-patient mismatch [subhazard ratio (SHR) 4.34 (95% CI 1.31-14.39)], device malposition [SHR 3.75 (95% CI 1.36-10.35)], EBEV [SHR 3.34 (95% CI 1.26-8.85)], and age [SHR 0.59 (95% CI 0.44-0.78)]. Conclusions: The size of the original failed valve may influence long-term mortality, and the type of the transcatheter valve may influence the need for reintervention after aortic ViV. [GRAPHICS] .

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bleiziffer, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Simonato, MatheusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Webb, John G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rodes-Cabau, JosepUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pibarot, PhilippeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kornowski, RanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Windecker, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Erlebach, MagdalenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Duncan, AlisonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seiffert, MoritzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Unbehaun, AxelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frerker, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Conzelmann, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wijeysundera, HarindraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kim, Won-KeunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Montorfano, MatteoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Latib, AzeemUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tchetche, DidierUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Allali, AbdelhakimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Abdel-Wahab, MohamedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Orvin, KatiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stortecky, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nissen, HenrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Holzamer, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Urena, MarinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Testa, LucaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Agrifoglio, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Whisenant, BrianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sathananthan, JanarthananUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Napodano, MassimoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Landi, AntonioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fiorina, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zittermann, ArminUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Veulemans, VerenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sinning, Jan-MalteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Saia, FrancescoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brecker, StephenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Presbitero, PatriziaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
De Backer, OleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sondergaard, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bruschi, GiuseppeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Franco, Luis NombelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Petronio, Anna SoniaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barbanti, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cerillo, AlfredoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spargias, KonstantinosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schofer, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cohen, MauricioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Munoz-Garcia, AntonioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Finkelstein, ArielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Adam, MattiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Serra, VicencUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teles, Rui CampanteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Champagnac, DidierUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Iadanza, AlessandroUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chodor, PiotrUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eggebrecht, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Welsh, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Caixeta, AdrianoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Salizzoni, StefanoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dager, AntonioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Auffret, VincentUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cheema, AsimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ubben, TimmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ancona, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rudolph, TanjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gummert, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tseng, ElaineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Noble, StephaneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bunc, MatjazUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roberts, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kass, MalekUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gupta, AnujUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leon, Martin B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dvir, DannyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-324138
DOI: 10.1093/eurheartj/ehaa544
Journal or Publication Title: Eur. Heart J.
Volume: 41
Number: 29
Page Range: S. 2731 - 2743
Date: 2020
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1522-9645
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PROSTHESIS-PATIENT MISMATCH; EUROPEAN ASSOCIATION; AMERICAN SOCIETY; REPLACEMENT; RECOMMENDATIONSMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/32413

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item