Haemodynamic outcomes following aortic valve-in-valve procedure.

Open Heart
Anne-Sophie ZensesPhilippe Pibarot

Abstract

Transcatheter aortic valve-in-valve implantation (ViV) has emerged as a valuable technique to treat failed surgical bioprostheses (BPs) in patients with high risk for redo surgical aortic valve replacement (SAVR). Small BP size (≤21 mm), stenotic pattern of degeneration and pre-existing prosthesis-patient mismatch (PPM) have been associated with worse clinical outcomes after ViV. However, no study has evaluated the actual haemodynamic benefit associated with ViV. This study aims to compare haemodynamic status observed at post-ViV, pre-ViV and early after initial SAVR and to determine the factors associated with worse haemodynamic outcomes following ViV, including the rates of high residual gradient and 'haemodynamic futility'. Early post-SAVR, pre-ViV and post-ViV echocardiographic data of 79 consecutive patients who underwent aortic ViV at our institution were retrospectively analysed. The primary study endpoint was suboptimal valve haemodynamics (SVH) following ViV defined by the Valve Academic Research Consortium 2 as the presence of high residual aortic mean gradient (≥20 mm Hg) and/or at least moderate aortic regurgitation (AR). Haemodynamic futility of ViV was defined as <10 mm Hg decrease in mean aortic gradient and no i...Continue Reading

References

Oct 3, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arie Pieter KappeteinUNKNOWN Valve Academic Research Consortium (VARC)-2
Jun 24, 2014·JACC. Cardiovascular Interventions·Brian R LindmanJonathan Afilalo
Jul 10, 2014·JAMA : the Journal of the American Medical Association·Danny DvirUNKNOWN Valve-in-Valve International Data Registry Investigators
Aug 16, 2016·The Thoracic and Cardiovascular Surgeon·Ralf-Uwe KuehnelJohannes M Albes
Sep 19, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Matheus SimonatoDanny Dvir
May 6, 2017·Journal of the American College of Cardiology·John G WebbMartin B Leon
May 20, 2017·JACC. Cardiovascular Interventions·G Michael DeebJeffrey J Popma
Jul 12, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jens Erik Nielsen-KudskHenning Rud Andersen
Jul 12, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Peter JohansenJens Erik Nielsen-Kudsk
Sep 10, 2017·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Scientific Document Group
Nov 6, 2017·JACC. Cardiovascular Interventions·Jonas Lanz, Thomas Pilgrim
Jan 20, 2018·JACC. Cardiovascular Interventions·Philippe PibarotDanny Dvir
Jan 24, 2018·Circulation·Danny DvirUNKNOWN VIVID (Valve in Valve International Data) Investigators
Mar 15, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Anne-Sophie ZensesRégis Rieu

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Citations

Oct 15, 2019·Circulation. Cardiovascular Interventions·Harold L DauermanMichael J Reardon
Apr 20, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Mattia GlauberAntonio Miceli
Jul 30, 2021·Journal of Cardiothoracic Surgery·Anja OsswaldAlexander Weymann

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Software Mentioned

ViV
SigmaPlot
JMP

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