Short- and mid-term safety and effectiveness of transcatheter aortic valve implantation in a failing surgical aortic bioprosthesis

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Sea Hing OngRalf Mueller

Abstract

The feasibility of transcatheter aortic valve implantation (TAVI) in patients with a failing surgical aortic bioprosthesis has been reported from single centres. We present results from a multi-centre feasibility study in such patients followed for 1 year after TAVI. This study evaluated 18 patients undergoing implantation with the 18-Fr CoreValve TAVI prosthesis in a failing surgical aortic bioprosthesis at three centres in Germany. Subject inclusion requirements included ≥ 75 years old and either surgical risk with logistic European System for Cardiac Operative Risk Evaluation ≥ 15% or ≥ 1 high-risk co-morbidity. Implanted subjects were 79 ± 4 years old, 67% males, 78% NYHA Class III/IV, with logistic EuroSCORE 34 ± 14, and had failed surgical bioprostheses from six manufacturers. The procedure was considered technically successful in 94% (17/18) of cases. One subject was converted to surgery during the procedure. Mortality at 30 days and 1 year was 11% (2/18) and 28% (5/18), respectively. Two cardiac deaths occurred, including 1 within 30 days. Two subjects had strokes, both within 30 days. After 30 days and 1 year, respectively, 86 and 73% of subjects improved at least 1 NYHA class and the remainder had no change. No aortic...Continue Reading

References

Dec 4, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·W R E JamiesonS V Lichtenstein
Sep 26, 2006·The Annals of Thoracic Surgery·Thomas EitzReiner Körfer
Oct 13, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Peter WenaweserEberhard Grube
Dec 30, 2008·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Nicolo PiazzaPatrick W Serruys
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Timotheos G KelpisAntonis A Pitsis
May 28, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Moritz SeiffertHendrik Treede
Sep 9, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Michael GotzmannWaldemar Bojara
Sep 25, 2010·European Heart Journal·Ralf ZahnUNKNOWN German Transcatheter Aortic Valve Interventions-Registry Investigators
Oct 22, 2010·The New England Journal of Medicine·Martin B LeonUNKNOWN PARTNER Trial Investigators
Nov 16, 2010·European Heart Journal·Thierry LefèvreUNKNOWN PARTNER EU Investigator Group
Feb 18, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ronen GurvitchJohn G Webb
Jun 7, 2011·The New England Journal of Medicine·Craig R SmithUNKNOWN PARTNER Trial Investigators
Oct 4, 2011·The Journal of Thoracic and Cardiovascular Surgery·Vincent ChanMarc Ruel

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Citations

Apr 13, 2017·Circulation. Cardiovascular Interventions·Sami AlnasserUNKNOWN Valve-in-Valve International Data Registry Investigators
Apr 22, 2020·International Journal of Technology Assessment in Health Care·Anne-Pauline ThivilliersNicolas Martelli

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