Thirty-Day Outcomes of Transcatheter Mitral Valve Replacement for Degenerated Mitral Bioprostheses (Valve-in-Valve), Failed Surgical Rings (Valve-in-Ring), and Native Valve With Severe Mitral Annular Calcification (Valve-in-Mitral Annular Calcification) in the United States: Data From the Society of Thoracic Surgeons/American College of Cardiology/Transcatheter Valve Therapy Registry

Circulation. Cardiovascular Interventions
Mayra GuerreroTed Feldman

Abstract

Transcatheter mitral valve replacement using aortic transcatheter heart valves has recently become an alternative for patients with degenerated mitral bioprostheses, failed surgical repairs with annuloplasty rings or severe mitral annular calcification who are poor surgical candidates. Outcomes of these procedures are collected in the Society of Thoracic Surgeons/American College of Cardiology/Transcatheter Valve Therapy Registry. A comprehensive analysis of mitral valve-in-valve (MViV), mitral valve-in-ring (MViR), and valve-in-mitral annular calcification (ViMAC) outcomes has not been performed. We sought to evaluate short-term outcomes of early experience with MViV, MViR, and ViMAC in the United States. Retrospective analysis of data from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry. Nine hundred three high-risk patients (median Society of Thoracic Surgeons score 10%) underwent MViV (n=680), MViR (n=123), or ViMAC (n=100) between March 2013 and June 2017 at 172 hospitals. Median age was 75 years, 59.2% female. Technical and procedural success were higher in MViV. Left ventricular outflow tract obstruction occurred more frequently with ViMAC (ViMAC=10%, MViR=4.9%, MViV=0...Continue Reading

Associated Clinical Trials

References

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Citations

Mar 7, 2020·Circulation. Cardiovascular Interventions·James M McCabe
Apr 7, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Pinak B ShahUNKNOWN from the American College of Cardiology (ACC) and the Society for Cardiovascular Angiography and Interventions (SCAI)
Sep 1, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nishant SekaranBrian K Whisenant
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Aug 4, 2020·JAMA Cardiology·Brian WhisenantMayra Guerrero
Aug 11, 2020·Current Cardiology Reports·Leo Marcoff, Linda D Gillam
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Feb 5, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mohammed A Al-HijjiMayra Guerrero
Jan 6, 2021·Current Opinion in Cardiology·Therese ServitoGianluigi Bisleri
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Oct 5, 2020·JACC. Cardiovascular Interventions·Jasleen TiwanaJames M McCabe
Oct 5, 2020·JACC. Cardiovascular Interventions·Mayra Guerrero
Mar 31, 2021·The Journal of Thoracic and Cardiovascular Surgery·Francesco FormicaFrancesco Nicolini
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Clinical Trials Mentioned

NCT02370511

Software Mentioned

SAS
MViR
MViV
ViMAC

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