Multicenter Experience Evaluating Transcatheter Pulmonary Valve Replacement in Bovine Jugular Vein (Contegra) Right Ventricle to Pulmonary Artery Conduits
BACKGROUND—Follow-up of transcatheter pulmonary valve replacement (TPVR) with the Melody valve has demonstrated good short-term and long-term outcomes, but there are no published studies focused on valve performance in the Contegra bovine jugular vein conduit. METHODS AND RESULTS—This is a retrospec...
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| Veröffentlicht in: | Circulation. Cardiovascular interventions 2017-06, Vol.10 (6), p.e004914-e004914 |
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| creator | Morray, Brian H McElhinney, Doff B Boudjemline, Younes Gewillig, Marc Kim, Dennis W Grant, Elena K Bocks, Martin L Martin, Mary H Armstrong, Aimee K Berman, Darren Danon, Saar Hoyer, Mark Delaney, Jeffrey W Justino, Henri Qureshi, Athar M Meadows, Jeffery J Jones, Thomas K |
| description | BACKGROUND—Follow-up of transcatheter pulmonary valve replacement (TPVR) with the Melody valve has demonstrated good short-term and long-term outcomes, but there are no published studies focused on valve performance in the Contegra bovine jugular vein conduit.
METHODS AND RESULTS—This is a retrospective, multicenter study of the short- and intermediate-term outcomes of Melody TPVR within the Contegra conduit in the right ventricle to pulmonary artery position. Data from 13 centers were included in the analysis. During the study period, 136 patients underwent 139 catheterizations for attempted Melody TPVR with a median follow-up of 3 years (1 day to 9.1 years). Of the 136 patients, 117 underwent successful Melody TPVR. Two patients underwent a second Melody TPVR. The majority of patients underwent placement of ≥1 stents before transcatheter pulmonary valve implantation. There was a significant reduction in peak conduit pressure gradient acutely after transcatheter pulmonary valve implantation (39 versus 10 mm Hg; P |
| doi_str_mv | 10.1161/CIRCINTERVENTIONS.116.004914 |
| format | Article |
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METHODS AND RESULTS—This is a retrospective, multicenter study of the short- and intermediate-term outcomes of Melody TPVR within the Contegra conduit in the right ventricle to pulmonary artery position. Data from 13 centers were included in the analysis. During the study period, 136 patients underwent 139 catheterizations for attempted Melody TPVR with a median follow-up of 3 years (1 day to 9.1 years). Of the 136 patients, 117 underwent successful Melody TPVR. Two patients underwent a second Melody TPVR. The majority of patients underwent placement of ≥1 stents before transcatheter pulmonary valve implantation. There was a significant reduction in peak conduit pressure gradient acutely after transcatheter pulmonary valve implantation (39 versus 10 mm Hg; P<0.001). At most recent follow-up, the maximum pulmonary valve gradient by echocardiogram remained significantly reduced relative to prevalve implant measurements (65.9 versus 27.3 mm Hg; P<0.001). The incidence of Melody transcatheter pulmonary valve stent fracture (3.4%) and infectious endocarditis (4.3%) were both low. Serious adverse events occurred in 3 patients.
CONCLUSIONS—Melody TPVR in Contegra conduits is safe and effective and can be performed in a wide range of conduit sizes with preserved valve function and low incidence of stent fracture and endocarditis.</description><identifier>ISSN: 1941-7640</identifier><identifier>EISSN: 1941-7632</identifier><identifier>DOI: 10.1161/CIRCINTERVENTIONS.116.004914</identifier><identifier>PMID: 28600328</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>Adolescent ; Adult ; Animals ; Bioprosthesis ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - instrumentation ; Cardiac Catheterization - adverse effects ; Cardiac Catheterization - instrumentation ; Cattle ; Child ; Child, Preschool ; Europe ; Female ; Heart Defects, Congenital - physiopathology ; Heart Defects, Congenital - surgery ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation - adverse effects ; Heart Valve Prosthesis Implantation - instrumentation ; Heart Ventricles - abnormalities ; Heart Ventricles - physiopathology ; Heart Ventricles - surgery ; Hemodynamics ; Heterografts ; Humans ; Jugular Veins - diagnostic imaging ; Jugular Veins - physiopathology ; Jugular Veins - transplantation ; Male ; Middle Aged ; Prosthesis Design ; Pulmonary Artery - abnormalities ; Pulmonary Artery - physiopathology ; Pulmonary Artery - surgery ; Pulmonary Valve - diagnostic imaging ; Pulmonary Valve - physiopathology ; Pulmonary Valve - surgery ; Retrospective Studies ; Time Factors ; Treatment Outcome ; United States ; Young Adult</subject><ispartof>Circulation. Cardiovascular interventions, 2017-06, Vol.10 (6), p.e004914-e004914</ispartof><rights>2017 American Heart Association, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4813-c6d6182bc9565f6eb960b4c41c81a378bf5309adbe4593c2a583e7fee1edf5ec3</citedby><cites>FETCH-LOGICAL-c4813-c6d6182bc9565f6eb960b4c41c81a378bf5309adbe4593c2a583e7fee1edf5ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28600328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morray, Brian H</creatorcontrib><creatorcontrib>McElhinney, Doff B</creatorcontrib><creatorcontrib>Boudjemline, Younes</creatorcontrib><creatorcontrib>Gewillig, Marc</creatorcontrib><creatorcontrib>Kim, Dennis W</creatorcontrib><creatorcontrib>Grant, Elena K</creatorcontrib><creatorcontrib>Bocks, Martin L</creatorcontrib><creatorcontrib>Martin, Mary H</creatorcontrib><creatorcontrib>Armstrong, Aimee K</creatorcontrib><creatorcontrib>Berman, Darren</creatorcontrib><creatorcontrib>Danon, Saar</creatorcontrib><creatorcontrib>Hoyer, Mark</creatorcontrib><creatorcontrib>Delaney, Jeffrey W</creatorcontrib><creatorcontrib>Justino, Henri</creatorcontrib><creatorcontrib>Qureshi, Athar M</creatorcontrib><creatorcontrib>Meadows, Jeffery J</creatorcontrib><creatorcontrib>Jones, Thomas K</creatorcontrib><title>Multicenter Experience Evaluating Transcatheter Pulmonary Valve Replacement in Bovine Jugular Vein (Contegra) Right Ventricle to Pulmonary Artery Conduits</title><title>Circulation. Cardiovascular interventions</title><addtitle>Circ Cardiovasc Interv</addtitle><description>BACKGROUND—Follow-up of transcatheter pulmonary valve replacement (TPVR) with the Melody valve has demonstrated good short-term and long-term outcomes, but there are no published studies focused on valve performance in the Contegra bovine jugular vein conduit.
METHODS AND RESULTS—This is a retrospective, multicenter study of the short- and intermediate-term outcomes of Melody TPVR within the Contegra conduit in the right ventricle to pulmonary artery position. Data from 13 centers were included in the analysis. During the study period, 136 patients underwent 139 catheterizations for attempted Melody TPVR with a median follow-up of 3 years (1 day to 9.1 years). Of the 136 patients, 117 underwent successful Melody TPVR. Two patients underwent a second Melody TPVR. The majority of patients underwent placement of ≥1 stents before transcatheter pulmonary valve implantation. There was a significant reduction in peak conduit pressure gradient acutely after transcatheter pulmonary valve implantation (39 versus 10 mm Hg; P<0.001). At most recent follow-up, the maximum pulmonary valve gradient by echocardiogram remained significantly reduced relative to prevalve implant measurements (65.9 versus 27.3 mm Hg; P<0.001). The incidence of Melody transcatheter pulmonary valve stent fracture (3.4%) and infectious endocarditis (4.3%) were both low. Serious adverse events occurred in 3 patients.
CONCLUSIONS—Melody TPVR in Contegra conduits is safe and effective and can be performed in a wide range of conduit sizes with preserved valve function and low incidence of stent fracture and endocarditis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Animals</subject><subject>Bioprosthesis</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cattle</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Europe</subject><subject>Female</subject><subject>Heart Defects, Congenital - physiopathology</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart Valve Prosthesis</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Heart Valve Prosthesis Implantation - instrumentation</subject><subject>Heart Ventricles - abnormalities</subject><subject>Heart Ventricles - physiopathology</subject><subject>Heart Ventricles - surgery</subject><subject>Hemodynamics</subject><subject>Heterografts</subject><subject>Humans</subject><subject>Jugular Veins - diagnostic imaging</subject><subject>Jugular Veins - physiopathology</subject><subject>Jugular Veins - transplantation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prosthesis Design</subject><subject>Pulmonary Artery - abnormalities</subject><subject>Pulmonary Artery - physiopathology</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary Valve - diagnostic imaging</subject><subject>Pulmonary Valve - physiopathology</subject><subject>Pulmonary Valve - surgery</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>United States</subject><subject>Young Adult</subject><issn>1941-7640</issn><issn>1941-7632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkc1u1DAUhSNERUvhFZAXLMoirR07jiOxKVGAqcoUDcNsI8e5mTE4yeCfKX2VPm09mrZCYmHZOvrOuVc-SfKe4HNCOLmoZotqNl_Wi1U9X85u5j_28jnGrCTsRXJCSkbSgtPs5fOb4ePktXO_MI4yz14lx5ngGNNMnCT334LxWsHowaL67xashlEBqnfSBOn1uEZLK0enpN_AnvkezDCN0t6hlTQ7QAvYGqlgiAlIj-jTtNMjoKuwDkZatIKonVVTjF9b-QEt9Hrjozp6q5UB5Kd_Ai9tHHCHIt0F7d2b5KiXxsHbx_s0-fm5XlZf0-ubL7Pq8jpVTBCaKt5xIrJWlTnPew5tyXHLFCNKEEkL0fY5xaXsWmB5SVUmc0Gh6AEIdH0Oip4mZ4fcrZ3-BHC-GbRTYIwcYQquISUWLBOUiYh-PKDKTs5Z6Jut1UPcvSG42bfT_NfOXm4O7UT7u8dJoR2gezY_1REBdgBuJxP_wv024RZsswFp_KbBhNKClXmaYVLgaMFpPJjSB-BeoWc</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Morray, Brian H</creator><creator>McElhinney, Doff B</creator><creator>Boudjemline, Younes</creator><creator>Gewillig, Marc</creator><creator>Kim, Dennis W</creator><creator>Grant, Elena K</creator><creator>Bocks, Martin L</creator><creator>Martin, Mary H</creator><creator>Armstrong, Aimee K</creator><creator>Berman, Darren</creator><creator>Danon, Saar</creator><creator>Hoyer, Mark</creator><creator>Delaney, Jeffrey W</creator><creator>Justino, Henri</creator><creator>Qureshi, Athar M</creator><creator>Meadows, Jeffery J</creator><creator>Jones, Thomas K</creator><general>American Heart Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201706</creationdate><title>Multicenter Experience Evaluating Transcatheter Pulmonary Valve Replacement in Bovine Jugular Vein (Contegra) Right Ventricle to Pulmonary Artery Conduits</title><author>Morray, Brian H ; McElhinney, Doff B ; Boudjemline, Younes ; Gewillig, Marc ; Kim, Dennis W ; Grant, Elena K ; Bocks, Martin L ; Martin, Mary H ; Armstrong, Aimee K ; Berman, Darren ; Danon, Saar ; Hoyer, Mark ; Delaney, Jeffrey W ; Justino, Henri ; Qureshi, Athar M ; Meadows, Jeffery J ; Jones, Thomas K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4813-c6d6182bc9565f6eb960b4c41c81a378bf5309adbe4593c2a583e7fee1edf5ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Animals</topic><topic>Bioprosthesis</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - instrumentation</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Cattle</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Europe</topic><topic>Female</topic><topic>Heart Defects, Congenital - physiopathology</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart Valve Prosthesis</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Heart Valve Prosthesis Implantation - instrumentation</topic><topic>Heart Ventricles - abnormalities</topic><topic>Heart Ventricles - physiopathology</topic><topic>Heart Ventricles - surgery</topic><topic>Hemodynamics</topic><topic>Heterografts</topic><topic>Humans</topic><topic>Jugular Veins - diagnostic imaging</topic><topic>Jugular Veins - physiopathology</topic><topic>Jugular Veins - transplantation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prosthesis Design</topic><topic>Pulmonary Artery - abnormalities</topic><topic>Pulmonary Artery - physiopathology</topic><topic>Pulmonary Artery - surgery</topic><topic>Pulmonary Valve - diagnostic imaging</topic><topic>Pulmonary Valve - physiopathology</topic><topic>Pulmonary Valve - surgery</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morray, Brian H</creatorcontrib><creatorcontrib>McElhinney, Doff B</creatorcontrib><creatorcontrib>Boudjemline, Younes</creatorcontrib><creatorcontrib>Gewillig, Marc</creatorcontrib><creatorcontrib>Kim, Dennis W</creatorcontrib><creatorcontrib>Grant, Elena K</creatorcontrib><creatorcontrib>Bocks, Martin L</creatorcontrib><creatorcontrib>Martin, Mary H</creatorcontrib><creatorcontrib>Armstrong, Aimee K</creatorcontrib><creatorcontrib>Berman, Darren</creatorcontrib><creatorcontrib>Danon, Saar</creatorcontrib><creatorcontrib>Hoyer, Mark</creatorcontrib><creatorcontrib>Delaney, Jeffrey W</creatorcontrib><creatorcontrib>Justino, Henri</creatorcontrib><creatorcontrib>Qureshi, Athar M</creatorcontrib><creatorcontrib>Meadows, Jeffery J</creatorcontrib><creatorcontrib>Jones, Thomas K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation. Cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morray, Brian H</au><au>McElhinney, Doff B</au><au>Boudjemline, Younes</au><au>Gewillig, Marc</au><au>Kim, Dennis W</au><au>Grant, Elena K</au><au>Bocks, Martin L</au><au>Martin, Mary H</au><au>Armstrong, Aimee K</au><au>Berman, Darren</au><au>Danon, Saar</au><au>Hoyer, Mark</au><au>Delaney, Jeffrey W</au><au>Justino, Henri</au><au>Qureshi, Athar M</au><au>Meadows, Jeffery J</au><au>Jones, Thomas K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multicenter Experience Evaluating Transcatheter Pulmonary Valve Replacement in Bovine Jugular Vein (Contegra) Right Ventricle to Pulmonary Artery Conduits</atitle><jtitle>Circulation. Cardiovascular interventions</jtitle><addtitle>Circ Cardiovasc Interv</addtitle><date>2017-06</date><risdate>2017</risdate><volume>10</volume><issue>6</issue><spage>e004914</spage><epage>e004914</epage><pages>e004914-e004914</pages><issn>1941-7640</issn><eissn>1941-7632</eissn><abstract>BACKGROUND—Follow-up of transcatheter pulmonary valve replacement (TPVR) with the Melody valve has demonstrated good short-term and long-term outcomes, but there are no published studies focused on valve performance in the Contegra bovine jugular vein conduit.
METHODS AND RESULTS—This is a retrospective, multicenter study of the short- and intermediate-term outcomes of Melody TPVR within the Contegra conduit in the right ventricle to pulmonary artery position. Data from 13 centers were included in the analysis. During the study period, 136 patients underwent 139 catheterizations for attempted Melody TPVR with a median follow-up of 3 years (1 day to 9.1 years). Of the 136 patients, 117 underwent successful Melody TPVR. Two patients underwent a second Melody TPVR. The majority of patients underwent placement of ≥1 stents before transcatheter pulmonary valve implantation. There was a significant reduction in peak conduit pressure gradient acutely after transcatheter pulmonary valve implantation (39 versus 10 mm Hg; P<0.001). At most recent follow-up, the maximum pulmonary valve gradient by echocardiogram remained significantly reduced relative to prevalve implant measurements (65.9 versus 27.3 mm Hg; P<0.001). The incidence of Melody transcatheter pulmonary valve stent fracture (3.4%) and infectious endocarditis (4.3%) were both low. Serious adverse events occurred in 3 patients.
CONCLUSIONS—Melody TPVR in Contegra conduits is safe and effective and can be performed in a wide range of conduit sizes with preserved valve function and low incidence of stent fracture and endocarditis.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>28600328</pmid><doi>10.1161/CIRCINTERVENTIONS.116.004914</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Circulation. Cardiovascular interventions, 2017-06, Vol.10 (6), p.e004914-e004914 |
| issn | 1941-7640 1941-7632 |
| language | eng |
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| source | MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Animals Bioprosthesis Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Cardiac Catheterization - adverse effects Cardiac Catheterization - instrumentation Cattle Child Child, Preschool Europe Female Heart Defects, Congenital - physiopathology Heart Defects, Congenital - surgery Heart Valve Prosthesis Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - instrumentation Heart Ventricles - abnormalities Heart Ventricles - physiopathology Heart Ventricles - surgery Hemodynamics Heterografts Humans Jugular Veins - diagnostic imaging Jugular Veins - physiopathology Jugular Veins - transplantation Male Middle Aged Prosthesis Design Pulmonary Artery - abnormalities Pulmonary Artery - physiopathology Pulmonary Artery - surgery Pulmonary Valve - diagnostic imaging Pulmonary Valve - physiopathology Pulmonary Valve - surgery Retrospective Studies Time Factors Treatment Outcome United States Young Adult |
| title | Multicenter Experience Evaluating Transcatheter Pulmonary Valve Replacement in Bovine Jugular Vein (Contegra) Right Ventricle to Pulmonary Artery Conduits |
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