Repeat Transcatheter Aortic Valve Replacement for Transcatheter Prosthesis Dysfunction
Transcatheter aortic valve replacement (TAVR) use is increasing in patients with longer life expectancy, yet robust data on the durability of transcatheter heart valves (THVs) are limited. Redo-TAVR may play a key strategy in treating patients in whom THVs fail. The authors sought to examine outcome...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2020-04, Vol.75 (16), p.1882-1893 |
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| creator | Landes, Uri Webb, John G. De Backer, Ole Sondergaard, Lars Abdel-Wahab, Mohamed Crusius, Lisa Kim, Won-Keun Hamm, Christian Buzzatti, Nicola Montorfano, Matteo Ludwig, Sebastian Schofer, Niklas Voigtlaender, Lisa Guerrero, Mayra El Sabbagh, Abdallah Rodés-Cabau, Josep Guimaraes, Leonardo Kornowski, Ran Codner, Pablo Okuno, Taishi Pilgrim, Thomas Fiorina, Claudia Colombo, Antonio Mangieri, Antonio Eltchaninoff, Helene Nombela-Franco, Luis Van Wiechen, Maarten P.H. Van Mieghem, Nicolas M. Tchétché, Didier Schoels, Wolfgang H. Kullmer, Matthias Tamburino, Corrado Sinning, Jan-Malte Al-Kassou, Baravan Perlman, Gidon Y. Danenberg, Haim Ielasi, Alfonso Fraccaro, Chiara Tarantini, Giuseppe De Marco, Federico Witberg, Guy Redwood, Simon R. Lisko, John C. Babaliaros, Vasilis C. Laine, Mika Nerla, Roberto Castriota, Fausto Finkelstein, Ariel Loewenstein, Itamar Eitan, Amnon Jaffe, Ronen Ruile, Philipp Neumann, Franz J. Piazza, Nicolo Alosaimi, Hind Sievert, Horst Sievert, Kolja Russo, Marco Andreas, Martin Bunc, Matjaz Latib, Azeem Govdfrey, Rebecca Hildick-Smith, David Sathananthan, Janarthanan Hensey, Mark Alkhodair, Abdullah Blanke, Philipp Leipsic, Jonathon Wood, David A. Nazif, Tamim M. Kodali, Susheel Leon, Martin B. Barbanti, Marco |
| description | Transcatheter aortic valve replacement (TAVR) use is increasing in patients with longer life expectancy, yet robust data on the durability of transcatheter heart valves (THVs) are limited. Redo-TAVR may play a key strategy in treating patients in whom THVs fail.
The authors sought to examine outcomes following redo-TAVR.
The Redo-TAVR registry collected data on consecutive patients who underwent redo-TAVR at 37 centers. Patients were classified as probable TAVR failure or probable THV failure if they presented within or beyond 1 year of their index TAVR, respectively.
Among 63,876 TAVR procedures, 212 consecutive redo-TAVR procedures were identified (0.33%): 74 within and 138 beyond 1 year of the initial procedure. For these 2 groups, TAVR-to-redo-TAVR time was 68 (38 to 154) days and 5 (3 to 6) years. The indication for redo-TAVR was THV stenosis in 12 (16.2%) and 51 (37.0%) (p = 0.002) and regurgitation or combined stenosis–regurgitation in 62 (83.8%) and 86 (62.3%) (p = 0.028), respectively. Device success using VARC-2 criteria was achieved in 180 patients (85.1%); most failures were attributable to high residual gradients (14.1%) or regurgitation (8.9%). At 30-day and 1-year follow-up, residual gradients were 12.6 ± 7.5 mm Hg and 12.9 ± 9.0 mm Hg; valve area 1.63 ± 0.61 cm2 and 1.51 ± 0.57 cm2; and regurgitation ≤mild in 91% and 91%, respectively. Peri-procedural complication rates were low (3 stroke [1.4%], 7 valve malposition [3.3%], 2 coronary obstruction [0.9%], 20 new permanent pacemaker [9.6%], no mortality), and symptomatic improvement was substantial. Survival at 30 days was 94.6% and 98.5% (p = 0.101) and 83.6% and 88.3% (p = 0.335) at 1 year for patients presenting with early and late valve dysfunction, respectively.
Redo-TAVR is a relatively safe and effective option for selected patients with valve dysfunction after TAVR. These results are important for applicability of TAVR in patients with long life expectancy in whom THV durability may be a concern.
[Display omitted] |
| doi_str_mv | 10.1016/j.jacc.2020.02.051 |
| format | Article |
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The authors sought to examine outcomes following redo-TAVR.
The Redo-TAVR registry collected data on consecutive patients who underwent redo-TAVR at 37 centers. Patients were classified as probable TAVR failure or probable THV failure if they presented within or beyond 1 year of their index TAVR, respectively.
Among 63,876 TAVR procedures, 212 consecutive redo-TAVR procedures were identified (0.33%): 74 within and 138 beyond 1 year of the initial procedure. For these 2 groups, TAVR-to-redo-TAVR time was 68 (38 to 154) days and 5 (3 to 6) years. The indication for redo-TAVR was THV stenosis in 12 (16.2%) and 51 (37.0%) (p = 0.002) and regurgitation or combined stenosis–regurgitation in 62 (83.8%) and 86 (62.3%) (p = 0.028), respectively. Device success using VARC-2 criteria was achieved in 180 patients (85.1%); most failures were attributable to high residual gradients (14.1%) or regurgitation (8.9%). At 30-day and 1-year follow-up, residual gradients were 12.6 ± 7.5 mm Hg and 12.9 ± 9.0 mm Hg; valve area 1.63 ± 0.61 cm2 and 1.51 ± 0.57 cm2; and regurgitation ≤mild in 91% and 91%, respectively. Peri-procedural complication rates were low (3 stroke [1.4%], 7 valve malposition [3.3%], 2 coronary obstruction [0.9%], 20 new permanent pacemaker [9.6%], no mortality), and symptomatic improvement was substantial. Survival at 30 days was 94.6% and 98.5% (p = 0.101) and 83.6% and 88.3% (p = 0.335) at 1 year for patients presenting with early and late valve dysfunction, respectively.
Redo-TAVR is a relatively safe and effective option for selected patients with valve dysfunction after TAVR. These results are important for applicability of TAVR in patients with long life expectancy in whom THV durability may be a concern.
[Display omitted]</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2020.02.051</identifier><identifier>PMID: 32327098</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aortic Valve - surgery ; Aortic Valve Insufficiency - diagnosis ; Aortic Valve Insufficiency - epidemiology ; Aortic Valve Insufficiency - etiology ; Aortic Valve Insufficiency - surgery ; Aortic Valve Stenosis - surgery ; durability ; Equipment Failure Analysis ; Female ; Global Health ; Heart Valve Prosthesis - adverse effects ; Humans ; Male ; Outcome Assessment, Health Care ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Postoperative Complications - surgery ; Registries - statistics & numerical data ; Reoperation - instrumentation ; Reoperation - methods ; Reoperation - statistics & numerical data ; Survival Analysis ; Symptom Assessment - statistics & numerical data ; transcatheter aortic valve replacement ; Transcatheter Aortic Valve Replacement - adverse effects ; Transcatheter Aortic Valve Replacement - instrumentation ; Transcatheter Aortic Valve Replacement - methods ; transcatheter heart valve ; valve-in-valve</subject><ispartof>Journal of the American College of Cardiology, 2020-04, Vol.75 (16), p.1882-1893</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-8f443603d1f0070e69a8e4a1db6cf75d4bb897e757c0c3ced9a30e3ff7ff62113</citedby><cites>FETCH-LOGICAL-c466t-8f443603d1f0070e69a8e4a1db6cf75d4bb897e757c0c3ced9a30e3ff7ff62113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735109720344582$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32327098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Landes, Uri</creatorcontrib><creatorcontrib>Webb, John G.</creatorcontrib><creatorcontrib>De Backer, Ole</creatorcontrib><creatorcontrib>Sondergaard, Lars</creatorcontrib><creatorcontrib>Abdel-Wahab, Mohamed</creatorcontrib><creatorcontrib>Crusius, Lisa</creatorcontrib><creatorcontrib>Kim, Won-Keun</creatorcontrib><creatorcontrib>Hamm, Christian</creatorcontrib><creatorcontrib>Buzzatti, Nicola</creatorcontrib><creatorcontrib>Montorfano, Matteo</creatorcontrib><creatorcontrib>Ludwig, Sebastian</creatorcontrib><creatorcontrib>Schofer, Niklas</creatorcontrib><creatorcontrib>Voigtlaender, Lisa</creatorcontrib><creatorcontrib>Guerrero, Mayra</creatorcontrib><creatorcontrib>El Sabbagh, Abdallah</creatorcontrib><creatorcontrib>Rodés-Cabau, Josep</creatorcontrib><creatorcontrib>Guimaraes, Leonardo</creatorcontrib><creatorcontrib>Kornowski, Ran</creatorcontrib><creatorcontrib>Codner, Pablo</creatorcontrib><creatorcontrib>Okuno, Taishi</creatorcontrib><creatorcontrib>Pilgrim, Thomas</creatorcontrib><creatorcontrib>Fiorina, Claudia</creatorcontrib><creatorcontrib>Colombo, Antonio</creatorcontrib><creatorcontrib>Mangieri, Antonio</creatorcontrib><creatorcontrib>Eltchaninoff, Helene</creatorcontrib><creatorcontrib>Nombela-Franco, Luis</creatorcontrib><creatorcontrib>Van Wiechen, Maarten P.H.</creatorcontrib><creatorcontrib>Van Mieghem, Nicolas M.</creatorcontrib><creatorcontrib>Tchétché, Didier</creatorcontrib><creatorcontrib>Schoels, Wolfgang H.</creatorcontrib><creatorcontrib>Kullmer, Matthias</creatorcontrib><creatorcontrib>Tamburino, Corrado</creatorcontrib><creatorcontrib>Sinning, Jan-Malte</creatorcontrib><creatorcontrib>Al-Kassou, Baravan</creatorcontrib><creatorcontrib>Perlman, Gidon Y.</creatorcontrib><creatorcontrib>Danenberg, Haim</creatorcontrib><creatorcontrib>Ielasi, Alfonso</creatorcontrib><creatorcontrib>Fraccaro, Chiara</creatorcontrib><creatorcontrib>Tarantini, Giuseppe</creatorcontrib><creatorcontrib>De Marco, Federico</creatorcontrib><creatorcontrib>Witberg, Guy</creatorcontrib><creatorcontrib>Redwood, Simon R.</creatorcontrib><creatorcontrib>Lisko, John C.</creatorcontrib><creatorcontrib>Babaliaros, Vasilis C.</creatorcontrib><creatorcontrib>Laine, Mika</creatorcontrib><creatorcontrib>Nerla, Roberto</creatorcontrib><creatorcontrib>Castriota, Fausto</creatorcontrib><creatorcontrib>Finkelstein, Ariel</creatorcontrib><creatorcontrib>Loewenstein, Itamar</creatorcontrib><creatorcontrib>Eitan, Amnon</creatorcontrib><creatorcontrib>Jaffe, Ronen</creatorcontrib><creatorcontrib>Ruile, Philipp</creatorcontrib><creatorcontrib>Neumann, Franz J.</creatorcontrib><creatorcontrib>Piazza, Nicolo</creatorcontrib><creatorcontrib>Alosaimi, Hind</creatorcontrib><creatorcontrib>Sievert, Horst</creatorcontrib><creatorcontrib>Sievert, Kolja</creatorcontrib><creatorcontrib>Russo, Marco</creatorcontrib><creatorcontrib>Andreas, Martin</creatorcontrib><creatorcontrib>Bunc, Matjaz</creatorcontrib><creatorcontrib>Latib, Azeem</creatorcontrib><creatorcontrib>Govdfrey, Rebecca</creatorcontrib><creatorcontrib>Hildick-Smith, David</creatorcontrib><creatorcontrib>Sathananthan, Janarthanan</creatorcontrib><creatorcontrib>Hensey, Mark</creatorcontrib><creatorcontrib>Alkhodair, Abdullah</creatorcontrib><creatorcontrib>Blanke, Philipp</creatorcontrib><creatorcontrib>Leipsic, Jonathon</creatorcontrib><creatorcontrib>Wood, David A.</creatorcontrib><creatorcontrib>Nazif, Tamim M.</creatorcontrib><creatorcontrib>Kodali, Susheel</creatorcontrib><creatorcontrib>Leon, Martin B.</creatorcontrib><creatorcontrib>Barbanti, Marco</creatorcontrib><title>Repeat Transcatheter Aortic Valve Replacement for Transcatheter Prosthesis Dysfunction</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Transcatheter aortic valve replacement (TAVR) use is increasing in patients with longer life expectancy, yet robust data on the durability of transcatheter heart valves (THVs) are limited. Redo-TAVR may play a key strategy in treating patients in whom THVs fail.
The authors sought to examine outcomes following redo-TAVR.
The Redo-TAVR registry collected data on consecutive patients who underwent redo-TAVR at 37 centers. Patients were classified as probable TAVR failure or probable THV failure if they presented within or beyond 1 year of their index TAVR, respectively.
Among 63,876 TAVR procedures, 212 consecutive redo-TAVR procedures were identified (0.33%): 74 within and 138 beyond 1 year of the initial procedure. For these 2 groups, TAVR-to-redo-TAVR time was 68 (38 to 154) days and 5 (3 to 6) years. The indication for redo-TAVR was THV stenosis in 12 (16.2%) and 51 (37.0%) (p = 0.002) and regurgitation or combined stenosis–regurgitation in 62 (83.8%) and 86 (62.3%) (p = 0.028), respectively. Device success using VARC-2 criteria was achieved in 180 patients (85.1%); most failures were attributable to high residual gradients (14.1%) or regurgitation (8.9%). At 30-day and 1-year follow-up, residual gradients were 12.6 ± 7.5 mm Hg and 12.9 ± 9.0 mm Hg; valve area 1.63 ± 0.61 cm2 and 1.51 ± 0.57 cm2; and regurgitation ≤mild in 91% and 91%, respectively. Peri-procedural complication rates were low (3 stroke [1.4%], 7 valve malposition [3.3%], 2 coronary obstruction [0.9%], 20 new permanent pacemaker [9.6%], no mortality), and symptomatic improvement was substantial. Survival at 30 days was 94.6% and 98.5% (p = 0.101) and 83.6% and 88.3% (p = 0.335) at 1 year for patients presenting with early and late valve dysfunction, respectively.
Redo-TAVR is a relatively safe and effective option for selected patients with valve dysfunction after TAVR. These results are important for applicability of TAVR in patients with long life expectancy in whom THV durability may be a concern.
[Display omitted]</description><subject>Aged</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Insufficiency - diagnosis</subject><subject>Aortic Valve Insufficiency - epidemiology</subject><subject>Aortic Valve Insufficiency - etiology</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>durability</subject><subject>Equipment Failure Analysis</subject><subject>Female</subject><subject>Global Health</subject><subject>Heart Valve Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Male</subject><subject>Outcome Assessment, Health Care</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - surgery</subject><subject>Registries - statistics & numerical data</subject><subject>Reoperation - instrumentation</subject><subject>Reoperation - methods</subject><subject>Reoperation - statistics & numerical data</subject><subject>Survival Analysis</subject><subject>Symptom Assessment - statistics & numerical data</subject><subject>transcatheter aortic valve replacement</subject><subject>Transcatheter Aortic Valve Replacement - adverse effects</subject><subject>Transcatheter Aortic Valve Replacement - instrumentation</subject><subject>Transcatheter Aortic Valve Replacement - methods</subject><subject>transcatheter heart 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Y.</creator><creator>Danenberg, Haim</creator><creator>Ielasi, Alfonso</creator><creator>Fraccaro, Chiara</creator><creator>Tarantini, Giuseppe</creator><creator>De Marco, Federico</creator><creator>Witberg, Guy</creator><creator>Redwood, Simon R.</creator><creator>Lisko, John C.</creator><creator>Babaliaros, Vasilis C.</creator><creator>Laine, Mika</creator><creator>Nerla, Roberto</creator><creator>Castriota, Fausto</creator><creator>Finkelstein, Ariel</creator><creator>Loewenstein, Itamar</creator><creator>Eitan, Amnon</creator><creator>Jaffe, Ronen</creator><creator>Ruile, Philipp</creator><creator>Neumann, Franz J.</creator><creator>Piazza, Nicolo</creator><creator>Alosaimi, Hind</creator><creator>Sievert, Horst</creator><creator>Sievert, Kolja</creator><creator>Russo, Marco</creator><creator>Andreas, Martin</creator><creator>Bunc, Matjaz</creator><creator>Latib, Azeem</creator><creator>Govdfrey, Rebecca</creator><creator>Hildick-Smith, David</creator><creator>Sathananthan, Janarthanan</creator><creator>Hensey, Mark</creator><creator>Alkhodair, Abdullah</creator><creator>Blanke, Philipp</creator><creator>Leipsic, Jonathon</creator><creator>Wood, David A.</creator><creator>Nazif, Tamim M.</creator><creator>Kodali, Susheel</creator><creator>Leon, Martin B.</creator><creator>Barbanti, Marco</creator><general>Elsevier 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>20200428</creationdate><title>Repeat Transcatheter Aortic Valve Replacement for Transcatheter Prosthesis Dysfunction</title><author>Landes, Uri ; Webb, John G. ; De Backer, Ole ; Sondergaard, Lars ; Abdel-Wahab, Mohamed ; Crusius, Lisa ; Kim, Won-Keun ; Hamm, Christian ; Buzzatti, Nicola ; Montorfano, Matteo ; Ludwig, Sebastian ; Schofer, Niklas ; Voigtlaender, Lisa ; Guerrero, Mayra ; El Sabbagh, Abdallah ; Rodés-Cabau, Josep ; Guimaraes, Leonardo ; Kornowski, Ran ; Codner, Pablo ; Okuno, Taishi ; Pilgrim, Thomas ; Fiorina, Claudia ; Colombo, Antonio ; Mangieri, Antonio ; Eltchaninoff, Helene ; Nombela-Franco, Luis ; Van Wiechen, Maarten P.H. ; Van Mieghem, Nicolas M. ; Tchétché, Didier ; Schoels, Wolfgang H. ; Kullmer, Matthias ; Tamburino, Corrado ; Sinning, Jan-Malte ; Al-Kassou, Baravan ; Perlman, Gidon Y. ; Danenberg, Haim ; Ielasi, Alfonso ; Fraccaro, Chiara ; Tarantini, Giuseppe ; De Marco, Federico ; Witberg, Guy ; Redwood, Simon R. ; Lisko, John C. ; Babaliaros, Vasilis C. ; Laine, Mika ; Nerla, Roberto ; Castriota, Fausto ; Finkelstein, Ariel ; Loewenstein, Itamar ; Eitan, Amnon ; Jaffe, Ronen ; Ruile, Philipp ; Neumann, Franz J. ; Piazza, Nicolo ; Alosaimi, Hind ; Sievert, Horst ; Sievert, Kolja ; Russo, Marco ; Andreas, Martin ; Bunc, Matjaz ; Latib, Azeem ; Govdfrey, Rebecca ; Hildick-Smith, David ; Sathananthan, Janarthanan ; Hensey, Mark ; Alkhodair, Abdullah ; Blanke, Philipp ; Leipsic, Jonathon ; Wood, David A. ; Nazif, Tamim M. ; Kodali, Susheel ; Leon, Martin B. ; Barbanti, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-8f443603d1f0070e69a8e4a1db6cf75d4bb897e757c0c3ced9a30e3ff7ff62113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Insufficiency - diagnosis</topic><topic>Aortic Valve Insufficiency - epidemiology</topic><topic>Aortic Valve Insufficiency - etiology</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>durability</topic><topic>Equipment Failure Analysis</topic><topic>Female</topic><topic>Global Health</topic><topic>Heart Valve Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Male</topic><topic>Outcome Assessment, Health Care</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - surgery</topic><topic>Registries - statistics & numerical data</topic><topic>Reoperation - instrumentation</topic><topic>Reoperation - methods</topic><topic>Reoperation - statistics & numerical data</topic><topic>Survival Analysis</topic><topic>Symptom Assessment - statistics & numerical data</topic><topic>transcatheter aortic valve replacement</topic><topic>Transcatheter Aortic Valve Replacement - adverse effects</topic><topic>Transcatheter Aortic Valve Replacement - instrumentation</topic><topic>Transcatheter Aortic Valve Replacement - methods</topic><topic>transcatheter heart valve</topic><topic>valve-in-valve</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Landes, Uri</creatorcontrib><creatorcontrib>Webb, John G.</creatorcontrib><creatorcontrib>De Backer, Ole</creatorcontrib><creatorcontrib>Sondergaard, Lars</creatorcontrib><creatorcontrib>Abdel-Wahab, Mohamed</creatorcontrib><creatorcontrib>Crusius, Lisa</creatorcontrib><creatorcontrib>Kim, Won-Keun</creatorcontrib><creatorcontrib>Hamm, Christian</creatorcontrib><creatorcontrib>Buzzatti, Nicola</creatorcontrib><creatorcontrib>Montorfano, Matteo</creatorcontrib><creatorcontrib>Ludwig, Sebastian</creatorcontrib><creatorcontrib>Schofer, Niklas</creatorcontrib><creatorcontrib>Voigtlaender, Lisa</creatorcontrib><creatorcontrib>Guerrero, Mayra</creatorcontrib><creatorcontrib>El Sabbagh, Abdallah</creatorcontrib><creatorcontrib>Rodés-Cabau, Josep</creatorcontrib><creatorcontrib>Guimaraes, Leonardo</creatorcontrib><creatorcontrib>Kornowski, Ran</creatorcontrib><creatorcontrib>Codner, Pablo</creatorcontrib><creatorcontrib>Okuno, Taishi</creatorcontrib><creatorcontrib>Pilgrim, Thomas</creatorcontrib><creatorcontrib>Fiorina, Claudia</creatorcontrib><creatorcontrib>Colombo, Antonio</creatorcontrib><creatorcontrib>Mangieri, Antonio</creatorcontrib><creatorcontrib>Eltchaninoff, Helene</creatorcontrib><creatorcontrib>Nombela-Franco, Luis</creatorcontrib><creatorcontrib>Van Wiechen, Maarten P.H.</creatorcontrib><creatorcontrib>Van Mieghem, Nicolas M.</creatorcontrib><creatorcontrib>Tchétché, Didier</creatorcontrib><creatorcontrib>Schoels, Wolfgang H.</creatorcontrib><creatorcontrib>Kullmer, Matthias</creatorcontrib><creatorcontrib>Tamburino, Corrado</creatorcontrib><creatorcontrib>Sinning, Jan-Malte</creatorcontrib><creatorcontrib>Al-Kassou, Baravan</creatorcontrib><creatorcontrib>Perlman, Gidon Y.</creatorcontrib><creatorcontrib>Danenberg, Haim</creatorcontrib><creatorcontrib>Ielasi, Alfonso</creatorcontrib><creatorcontrib>Fraccaro, Chiara</creatorcontrib><creatorcontrib>Tarantini, Giuseppe</creatorcontrib><creatorcontrib>De Marco, Federico</creatorcontrib><creatorcontrib>Witberg, Guy</creatorcontrib><creatorcontrib>Redwood, Simon R.</creatorcontrib><creatorcontrib>Lisko, John C.</creatorcontrib><creatorcontrib>Babaliaros, Vasilis C.</creatorcontrib><creatorcontrib>Laine, Mika</creatorcontrib><creatorcontrib>Nerla, Roberto</creatorcontrib><creatorcontrib>Castriota, Fausto</creatorcontrib><creatorcontrib>Finkelstein, Ariel</creatorcontrib><creatorcontrib>Loewenstein, Itamar</creatorcontrib><creatorcontrib>Eitan, Amnon</creatorcontrib><creatorcontrib>Jaffe, Ronen</creatorcontrib><creatorcontrib>Ruile, Philipp</creatorcontrib><creatorcontrib>Neumann, Franz J.</creatorcontrib><creatorcontrib>Piazza, Nicolo</creatorcontrib><creatorcontrib>Alosaimi, Hind</creatorcontrib><creatorcontrib>Sievert, Horst</creatorcontrib><creatorcontrib>Sievert, Kolja</creatorcontrib><creatorcontrib>Russo, Marco</creatorcontrib><creatorcontrib>Andreas, Martin</creatorcontrib><creatorcontrib>Bunc, Matjaz</creatorcontrib><creatorcontrib>Latib, Azeem</creatorcontrib><creatorcontrib>Govdfrey, Rebecca</creatorcontrib><creatorcontrib>Hildick-Smith, David</creatorcontrib><creatorcontrib>Sathananthan, Janarthanan</creatorcontrib><creatorcontrib>Hensey, Mark</creatorcontrib><creatorcontrib>Alkhodair, Abdullah</creatorcontrib><creatorcontrib>Blanke, Philipp</creatorcontrib><creatorcontrib>Leipsic, Jonathon</creatorcontrib><creatorcontrib>Wood, David A.</creatorcontrib><creatorcontrib>Nazif, Tamim M.</creatorcontrib><creatorcontrib>Kodali, Susheel</creatorcontrib><creatorcontrib>Leon, Martin B.</creatorcontrib><creatorcontrib>Barbanti, Marco</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>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Landes, Uri</au><au>Webb, John G.</au><au>De Backer, Ole</au><au>Sondergaard, Lars</au><au>Abdel-Wahab, Mohamed</au><au>Crusius, Lisa</au><au>Kim, Won-Keun</au><au>Hamm, Christian</au><au>Buzzatti, Nicola</au><au>Montorfano, Matteo</au><au>Ludwig, Sebastian</au><au>Schofer, Niklas</au><au>Voigtlaender, Lisa</au><au>Guerrero, Mayra</au><au>El Sabbagh, Abdallah</au><au>Rodés-Cabau, Josep</au><au>Guimaraes, Leonardo</au><au>Kornowski, Ran</au><au>Codner, Pablo</au><au>Okuno, Taishi</au><au>Pilgrim, Thomas</au><au>Fiorina, Claudia</au><au>Colombo, Antonio</au><au>Mangieri, Antonio</au><au>Eltchaninoff, Helene</au><au>Nombela-Franco, Luis</au><au>Van Wiechen, Maarten P.H.</au><au>Van Mieghem, Nicolas M.</au><au>Tchétché, Didier</au><au>Schoels, Wolfgang H.</au><au>Kullmer, Matthias</au><au>Tamburino, Corrado</au><au>Sinning, Jan-Malte</au><au>Al-Kassou, Baravan</au><au>Perlman, Gidon Y.</au><au>Danenberg, Haim</au><au>Ielasi, Alfonso</au><au>Fraccaro, Chiara</au><au>Tarantini, Giuseppe</au><au>De Marco, Federico</au><au>Witberg, Guy</au><au>Redwood, Simon R.</au><au>Lisko, John C.</au><au>Babaliaros, Vasilis C.</au><au>Laine, Mika</au><au>Nerla, Roberto</au><au>Castriota, Fausto</au><au>Finkelstein, Ariel</au><au>Loewenstein, Itamar</au><au>Eitan, Amnon</au><au>Jaffe, Ronen</au><au>Ruile, Philipp</au><au>Neumann, Franz J.</au><au>Piazza, Nicolo</au><au>Alosaimi, Hind</au><au>Sievert, Horst</au><au>Sievert, Kolja</au><au>Russo, Marco</au><au>Andreas, Martin</au><au>Bunc, Matjaz</au><au>Latib, Azeem</au><au>Govdfrey, Rebecca</au><au>Hildick-Smith, David</au><au>Sathananthan, Janarthanan</au><au>Hensey, Mark</au><au>Alkhodair, Abdullah</au><au>Blanke, Philipp</au><au>Leipsic, Jonathon</au><au>Wood, David A.</au><au>Nazif, Tamim M.</au><au>Kodali, Susheel</au><au>Leon, Martin B.</au><au>Barbanti, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repeat Transcatheter Aortic Valve Replacement for Transcatheter Prosthesis Dysfunction</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2020-04-28</date><risdate>2020</risdate><volume>75</volume><issue>16</issue><spage>1882</spage><epage>1893</epage><pages>1882-1893</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><abstract>Transcatheter aortic valve replacement (TAVR) use is increasing in patients with longer life expectancy, yet robust data on the durability of transcatheter heart valves (THVs) are limited. Redo-TAVR may play a key strategy in treating patients in whom THVs fail.
The authors sought to examine outcomes following redo-TAVR.
The Redo-TAVR registry collected data on consecutive patients who underwent redo-TAVR at 37 centers. Patients were classified as probable TAVR failure or probable THV failure if they presented within or beyond 1 year of their index TAVR, respectively.
Among 63,876 TAVR procedures, 212 consecutive redo-TAVR procedures were identified (0.33%): 74 within and 138 beyond 1 year of the initial procedure. For these 2 groups, TAVR-to-redo-TAVR time was 68 (38 to 154) days and 5 (3 to 6) years. The indication for redo-TAVR was THV stenosis in 12 (16.2%) and 51 (37.0%) (p = 0.002) and regurgitation or combined stenosis–regurgitation in 62 (83.8%) and 86 (62.3%) (p = 0.028), respectively. Device success using VARC-2 criteria was achieved in 180 patients (85.1%); most failures were attributable to high residual gradients (14.1%) or regurgitation (8.9%). At 30-day and 1-year follow-up, residual gradients were 12.6 ± 7.5 mm Hg and 12.9 ± 9.0 mm Hg; valve area 1.63 ± 0.61 cm2 and 1.51 ± 0.57 cm2; and regurgitation ≤mild in 91% and 91%, respectively. Peri-procedural complication rates were low (3 stroke [1.4%], 7 valve malposition [3.3%], 2 coronary obstruction [0.9%], 20 new permanent pacemaker [9.6%], no mortality), and symptomatic improvement was substantial. Survival at 30 days was 94.6% and 98.5% (p = 0.101) and 83.6% and 88.3% (p = 0.335) at 1 year for patients presenting with early and late valve dysfunction, respectively.
Redo-TAVR is a relatively safe and effective option for selected patients with valve dysfunction after TAVR. These results are important for applicability of TAVR in patients with long life expectancy in whom THV durability may be a concern.
[Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32327098</pmid><doi>10.1016/j.jacc.2020.02.051</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0735-1097 |
| ispartof | Journal of the American College of Cardiology, 2020-04, Vol.75 (16), p.1882-1893 |
| issn | 0735-1097 1558-3597 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Aortic Valve - surgery Aortic Valve Insufficiency - diagnosis Aortic Valve Insufficiency - epidemiology Aortic Valve Insufficiency - etiology Aortic Valve Insufficiency - surgery Aortic Valve Stenosis - surgery durability Equipment Failure Analysis Female Global Health Heart Valve Prosthesis - adverse effects Humans Male Outcome Assessment, Health Care Postoperative Complications - diagnosis Postoperative Complications - epidemiology Postoperative Complications - surgery Registries - statistics & numerical data Reoperation - instrumentation Reoperation - methods Reoperation - statistics & numerical data Survival Analysis Symptom Assessment - statistics & numerical data transcatheter aortic valve replacement Transcatheter Aortic Valve Replacement - adverse effects Transcatheter Aortic Valve Replacement - instrumentation Transcatheter Aortic Valve Replacement - methods transcatheter heart valve valve-in-valve |
| title | Repeat Transcatheter Aortic Valve Replacement for Transcatheter Prosthesis Dysfunction |
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