Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry
Background Transaxillary (TAx) transcatheter aortic valve implantation (TAVI) is a preferred alternative access in patients ineligible for transfemoral TAVI. Aims This study used the Trans-AXillary Intervention (TAXI) registry to compare procedural success according to different types of transcathet...
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| Veröffentlicht in: | Clinical research in cardiology 2024, Vol.113 (1), p.48-57 |
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| creator | Schaefer, Andreas Bhadra, Oliver D. Conradi, Lenard Westermann, Dirk Kellner, Caroline De Backer, Ole Bajoras, Vilhelmas Sondergaard, Lars Qureshi, Waqas T. Kakouros, Nikolaos Aldrugh, Summer Amat-Santos, Ignacio Kaneko, Tsuyoshi Harloff, Morgan Teles, Rui Nolasco, Tiago Neves, Jose Pedro Abecasis, Miguel Werner, Nikos Lauterbach, Michael Sacha, Jerzy Krawczyk, Krzysztof Trani, Carlo Romagnoli, Enrico Mangieri, Antonio Condello, Francesco Regueiro, Ander Brugaletta, Salvatore Biancari, Fausto Niemelä, Matti Giannini, Francesco Toselli, Marco Ruggiero, Rossella Buono, Andrea Maffeo, Diego Bruno, Francesco Conrotto, Federico D’Ascenzo, Fabrizio Savontaus, Mikko Pykäri, Jouni Ielasi, Alfonso Tespili, Maurizio Cimmino, Michele Albanese, Michele Biondi-Zoccai, Giuseppe Corcione, Nicola Morello, Alberto Giordano, Arturo |
| description | Background
Transaxillary (TAx) transcatheter aortic valve implantation (TAVI) is a preferred alternative access in patients ineligible for transfemoral TAVI.
Aims
This study used the Trans-AXillary Intervention (TAXI) registry to compare procedural success according to different types of transcatheter heart valves (THV).
Methods
For the TAXI registry anonymized data of patients treated with TAx-TAVI were collected from 18 centers. Acute procedural, early and 1-month clinical outcomes were adjudicated in accordance with standardized VARC-3 definitions.
Results
From 432 patients, 368 patients (85.3%, SE group) received self-expanding (SE) THV and 64 patients (14.8%, BE group) received balloon-expandable (BE) THV. Imaging revealed lower axillary artery diameters in the SE group (max/min diameter in mm: 8.4/6.6 vs 9.4/6.8 mm;
p
|
| doi_str_mv | 10.1007/s00392-023-02216-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2809546324</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2809546324</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-3cb5e05fba9dc2344eb7eca8ca2772bdc2d485c68d8ba50f8db4ff1abb7451673</originalsourceid><addsrcrecordid>eNp9kc1O3TAQha2Kqvy0L9BFZYkNmxT_JXG6QwgoEhJdUKk7y3YmF6PEvrUdxH0hnhNfQqnEgoXlGfs7x9YchL5S8p0S0h4nQnjHKsJ4WYw2Ff2A9qhsaEWaju281lLsov2U7gipKeHiE9rlLeWy1Hvo8VcMFvo56hGn2VpICTuPc9Q-6Qc3jjpuls7qfAsZItYhZmfxvR7vAbtpPWqfdXbBY21tiL3zK5wDzps14DC8Ed-CjnnR_sAR0jzmhIcYJlwAPJXWWfBb8ubkz2UhVi7luPmMPg56TPDlZT9Av8_Pbk5_VlfXF5enJ1eV5W2dK25NDaQejO56y7gQYFqwWlrN2paZctYLWdtG9tLomgyyN2IYqDamFTVtWn6AjhbfdQx_Z0hZTS5ZKGPwEOakmCRdLRrOREEP36B3YY6-_E6xjkrKu6ajhWILZWNIKcKg1tFNZaiKErVNUS0pqpKiek5RbUXfXqxnM0H_KvkXWwH4AqRy5VcQ_7_9ju0TMnKtHw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918139691</pqid></control><display><type>article</type><title>Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Schaefer, Andreas ; Bhadra, Oliver D. ; Conradi, Lenard ; Westermann, Dirk ; Kellner, Caroline ; De Backer, Ole ; Bajoras, Vilhelmas ; Sondergaard, Lars ; Qureshi, Waqas T. ; Kakouros, Nikolaos ; Aldrugh, Summer ; Amat-Santos, Ignacio ; Kaneko, Tsuyoshi ; Harloff, Morgan ; Teles, Rui ; Nolasco, Tiago ; Neves, Jose Pedro ; Abecasis, Miguel ; Werner, Nikos ; Lauterbach, Michael ; Sacha, Jerzy ; Krawczyk, Krzysztof ; Trani, Carlo ; Romagnoli, Enrico ; Mangieri, Antonio ; Condello, Francesco ; Regueiro, Ander ; Brugaletta, Salvatore ; Biancari, Fausto ; Niemelä, Matti ; Giannini, Francesco ; Toselli, Marco ; Ruggiero, Rossella ; Buono, Andrea ; Maffeo, Diego ; Bruno, Francesco ; Conrotto, Federico ; D’Ascenzo, Fabrizio ; Savontaus, Mikko ; Pykäri, Jouni ; Ielasi, Alfonso ; Tespili, Maurizio ; Cimmino, Michele ; Albanese, Michele ; Biondi-Zoccai, Giuseppe ; Corcione, Nicola ; Morello, Alberto ; Giordano, Arturo</creator><creatorcontrib>Schaefer, Andreas ; Bhadra, Oliver D. ; Conradi, Lenard ; Westermann, Dirk ; Kellner, Caroline ; De Backer, Ole ; Bajoras, Vilhelmas ; Sondergaard, Lars ; Qureshi, Waqas T. ; Kakouros, Nikolaos ; Aldrugh, Summer ; Amat-Santos, Ignacio ; Kaneko, Tsuyoshi ; Harloff, Morgan ; Teles, Rui ; Nolasco, Tiago ; Neves, Jose Pedro ; Abecasis, Miguel ; Werner, Nikos ; Lauterbach, Michael ; Sacha, Jerzy ; Krawczyk, Krzysztof ; Trani, Carlo ; Romagnoli, Enrico ; Mangieri, Antonio ; Condello, Francesco ; Regueiro, Ander ; Brugaletta, Salvatore ; Biancari, Fausto ; Niemelä, Matti ; Giannini, Francesco ; Toselli, Marco ; Ruggiero, Rossella ; Buono, Andrea ; Maffeo, Diego ; Bruno, Francesco ; Conrotto, Federico ; D’Ascenzo, Fabrizio ; Savontaus, Mikko ; Pykäri, Jouni ; Ielasi, Alfonso ; Tespili, Maurizio ; Cimmino, Michele ; Albanese, Michele ; Biondi-Zoccai, Giuseppe ; Corcione, Nicola ; Morello, Alberto ; Giordano, Arturo</creatorcontrib><description>Background
Transaxillary (TAx) transcatheter aortic valve implantation (TAVI) is a preferred alternative access in patients ineligible for transfemoral TAVI.
Aims
This study used the Trans-AXillary Intervention (TAXI) registry to compare procedural success according to different types of transcatheter heart valves (THV).
Methods
For the TAXI registry anonymized data of patients treated with TAx-TAVI were collected from 18 centers. Acute procedural, early and 1-month clinical outcomes were adjudicated in accordance with standardized VARC-3 definitions.
Results
From 432 patients, 368 patients (85.3%, SE group) received self-expanding (SE) THV and 64 patients (14.8%, BE group) received balloon-expandable (BE) THV. Imaging revealed lower axillary artery diameters in the SE group (max/min diameter in mm: 8.4/6.6 vs 9.4/6.8 mm;
p
< 0.001/
p
= 0.04) but a higher proportion of axillary tortuosity in BE group (62/368, 23.6% vs 26/64, 42.6%;
p
= 0.004) with steeper aorta-left ventricle (LV) inflow (55° vs 51°;
p
= 0.002) and left ventricular outflow tract (LVOT)-LV inflow angles (40.0° vs 24.5°; 0.002). TAx-TAVI was more often conducted by right sided axillary artery in the BE group (33/368, 9.0% vs 17/64, 26.6%;
p
< 0.001). Device success was higher in the SE group (317/368, 86.1% vs 44/64, 68.8%,
p
= 0.0015). In logistic regression analysis, BE THV were a risk factor for vascular complications and axillary stent implantation.
Conclusions
Both, SE and BE THV can be safely used in TAx-TAVI. However, SE THV were more often used and were associated with a higher rate of device success. While SE THV were associated with lower rates of vascular complications, BE THV were more often used in cases with challenging anatomical circumstances.</description><identifier>ISSN: 1861-0684</identifier><identifier>ISSN: 1861-0692</identifier><identifier>EISSN: 1861-0692</identifier><identifier>DOI: 10.1007/s00392-023-02216-1</identifier><identifier>PMID: 37138103</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aorta ; Aortic valve ; Aortic Valve - surgery ; Aortic Valve Stenosis - surgery ; Balloon treatment ; Cardiology ; Complications ; Heart ; Heart Valve Prosthesis ; Heart valves ; Humans ; Implantation ; Implants ; Inflow ; Medicine ; Medicine & Public Health ; Original Paper ; Prosthesis Design ; Registries ; Regression analysis ; Risk factors ; Success ; Surgical implants ; Tortuosity ; Transcatheter Aortic Valve Replacement - methods ; Treatment Outcome ; Ventricle</subject><ispartof>Clinical research in cardiology, 2024, Vol.113 (1), p.48-57</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3cb5e05fba9dc2344eb7eca8ca2772bdc2d485c68d8ba50f8db4ff1abb7451673</citedby><cites>FETCH-LOGICAL-c375t-3cb5e05fba9dc2344eb7eca8ca2772bdc2d485c68d8ba50f8db4ff1abb7451673</cites><orcidid>0000-0001-7304-6083</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00392-023-02216-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00392-023-02216-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37138103$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schaefer, Andreas</creatorcontrib><creatorcontrib>Bhadra, Oliver D.</creatorcontrib><creatorcontrib>Conradi, Lenard</creatorcontrib><creatorcontrib>Westermann, Dirk</creatorcontrib><creatorcontrib>Kellner, Caroline</creatorcontrib><creatorcontrib>De Backer, Ole</creatorcontrib><creatorcontrib>Bajoras, Vilhelmas</creatorcontrib><creatorcontrib>Sondergaard, Lars</creatorcontrib><creatorcontrib>Qureshi, Waqas T.</creatorcontrib><creatorcontrib>Kakouros, Nikolaos</creatorcontrib><creatorcontrib>Aldrugh, Summer</creatorcontrib><creatorcontrib>Amat-Santos, Ignacio</creatorcontrib><creatorcontrib>Kaneko, Tsuyoshi</creatorcontrib><creatorcontrib>Harloff, Morgan</creatorcontrib><creatorcontrib>Teles, Rui</creatorcontrib><creatorcontrib>Nolasco, Tiago</creatorcontrib><creatorcontrib>Neves, Jose Pedro</creatorcontrib><creatorcontrib>Abecasis, Miguel</creatorcontrib><creatorcontrib>Werner, Nikos</creatorcontrib><creatorcontrib>Lauterbach, Michael</creatorcontrib><creatorcontrib>Sacha, Jerzy</creatorcontrib><creatorcontrib>Krawczyk, Krzysztof</creatorcontrib><creatorcontrib>Trani, Carlo</creatorcontrib><creatorcontrib>Romagnoli, Enrico</creatorcontrib><creatorcontrib>Mangieri, Antonio</creatorcontrib><creatorcontrib>Condello, Francesco</creatorcontrib><creatorcontrib>Regueiro, Ander</creatorcontrib><creatorcontrib>Brugaletta, Salvatore</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><creatorcontrib>Niemelä, Matti</creatorcontrib><creatorcontrib>Giannini, Francesco</creatorcontrib><creatorcontrib>Toselli, Marco</creatorcontrib><creatorcontrib>Ruggiero, Rossella</creatorcontrib><creatorcontrib>Buono, Andrea</creatorcontrib><creatorcontrib>Maffeo, Diego</creatorcontrib><creatorcontrib>Bruno, Francesco</creatorcontrib><creatorcontrib>Conrotto, Federico</creatorcontrib><creatorcontrib>D’Ascenzo, Fabrizio</creatorcontrib><creatorcontrib>Savontaus, Mikko</creatorcontrib><creatorcontrib>Pykäri, Jouni</creatorcontrib><creatorcontrib>Ielasi, Alfonso</creatorcontrib><creatorcontrib>Tespili, Maurizio</creatorcontrib><creatorcontrib>Cimmino, Michele</creatorcontrib><creatorcontrib>Albanese, Michele</creatorcontrib><creatorcontrib>Biondi-Zoccai, Giuseppe</creatorcontrib><creatorcontrib>Corcione, Nicola</creatorcontrib><creatorcontrib>Morello, Alberto</creatorcontrib><creatorcontrib>Giordano, Arturo</creatorcontrib><title>Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry</title><title>Clinical research in cardiology</title><addtitle>Clin Res Cardiol</addtitle><addtitle>Clin Res Cardiol</addtitle><description>Background
Transaxillary (TAx) transcatheter aortic valve implantation (TAVI) is a preferred alternative access in patients ineligible for transfemoral TAVI.
Aims
This study used the Trans-AXillary Intervention (TAXI) registry to compare procedural success according to different types of transcatheter heart valves (THV).
Methods
For the TAXI registry anonymized data of patients treated with TAx-TAVI were collected from 18 centers. Acute procedural, early and 1-month clinical outcomes were adjudicated in accordance with standardized VARC-3 definitions.
Results
From 432 patients, 368 patients (85.3%, SE group) received self-expanding (SE) THV and 64 patients (14.8%, BE group) received balloon-expandable (BE) THV. Imaging revealed lower axillary artery diameters in the SE group (max/min diameter in mm: 8.4/6.6 vs 9.4/6.8 mm;
p
< 0.001/
p
= 0.04) but a higher proportion of axillary tortuosity in BE group (62/368, 23.6% vs 26/64, 42.6%;
p
= 0.004) with steeper aorta-left ventricle (LV) inflow (55° vs 51°;
p
= 0.002) and left ventricular outflow tract (LVOT)-LV inflow angles (40.0° vs 24.5°; 0.002). TAx-TAVI was more often conducted by right sided axillary artery in the BE group (33/368, 9.0% vs 17/64, 26.6%;
p
< 0.001). Device success was higher in the SE group (317/368, 86.1% vs 44/64, 68.8%,
p
= 0.0015). In logistic regression analysis, BE THV were a risk factor for vascular complications and axillary stent implantation.
Conclusions
Both, SE and BE THV can be safely used in TAx-TAVI. However, SE THV were more often used and were associated with a higher rate of device success. While SE THV were associated with lower rates of vascular complications, BE THV were more often used in cases with challenging anatomical circumstances.</description><subject>Aorta</subject><subject>Aortic valve</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Balloon treatment</subject><subject>Cardiology</subject><subject>Complications</subject><subject>Heart</subject><subject>Heart Valve Prosthesis</subject><subject>Heart valves</subject><subject>Humans</subject><subject>Implantation</subject><subject>Implants</subject><subject>Inflow</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Prosthesis Design</subject><subject>Registries</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Success</subject><subject>Surgical implants</subject><subject>Tortuosity</subject><subject>Transcatheter Aortic Valve Replacement - methods</subject><subject>Treatment Outcome</subject><subject>Ventricle</subject><issn>1861-0684</issn><issn>1861-0692</issn><issn>1861-0692</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1O3TAQha2Kqvy0L9BFZYkNmxT_JXG6QwgoEhJdUKk7y3YmF6PEvrUdxH0hnhNfQqnEgoXlGfs7x9YchL5S8p0S0h4nQnjHKsJ4WYw2Ff2A9qhsaEWaju281lLsov2U7gipKeHiE9rlLeWy1Hvo8VcMFvo56hGn2VpICTuPc9Q-6Qc3jjpuls7qfAsZItYhZmfxvR7vAbtpPWqfdXbBY21tiL3zK5wDzps14DC8Ed-CjnnR_sAR0jzmhIcYJlwAPJXWWfBb8ubkz2UhVi7luPmMPg56TPDlZT9Av8_Pbk5_VlfXF5enJ1eV5W2dK25NDaQejO56y7gQYFqwWlrN2paZctYLWdtG9tLomgyyN2IYqDamFTVtWn6AjhbfdQx_Z0hZTS5ZKGPwEOakmCRdLRrOREEP36B3YY6-_E6xjkrKu6ajhWILZWNIKcKg1tFNZaiKErVNUS0pqpKiek5RbUXfXqxnM0H_KvkXWwH4AqRy5VcQ_7_9ju0TMnKtHw</recordid><startdate>2024</startdate><enddate>2024</enddate><creator>Schaefer, Andreas</creator><creator>Bhadra, Oliver D.</creator><creator>Conradi, Lenard</creator><creator>Westermann, Dirk</creator><creator>Kellner, Caroline</creator><creator>De Backer, Ole</creator><creator>Bajoras, Vilhelmas</creator><creator>Sondergaard, Lars</creator><creator>Qureshi, Waqas T.</creator><creator>Kakouros, Nikolaos</creator><creator>Aldrugh, Summer</creator><creator>Amat-Santos, Ignacio</creator><creator>Kaneko, Tsuyoshi</creator><creator>Harloff, Morgan</creator><creator>Teles, Rui</creator><creator>Nolasco, Tiago</creator><creator>Neves, Jose Pedro</creator><creator>Abecasis, Miguel</creator><creator>Werner, Nikos</creator><creator>Lauterbach, Michael</creator><creator>Sacha, Jerzy</creator><creator>Krawczyk, Krzysztof</creator><creator>Trani, Carlo</creator><creator>Romagnoli, Enrico</creator><creator>Mangieri, Antonio</creator><creator>Condello, Francesco</creator><creator>Regueiro, Ander</creator><creator>Brugaletta, Salvatore</creator><creator>Biancari, Fausto</creator><creator>Niemelä, Matti</creator><creator>Giannini, Francesco</creator><creator>Toselli, 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Romagnoli, Enrico ; Mangieri, Antonio ; Condello, Francesco ; Regueiro, Ander ; Brugaletta, Salvatore ; Biancari, Fausto ; Niemelä, Matti ; Giannini, Francesco ; Toselli, Marco ; Ruggiero, Rossella ; Buono, Andrea ; Maffeo, Diego ; Bruno, Francesco ; Conrotto, Federico ; D’Ascenzo, Fabrizio ; Savontaus, Mikko ; Pykäri, Jouni ; Ielasi, Alfonso ; Tespili, Maurizio ; Cimmino, Michele ; Albanese, Michele ; Biondi-Zoccai, Giuseppe ; Corcione, Nicola ; Morello, Alberto ; Giordano, Arturo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-3cb5e05fba9dc2344eb7eca8ca2772bdc2d485c68d8ba50f8db4ff1abb7451673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aorta</topic><topic>Aortic valve</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Balloon treatment</topic><topic>Cardiology</topic><topic>Complications</topic><topic>Heart</topic><topic>Heart Valve Prosthesis</topic><topic>Heart valves</topic><topic>Humans</topic><topic>Implantation</topic><topic>Implants</topic><topic>Inflow</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Prosthesis Design</topic><topic>Registries</topic><topic>Regression analysis</topic><topic>Risk factors</topic><topic>Success</topic><topic>Surgical implants</topic><topic>Tortuosity</topic><topic>Transcatheter Aortic Valve Replacement - methods</topic><topic>Treatment Outcome</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schaefer, Andreas</creatorcontrib><creatorcontrib>Bhadra, Oliver D.</creatorcontrib><creatorcontrib>Conradi, Lenard</creatorcontrib><creatorcontrib>Westermann, Dirk</creatorcontrib><creatorcontrib>Kellner, Caroline</creatorcontrib><creatorcontrib>De Backer, 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Francesco</creatorcontrib><creatorcontrib>Regueiro, Ander</creatorcontrib><creatorcontrib>Brugaletta, Salvatore</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><creatorcontrib>Niemelä, Matti</creatorcontrib><creatorcontrib>Giannini, Francesco</creatorcontrib><creatorcontrib>Toselli, Marco</creatorcontrib><creatorcontrib>Ruggiero, Rossella</creatorcontrib><creatorcontrib>Buono, Andrea</creatorcontrib><creatorcontrib>Maffeo, Diego</creatorcontrib><creatorcontrib>Bruno, Francesco</creatorcontrib><creatorcontrib>Conrotto, Federico</creatorcontrib><creatorcontrib>D’Ascenzo, Fabrizio</creatorcontrib><creatorcontrib>Savontaus, Mikko</creatorcontrib><creatorcontrib>Pykäri, Jouni</creatorcontrib><creatorcontrib>Ielasi, Alfonso</creatorcontrib><creatorcontrib>Tespili, Maurizio</creatorcontrib><creatorcontrib>Cimmino, Michele</creatorcontrib><creatorcontrib>Albanese, Michele</creatorcontrib><creatorcontrib>Biondi-Zoccai, Giuseppe</creatorcontrib><creatorcontrib>Corcione, Nicola</creatorcontrib><creatorcontrib>Morello, Alberto</creatorcontrib><creatorcontrib>Giordano, Arturo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical research in cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schaefer, Andreas</au><au>Bhadra, Oliver D.</au><au>Conradi, Lenard</au><au>Westermann, Dirk</au><au>Kellner, Caroline</au><au>De Backer, Ole</au><au>Bajoras, Vilhelmas</au><au>Sondergaard, Lars</au><au>Qureshi, Waqas T.</au><au>Kakouros, Nikolaos</au><au>Aldrugh, Summer</au><au>Amat-Santos, Ignacio</au><au>Kaneko, Tsuyoshi</au><au>Harloff, Morgan</au><au>Teles, Rui</au><au>Nolasco, Tiago</au><au>Neves, Jose Pedro</au><au>Abecasis, Miguel</au><au>Werner, Nikos</au><au>Lauterbach, Michael</au><au>Sacha, Jerzy</au><au>Krawczyk, Krzysztof</au><au>Trani, Carlo</au><au>Romagnoli, Enrico</au><au>Mangieri, Antonio</au><au>Condello, Francesco</au><au>Regueiro, Ander</au><au>Brugaletta, Salvatore</au><au>Biancari, Fausto</au><au>Niemelä, Matti</au><au>Giannini, Francesco</au><au>Toselli, Marco</au><au>Ruggiero, Rossella</au><au>Buono, Andrea</au><au>Maffeo, Diego</au><au>Bruno, Francesco</au><au>Conrotto, Federico</au><au>D’Ascenzo, Fabrizio</au><au>Savontaus, Mikko</au><au>Pykäri, Jouni</au><au>Ielasi, Alfonso</au><au>Tespili, Maurizio</au><au>Cimmino, Michele</au><au>Albanese, Michele</au><au>Biondi-Zoccai, Giuseppe</au><au>Corcione, Nicola</au><au>Morello, Alberto</au><au>Giordano, Arturo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry</atitle><jtitle>Clinical research in cardiology</jtitle><stitle>Clin Res Cardiol</stitle><addtitle>Clin Res Cardiol</addtitle><date>2024</date><risdate>2024</risdate><volume>113</volume><issue>1</issue><spage>48</spage><epage>57</epage><pages>48-57</pages><issn>1861-0684</issn><issn>1861-0692</issn><eissn>1861-0692</eissn><abstract>Background
Transaxillary (TAx) transcatheter aortic valve implantation (TAVI) is a preferred alternative access in patients ineligible for transfemoral TAVI.
Aims
This study used the Trans-AXillary Intervention (TAXI) registry to compare procedural success according to different types of transcatheter heart valves (THV).
Methods
For the TAXI registry anonymized data of patients treated with TAx-TAVI were collected from 18 centers. Acute procedural, early and 1-month clinical outcomes were adjudicated in accordance with standardized VARC-3 definitions.
Results
From 432 patients, 368 patients (85.3%, SE group) received self-expanding (SE) THV and 64 patients (14.8%, BE group) received balloon-expandable (BE) THV. Imaging revealed lower axillary artery diameters in the SE group (max/min diameter in mm: 8.4/6.6 vs 9.4/6.8 mm;
p
< 0.001/
p
= 0.04) but a higher proportion of axillary tortuosity in BE group (62/368, 23.6% vs 26/64, 42.6%;
p
= 0.004) with steeper aorta-left ventricle (LV) inflow (55° vs 51°;
p
= 0.002) and left ventricular outflow tract (LVOT)-LV inflow angles (40.0° vs 24.5°; 0.002). TAx-TAVI was more often conducted by right sided axillary artery in the BE group (33/368, 9.0% vs 17/64, 26.6%;
p
< 0.001). Device success was higher in the SE group (317/368, 86.1% vs 44/64, 68.8%,
p
= 0.0015). In logistic regression analysis, BE THV were a risk factor for vascular complications and axillary stent implantation.
Conclusions
Both, SE and BE THV can be safely used in TAx-TAVI. However, SE THV were more often used and were associated with a higher rate of device success. While SE THV were associated with lower rates of vascular complications, BE THV were more often used in cases with challenging anatomical circumstances.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37138103</pmid><doi>10.1007/s00392-023-02216-1</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7304-6083</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1861-0684 |
| ispartof | Clinical research in cardiology, 2024, Vol.113 (1), p.48-57 |
| issn | 1861-0684 1861-0692 1861-0692 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2809546324 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aorta Aortic valve Aortic Valve - surgery Aortic Valve Stenosis - surgery Balloon treatment Cardiology Complications Heart Heart Valve Prosthesis Heart valves Humans Implantation Implants Inflow Medicine Medicine & Public Health Original Paper Prosthesis Design Registries Regression analysis Risk factors Success Surgical implants Tortuosity Transcatheter Aortic Valve Replacement - methods Treatment Outcome Ventricle |
| title | Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T01%3A08%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Procedural%20success%20in%20transaxillary%20transcatheter%20aortic%20valve%20implantation%20according%20to%20type%20of%20transcatheter%20heart%20valve:%20results%20from%20the%20multicenter%20TAXI%20registry&rft.jtitle=Clinical%20research%20in%20cardiology&rft.au=Schaefer,%20Andreas&rft.date=2024&rft.volume=113&rft.issue=1&rft.spage=48&rft.epage=57&rft.pages=48-57&rft.issn=1861-0684&rft.eissn=1861-0692&rft_id=info:doi/10.1007/s00392-023-02216-1&rft_dat=%3Cproquest_cross%3E2809546324%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2918139691&rft_id=info:pmid/37138103&rfr_iscdi=true |