Latest-iteration balloon- and self-expandable transcatheter valves for severe bicuspid aortic stenosis: the TRITON study

被引:8
|
作者
Amat-Santos, Ignacio J. [1 ,2 ]
Garcia-Gomez, Mario [1 ,2 ]
de Marco, Federico [3 ]
Won-Keun, Kim [4 ]
Brito, Joao [5 ]
Halim, Jonathan [6 ]
Jose, John [7 ]
Sengotuvelu, Gunasekaran [8 ]
Seth, Ashok [9 ]
Terkelsen, Christian [10 ]
Protasiewicz, Marcin [11 ]
Bonilla, Nelson [12 ]
Garcia, Bruno [13 ]
Sanchez-Luna, Juan Pablo [1 ]
Blasco-Turrion, Sara [1 ]
Gonzalez, Jose Carlos [1 ]
Gonzalez-Bartol, Esther [1 ]
Ijsselmuiden, Alexander J. J. [6 ]
Gomez-Salvador, Itziar [1 ,2 ]
Moraleja, Manuel Carrasco [1 ,2 ]
San Roman, Alberto [1 ,2 ]
机构
[1] Hosp Clin Univ Valladolid, Dept Cardiol, Valladolid, Spain
[2] Ctr Invest Biomed Red Enfermedades Cardiovasc, Madrid, Spain
[3] Policlin San Donato, Cardiol Dept, Milan, Italy
[4] Kerckhoff Klin, Dept Cardiol, Bad Nauheim, Germany
[5] Hosp Santa Cruz, Cardiol Dept, Lisbon, Portugal
[6] Amphia Hosp, Cardiol Dept, Breda, Netherlands
[7] Christian Med Coll Vellore, Cardiol Dept, Vellore, Tamil Nadu, India
[8] Apollo Hosp Chennai, Cardiol Dept, Chennai, Tamil Nadu, India
[9] New Delhi Hosp, Fortis Escorts Heart Inst, Cardiol Dept, Delhi, India
[10] Aarhus Univ Hosp, Cardiol Dept, Aarhus, Denmark
[11] Wroclaw Med Univ, Inst Heart Dis, Cardiol Dept, Wroclaw, Poland
[12] Hosp Med Quirurg, Dept Cardiol, Inst Salvadoreno Seguro Social, San Salvador, El Salvador
[13] Hosp Univ Vall dHebron, Dept Cardiol, Barcelona, Spain
来源
REVISTA ESPANOLA DE CARDIOLOGIA | 2023年 / 76卷 / 11期
关键词
Aortic stenosis; Transcatheter aortic valve replacement; Transcatheter heart valve; Balloon-expandable prosthesis; VARC-3; consensus; HEART-VALVE; REPLACEMENT; OUTCOMES;
D O I
10.1016/j.rec.2023.03.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction and objectives: No comparisons have been published yet regarding the newest iteration of balloon- and self-expandable transcatheter heart valves for the treatment of bicuspid aortic valve (BAV) stenosis. Methods: Multicenter registry of consecutive patients with severe BAV stenosis treated with balloon-expandable transcatheter heart valves (Myval and SAPIEN 3 Ultra, S3U) or self-expanding Evolut PRO+ (EP + ). TriMatch analysis was carried out to minimize the impact of baseline differences. The primary endpoint of the study was 30-day device success, and the secondary endpoints were the composite and individual components of early safety at 30 days. Results: A total of 360 patients (age 76.6 +/- 7.6 years, 71.9% males) were included: 122 Myval (33.9%), 129 S3U (35.8%), and 109 EP + (30.3%). The mean STS score was 3.6 +/- 1.9%. There were no cases of coronary artery occlusion, annulus rupture, aortic dissection, or procedural death. The primary endpoint of device success at 30 days was significantly higher in the Myval group (Myval: 100%; S3U: 87.5%; and EP + : 81.3%), mainly due to higher residual aortic gradients with S3U and greater >= moderate aortic regurgitation (AR) with EP + . No significant differences were found in the unadjusted rate of pacemaker implantation. Conclusions: In patients with BAV stenosis deemed unsuitable for surgery, Myval, S3U and EP + showed similar safety but balloon-expandable Myval had better gradients than S3U, and both balloon-expandable devices had lower residual AR than EP + , suggesting that, taking into consideration the patient-specific risks, any of these devices can be selected with optimal outcomes. (C) 2023 Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espaniola de Cardiologia.
引用
收藏
页码:872 / 880
页数:9
相关论文
共 50 条
  • [1] Comparison of Outcomes of Balloon-Expandable Versus Self-Expandable Transcatheter Heart Valves for Severe Aortic Stenosis
    Wijeysundera, Harindra C.
    Qiu, Feng
    Koh, Maria
    Prasad, Treesa J.
    Cantor, Warren J.
    Cheema, Asim
    Chu, Michael W. A.
    Czarnecki, Andrew
    Feindel, Christopher
    Fremes, Stephen E.
    Kingsbury, Kori J.
    Natarajan, Madhu K.
    Peterson, Mark
    Ruel, Marc
    Strauss, Bradley
    Ko, Dennis T.
    AMERICAN JOURNAL OF CARDIOLOGY, 2017, 119 (07): : 1094 - 1099
  • [2] Pacemaker implantation after balloon- or self-expandable transcatheter aortic valve replacement in patients with aortic stenosis
    Bodin, A.
    Bisson, A.
    Herbert, J.
    Lacour, T.
    Saint Etienne, C.
    Pierre, B.
    Deharo, P.
    Babuty, D.
    Clementy, N.
    Fauchier, L.
    EUROPEAN HEART JOURNAL, 2020, 41 : 714 - 714
  • [3] Differences in blood flow dynamics between balloon- and self-expandable valves in patients with aortic stenosis undergoing transcatheter aortic valve replacement
    Yuki Takahashi
    Kiwamu Kamiya
    Toshiyuki Nagai
    Satonori Tsuneta
    Noriko Oyama-Manabe
    Takeshi Hamaya
    Sho Kazui
    Yutaro Yasui
    Kohei Saiin
    Seiichiro Naito
    Yoshifumi Mizuguchi
    Sakae Takenaka
    Atsushi Tada
    Suguru Ishizaka
    Yuta Kobayashi
    Kazunori Omote
    Takuma Sato
    Yasushige Shingu
    Kohsuke Kudo
    Satoru Wakasa
    Toshihisa Anzai
    Journal of Cardiovascular Magnetic Resonance, 25
  • [4] Differences in blood flow dynamics between balloon- and self-expandable valves in patients with aortic stenosis undergoing transcatheter aortic valve replacement
    Takahashi, Yuki
    Kamiya, Kiwamu
    Nagai, Toshiyuki
    Tsuneta, Satonori
    Oyama-Manabe, Noriko
    Hamaya, Takeshi
    Kazui, Sho
    Yasui, Yutaro
    Saiin, Kohei
    Naito, Seiichiro
    Mizuguchi, Yoshifumi
    Takenaka, Sakae
    Tada, Atsushi
    Ishizaka, Suguru
    Kobayashi, Yuta
    Omote, Kazunori
    Sato, Takuma
    Shingu, Yasushige
    Kudo, Kohsuke
    Wakasa, Satoru
    Anzai, Toshihisa
    JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE, 2023, 25 (01)
  • [5] Pacemaker Implantation After Balloon- or Self-Expandable Transcatheter Aortic Valve Replacement in Patients With Aortic Stenosis
    Bisson, Arnaud
    Bodin, Alexandre
    Herbert, Julien
    Lacour, Thibaut
    Saint Etienne, Christophe
    Pierre, Bertrand
    Clementy, Nicolas
    Deharo, Pierre
    Babuty, Dominique
    Fauchier, Laurent
    JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2020, 9 (09):
  • [6] Infective Endocarditis Following Transcatheter Aortic Valve Replacement Comparison of Balloon- Versus Self-Expandable Valves
    Regueiro, Ander
    Linke, Axel
    Latib, Azeem
    Ihlemann, Nikolaj
    Urena, Marina
    Walther, Thomas
    Husser, Oliver
    Herrmann, Howard C.
    Nombela-Franco, Luis
    Cheema, Asim
    Le Breton, Herve
    Stortecky, Stefan
    Kapadia, Samir
    Bartorelli, Antonio L.
    Sinning, Jan Malte
    Amat-Santos, Ignacio
    Munoz-Garcia, Antonio J.
    Lerakis, Stamatios
    Gutierrez-Ibanes, Enrique
    Abdel-Wahab, Mohamed
    Tchetche, Didier
    Testa, Luca
    Eltchaninoff, Helene
    Livi, Ugolino
    Castillo, Juan Carlos
    Jilaihawi, Hasan
    Webb, John G.
    Barbanti, Marco
    Kodali, Susheel
    de Brito Jr, Fabio S.
    Ribeiro, Henrique B.
    Miceli, Antonio
    Fiorina, Claudia
    Dato, Guglielmo Mario Actis
    Rosato, Francesco
    Serra, Vicenc
    Masson, Jean-Bernard
    Wijeysundera, Harindra C.
    Mangione, Jose A.
    Ferreira, Maria-Cristina
    Lima, Valter C.
    Carvalho, Luis A.
    Abizaid, Alexandre
    Marino, Marcos A.
    Esteves, Vinicius
    Andrea, Julio C. M.
    Messika-Zeitoun, David
    Himbert, Dominique
    Kim, Won-Keun
    Pellegrini, Costanza
    CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2019, 12 (11)
  • [7] Transcatheter Aortic Valve Replacement With the Latest-Iteration Self-Expanding or Balloon-Expandable Valves The Multicenter OPERA-TAVI Registry
    Costa, Giuliano
    Saia, Francesco
    Pilgrim, Thomas
    Abdel-Wahab, Mohamed
    Garot, Philippe
    Valvo, Roberto
    Gandolfo, Caterina
    Branca, Luca
    Latib, Azeem
    Santos, Ignacio Amat
    Mylotte, Darren
    De Marco, Federico
    De Backer, Ole
    Franco, Luis Nombela
    Akodad, Mariama
    Mazzapicchi, Alessandro
    Tomii, Daijiro
    Laforgia, Pietro
    Cannata, Stefano
    Fiorina, Claudia
    Scotti, Andrea
    Lunardi, Mattia
    Poletti, Enrico
    Mazzucca, Mattia
    Quagliana, Angelo
    Hennessey, Breda
    Meier, David
    Adamo, Marianna
    Sgroi, Carmelo
    Reddavid, Claudia Maria
    Strazzieri, Orazio
    Motta, Silvia Crescenzia
    Frittitta, Valentina
    Dipietro, Elena
    Comis, Alessandro
    Melfa, Chiara
    Thiele, Holger
    Webb, John G.
    Sondergaard, Lars
    Tamburino, Corrado
    Barbanti, Marco
    JACC-CARDIOVASCULAR INTERVENTIONS, 2022, 15 (23) : 2398 - 2407
  • [8] DIFFERENCES ON PERIPROCEDURAL BLOOD FLOW DYNAMICS BETWEEN BALLOON- AND SELF-EXPANDABLE VALVES IN PATIENTS WITH AORTIC STENOSIS UNDERGOING TRANSCATHETER AORTIC VALVE REPLACEMENT
    Takahashi, Yuki
    Kamiya, Kiwamu
    Nagai, Toshiyuki
    Tsuneta, Satonori
    Kazui, Sho
    Yasui, Yutaro
    Saiin, Kohei
    Naito, Seiichiro
    Mizuguchi, Yoshifumi
    Takenaka, Sakae
    Tada, Atsushi
    Ishizaka, Suguru
    Kobayashi, Yuta
    Omote, Kazunori
    Sato, Takuma
    Shingu, Yasushige
    Wakasa, Satoru
    Anzai, Toshihisa
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2023, 81 (08) : 1383 - 1383
  • [9] Results of new-generation balloon vs. self-expandable transcatheter heart valves for bicuspid aortic valve stenosis
    Deutsch, Oliver
    Vitanova, Keti
    Ruge, Hendrik
    Erlebach, Magdalena
    Krane, Markus
    Lange, Ruediger
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2023, 10
  • [10] Combination Use of Inoue-Balloon and Self-Expandable Transcatheter Valves in Managing Aortic Stenosis Not Amenable to Balloon-Expandable Valves
    Saji, Mike
    Highchi, Ryosuke
    Iguchi, Nobuo
    Takamisawa, Itaru
    Shimizu, Jun
    Shimokawa, Tomoki
    Nanasato, Mamoru
    Takayama, Morimasa
    Isobe, Mitsuaki
    INTERNATIONAL HEART JOURNAL, 2022, 63 (05) : 843 - 851