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Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve
INTRODUCTION: Indications for transcatheter aortic valve implantation (TAVI) are constantly expanding, including younger patients. Bicuspid aortic valves (BAV) often occur in this group. In order to achieve optimal treatment results in younger patients, it is necessary to develop an effective method...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039923/ https://www.ncbi.nlm.nih.gov/pubmed/33868422 http://dx.doi.org/10.5114/aic.2021.104773 |
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author | Chodór, Piotr A. Wilczek, Krzysztof Chodór-Rozwadowska, Karolina Przybylski, Roman Głowacki, Jan Niklewski, Tomasz Włoch, Łukasz Gąsior, Mariusz Zembala, Marian Kalarus, Zbigniew |
author_facet | Chodór, Piotr A. Wilczek, Krzysztof Chodór-Rozwadowska, Karolina Przybylski, Roman Głowacki, Jan Niklewski, Tomasz Włoch, Łukasz Gąsior, Mariusz Zembala, Marian Kalarus, Zbigniew |
author_sort | Chodór, Piotr A. |
collection | PubMed |
description | INTRODUCTION: Indications for transcatheter aortic valve implantation (TAVI) are constantly expanding, including younger patients. Bicuspid aortic valves (BAV) often occur in this group. In order to achieve optimal treatment results in younger patients, it is necessary to develop an effective method for selecting the size of implanted valves. AIM: To compare the results of TAVI with use of a self-expanding prosthesis in patients with a BAV and a tricuspid aortic valve (TAV) with valve selection based on annular sizing. MATERIAL AND METHODS: The diagnosis of BAV and TAV and measurements (annular sizing) were based on multi-slice computed tomography scans. Eighty-three patients received a self-expanding CoreValve or Evolut R prosthesis. In group I (BAV) there were 21 (25.3%) patients and in group II (TAV) there were 62 (74.7%) patients. RESULTS: The groups did not differ in terms of baseline clinical characteristics. Device success was achieved in 16 (76.2%) and 55 (88.7%) (p = NS) in group I and II respectively. Composite endpoints: early safety occurred in 5 (23.8%) and 11 (17.7%) patients (p =NS) in group I and II respectively; clinical efficacy occurred in 10 (47.6%) and 28 (45.2%) patients (p = NS) in group I and II respectively. 30-day mortality was 4.8% vs 9.7%, 1-year mortality was 28.6% vs 17.7% (p = NS) in group I and II respectively. CONCLUSIONS: TAVI in patients with severe aortic stenosis and BAV is as effective as in patients with TAV using self-expanding prostheses if the valve selection is based on annular sizing. |
format | Online Article Text |
id | pubmed-8039923 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-80399232021-04-15 Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve Chodór, Piotr A. Wilczek, Krzysztof Chodór-Rozwadowska, Karolina Przybylski, Roman Głowacki, Jan Niklewski, Tomasz Włoch, Łukasz Gąsior, Mariusz Zembala, Marian Kalarus, Zbigniew Postepy Kardiol Interwencyjnej Original Paper INTRODUCTION: Indications for transcatheter aortic valve implantation (TAVI) are constantly expanding, including younger patients. Bicuspid aortic valves (BAV) often occur in this group. In order to achieve optimal treatment results in younger patients, it is necessary to develop an effective method for selecting the size of implanted valves. AIM: To compare the results of TAVI with use of a self-expanding prosthesis in patients with a BAV and a tricuspid aortic valve (TAV) with valve selection based on annular sizing. MATERIAL AND METHODS: The diagnosis of BAV and TAV and measurements (annular sizing) were based on multi-slice computed tomography scans. Eighty-three patients received a self-expanding CoreValve or Evolut R prosthesis. In group I (BAV) there were 21 (25.3%) patients and in group II (TAV) there were 62 (74.7%) patients. RESULTS: The groups did not differ in terms of baseline clinical characteristics. Device success was achieved in 16 (76.2%) and 55 (88.7%) (p = NS) in group I and II respectively. Composite endpoints: early safety occurred in 5 (23.8%) and 11 (17.7%) patients (p =NS) in group I and II respectively; clinical efficacy occurred in 10 (47.6%) and 28 (45.2%) patients (p = NS) in group I and II respectively. 30-day mortality was 4.8% vs 9.7%, 1-year mortality was 28.6% vs 17.7% (p = NS) in group I and II respectively. CONCLUSIONS: TAVI in patients with severe aortic stenosis and BAV is as effective as in patients with TAV using self-expanding prostheses if the valve selection is based on annular sizing. Termedia Publishing House 2021-03-27 2021-03 /pmc/articles/PMC8039923/ /pubmed/33868422 http://dx.doi.org/10.5114/aic.2021.104773 Text en Copyright: © 2021 Termedia Sp. z o. o. https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Chodór, Piotr A. Wilczek, Krzysztof Chodór-Rozwadowska, Karolina Przybylski, Roman Głowacki, Jan Niklewski, Tomasz Włoch, Łukasz Gąsior, Mariusz Zembala, Marian Kalarus, Zbigniew Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
title | Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
title_full | Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
title_fullStr | Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
title_full_unstemmed | Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
title_short | Comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
title_sort | comparison of the results of transcatheter aortic valve implantation in patients with bicuspid and tricuspid aortic valve |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039923/ https://www.ncbi.nlm.nih.gov/pubmed/33868422 http://dx.doi.org/10.5114/aic.2021.104773 |
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