Cargando…

Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View

Despite the rapid increase in experience and technological improvement, the incidence of conduction disturbances in patients undergoing transcatheter aortic valve replacement (TAVR) with the self-expandable CoreValve Evolut valve remains high. Recently, a cusp-overlap view (COP) implantation techniq...

Descripción completa

Detalles Bibliográficos
Autores principales: Doldi, Philipp Maximilian, Stolz, Lukas, Escher, Felix, Steffen, Julius, Gmeiner, Jonas, Roden, Daniel, Linnemann, Marie, Löw, Kornelia, Deseive, Simon, Stocker, Thomas J., Orban, Martin, Theiss, Hans, Rizas, Konstantinos, Curta, Adrian, Sadoni, Sebastian, Buech, Joscha, Joskowiak, Dominik, Peterss, Sven, Hagl, Christian, Massberg, Steffen, Hausleiter, Jörg, Braun, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953752/
https://www.ncbi.nlm.nih.gov/pubmed/35329887
http://dx.doi.org/10.3390/jcm11061561
_version_ 1784675927619272704
author Doldi, Philipp Maximilian
Stolz, Lukas
Escher, Felix
Steffen, Julius
Gmeiner, Jonas
Roden, Daniel
Linnemann, Marie
Löw, Kornelia
Deseive, Simon
Stocker, Thomas J.
Orban, Martin
Theiss, Hans
Rizas, Konstantinos
Curta, Adrian
Sadoni, Sebastian
Buech, Joscha
Joskowiak, Dominik
Peterss, Sven
Hagl, Christian
Massberg, Steffen
Hausleiter, Jörg
Braun, Daniel
author_facet Doldi, Philipp Maximilian
Stolz, Lukas
Escher, Felix
Steffen, Julius
Gmeiner, Jonas
Roden, Daniel
Linnemann, Marie
Löw, Kornelia
Deseive, Simon
Stocker, Thomas J.
Orban, Martin
Theiss, Hans
Rizas, Konstantinos
Curta, Adrian
Sadoni, Sebastian
Buech, Joscha
Joskowiak, Dominik
Peterss, Sven
Hagl, Christian
Massberg, Steffen
Hausleiter, Jörg
Braun, Daniel
author_sort Doldi, Philipp Maximilian
collection PubMed
description Despite the rapid increase in experience and technological improvement, the incidence of conduction disturbances in patients undergoing transcatheter aortic valve replacement (TAVR) with the self-expandable CoreValve Evolut valve remains high. Recently, a cusp-overlap view (COP) implantation technique has been proposed for TAVR with self-expandable valves offering an improved visualization during valve expansion compared to the three-cusp view (TCV). This study aims to systematically analyze procedural outcomes of TAVR patients treated with the CoreValve Evolut valve using a COP compared to TCV in a high-volume center. The primary endpoint was technical success according the 2021 VARC-3 criteria. A total of 122 consecutive patients (61 pts. TCV: April 2019 to November 2020; 61 pts. COP: December 2020 to October 2021) that underwent TAVR with the CoreValve Evolut prosthesis were included in this analysis. Although there was no difference in the primary endpoint technical success between TCV and COP patients (93.4% vs. 90.2%, OR 0.65, 95% CI 0.16, 2.4, p = 0.51), we observed a significantly lower risk for permanent pacemaker implantation (PPI) among COP patients (TCV: 27.9% vs. COP: 13.1%, OR 0.39, 95% CI 0.15, 0.97, p = 0.047). Implantation of the CoreValve Evolut prosthesis using the COP might help to reduce the rate of PPI following TAVR.
format Online
Article
Text
id pubmed-8953752
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89537522022-03-26 Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View Doldi, Philipp Maximilian Stolz, Lukas Escher, Felix Steffen, Julius Gmeiner, Jonas Roden, Daniel Linnemann, Marie Löw, Kornelia Deseive, Simon Stocker, Thomas J. Orban, Martin Theiss, Hans Rizas, Konstantinos Curta, Adrian Sadoni, Sebastian Buech, Joscha Joskowiak, Dominik Peterss, Sven Hagl, Christian Massberg, Steffen Hausleiter, Jörg Braun, Daniel J Clin Med Article Despite the rapid increase in experience and technological improvement, the incidence of conduction disturbances in patients undergoing transcatheter aortic valve replacement (TAVR) with the self-expandable CoreValve Evolut valve remains high. Recently, a cusp-overlap view (COP) implantation technique has been proposed for TAVR with self-expandable valves offering an improved visualization during valve expansion compared to the three-cusp view (TCV). This study aims to systematically analyze procedural outcomes of TAVR patients treated with the CoreValve Evolut valve using a COP compared to TCV in a high-volume center. The primary endpoint was technical success according the 2021 VARC-3 criteria. A total of 122 consecutive patients (61 pts. TCV: April 2019 to November 2020; 61 pts. COP: December 2020 to October 2021) that underwent TAVR with the CoreValve Evolut prosthesis were included in this analysis. Although there was no difference in the primary endpoint technical success between TCV and COP patients (93.4% vs. 90.2%, OR 0.65, 95% CI 0.16, 2.4, p = 0.51), we observed a significantly lower risk for permanent pacemaker implantation (PPI) among COP patients (TCV: 27.9% vs. COP: 13.1%, OR 0.39, 95% CI 0.15, 0.97, p = 0.047). Implantation of the CoreValve Evolut prosthesis using the COP might help to reduce the rate of PPI following TAVR. MDPI 2022-03-12 /pmc/articles/PMC8953752/ /pubmed/35329887 http://dx.doi.org/10.3390/jcm11061561 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Doldi, Philipp Maximilian
Stolz, Lukas
Escher, Felix
Steffen, Julius
Gmeiner, Jonas
Roden, Daniel
Linnemann, Marie
Löw, Kornelia
Deseive, Simon
Stocker, Thomas J.
Orban, Martin
Theiss, Hans
Rizas, Konstantinos
Curta, Adrian
Sadoni, Sebastian
Buech, Joscha
Joskowiak, Dominik
Peterss, Sven
Hagl, Christian
Massberg, Steffen
Hausleiter, Jörg
Braun, Daniel
Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View
title Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View
title_full Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View
title_fullStr Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View
title_full_unstemmed Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View
title_short Transcatheter Aortic Valve Replacement with the Self-Expandable Core Valve Evolut Prosthesis Using the Cusp-Overlap vs. Tricusp-View
title_sort transcatheter aortic valve replacement with the self-expandable core valve evolut prosthesis using the cusp-overlap vs. tricusp-view
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953752/
https://www.ncbi.nlm.nih.gov/pubmed/35329887
http://dx.doi.org/10.3390/jcm11061561
work_keys_str_mv AT doldiphilippmaximilian transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT stolzlukas transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT escherfelix transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT steffenjulius transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT gmeinerjonas transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT rodendaniel transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT linnemannmarie transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT lowkornelia transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT deseivesimon transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT stockerthomasj transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT orbanmartin transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT theisshans transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT rizaskonstantinos transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT curtaadrian transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT sadonisebastian transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT buechjoscha transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT joskowiakdominik transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT petersssven transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT haglchristian transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT massbergsteffen transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT hausleiterjorg transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview
AT braundaniel transcatheteraorticvalvereplacementwiththeselfexpandablecorevalveevolutprosthesisusingthecuspoverlapvstricuspview