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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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 |
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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 |
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