Sex-Related Outcomes of Transcatheter Aortic Valve Implantation With Self-Expanding or BalloonExpandable Valves: Insights from the OPERA-TAVI Registry

被引:0
|
作者
Adamo, Marianna [1 ]
Branca, Luca [1 ]
Pezzola, Elisa [1 ]
Saia, Francesco [2 ]
Pilgrim, Thomas [3 ]
Abdel-Wahab, Mohamed [4 ,5 ]
Garot, Philippe [6 ]
Gandolfo, Caterina [7 ]
Fiorina, Claudia [1 ]
Sammartino, Sofia [9 ]
Latib, Azeem
Santos, Ignacio Amat [10 ]
Mylotte, Darren [11 ]
De Marco, Federico [12 ]
De Backer, Ole
Franco, Luis Nombela
Akodad, Mariama
Ribichini, Flavio Luciano
Bedogni, Francesco
Laterra, Giulia
Mazzapicchi, Alessandro
Tomii, Daijiro
Laforgia, Pietro
Cannata, Stefano
Scotti, Andrea
Fezzi, Simone [10 ]
Criscione, Enrico
Poletti, Enrico [16 ]
Mazzucca, Mattia [16 ]
Valvo, Roberto [16 ]
Lunardi, Mattia [16 ]
Mainardi, Andrea [15 ]
Andreaggi, Stefano [15 ]
Quagliana, Angelo [12 ]
Montarello, Nicholas [13 ]
Hennessey, Breda [13 ]
Mon-Noboa, Matias [13 ]
Meier, David [14 ]
Sgroi, Carmelo [8 ]
Reddavid, Claudia Maria [8 ]
Strazzieri, Orazio [8 ]
Motta, Silvia Crescenzia [8 ]
Frittitta, Valentina [8 ]
Dipietro, Elena
Comis, Alessandro
Melfa, Chiara
Cal, Mariachiara
Thiele, Holger [4 ,5 ]
Webb, John G. [15 ]
Sondergaard, Lars [13 ]
机构
[1] Univ Brescia, Dept Med & Surg Special, Cardiol ASST Spedali Civili, Cardiol,ASST Spedali Civili, Brescia, Italy
[2] Univ Bologna, Cardiovasc Dept, Policlin S Orsola, Bologna, Italy
[3] Bern Univ Hosp, Inselspital, Bern, Switzerland
[4] Univ Leipzig, Heart Ctr Leipzig, Leipzig, Germany
[5] Leipzig Heart Sci, Leipzig, Germany
[6] Hop Jacques Cartier, Inst Cardiovasc Paris Sud ICPS, Ramsay Sante, Massy, France
[7] Ist Mediterraneo Trapianti & Terapie Alta Speciali, Palermo, Italy
[8] Div Cardiol, AOU Policlin G Rodolico San Marco, Catania, Italy
[9] Albert Einstein Coll Med, Montefiore Einstein Ctr Heart & Vasc Care, Montefiore Med Ctr, Bronx, NY USA
[10] Hosp Clin Univ Valladolid, Div Cardiol, Valladolid, Spain
[11] Univ Hosp, Univ Galway, Dept Cardiol, Galway, Ireland
[12] IRCSS Ctr Cardiol Monzino, Intervent Cardiol Dept, Milan, Italy
[13] Copenhagen Univ Hosp, Heart Ctr, Rigshosp, Copenhagen, Denmark
[14] Hosp Clin San Carlo, Madrid, Spain
[15] Univ British Columbia, St Pauls Hosp, Ctr Heart Valve Innovat, Vancouver, BC, Canada
[16] Div Cardiol, Azienda Osped Univ Integrata Verona, Verona, Italy
[17] Univ Enna Kore, Enna, Italy
来源
AMERICAN JOURNAL OF CARDIOLOGY | 2024年 / 219卷
关键词
TAVI; gender; valve type; EXPANDABLE VALVES; REPLACEMENT; METAANALYSIS; IMPACT;
D O I
10.1016/j.amjcard.2024.01.028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Evidence regarding gender -related differences in response to transcatheter aortic valve implantation according to the valve type is lacking. This study aimed to evaluate the impact of gender on the treatment effect of Evolut PRO/PRO+ (PRO) or SAPIEN 3 Ultra (ULTRA) devices on clinical outcomes. The Comparative Analysis of Evolut PRO vs SAPIEN 3 Ultra Valves for Transfemoral Transcatheter Aortic Valve Implantation (OPERA-TAVI) is a multicenter, multinational registry including patients who underwent the latest -iteration PRO or ULTRA implantation. Overall, 1,174 of 1,897 patients were matched based on valve type and compared according to gender, whereas 470 men and 630 women were matched and compared according to valve type. The 30 -day and 1 -year outcomes were evaluated. In the PRO and ULTRA groups, men had a higher co -morbidity burden, whereas women had smaller aortic root. The 30 -day (device success [DS], early safety outcome, permanent pacemaker implantation, patient -prosthesis mismatch, paravalvular regurgitation, bleedings, vascular complications, and all -cause death) and 1 -year outcomes (all -cause death, stroke, and heart failure hospitalization) did not differ according to gender in both valve groups. However, the male gender decreased the likelihood of 30 -day DS with ULTRA versus PRO (p for interaction = 0.047). A higher risk of 30 -day permanent pacemaker implantation and 1 -year stroke and a lower risk of patient -prosthesis mismatch was observed in PRO versus ULTRA, regardless of gender. In conclusion, gender did not modify the treatment effect of PRO versus ULTRA on clinical outcomes, except for 30 -day DS, which was decreased in men (vs women) who received ULTRA (vs PRO). (c) 2024 Elsevier Inc. All rights reserved. (Am J Cardiol 2024;219:60 - 70)
引用
收藏
页码:60 / 70
页数:11
相关论文
共 50 条
  • [11] Balloon Predilation in Transcatheter Aortic Valve Replacement with Self-expanding Valves
    Rehman, Hasan
    Kalra, Ankur
    Cochran, John M.
    Peterson, Leif
    Khera, Sahil
    Puri, Rishi
    Kolte, Dhaval
    Gupta, Tanush
    Attizzani, Guilherme F.
    Bhatt, Deepak L.
    Barker, Colin M.
    Reardon, Michael J.
    Kleiman, Neal S.
    STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM, 2019, 3 (01): : 65 - 71
  • [12] Balloon Predilation in Transcatheter Aortic Valve Replacement with Self-Expanding Valves
    Rehman, Hasan
    Kalra, Ankur
    Cochran, John
    Peterson, Leif
    Puri, Rishi
    Khera, Sahil
    Gupta, Tanush
    Kolte, Dhaval
    Barker, Colin
    Bhatt, Deepak
    Reardon, Michael J.
    Kleiman, Neal
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 70 (18) : B124 - B125
  • [13] Self-expanding transcatheter aortic valve implantation for degenerated mitroflow bioprosthesis: early outcomes
    Pascual Calleja, I.
    Avanzas, P.
    Hernandez-Vaquero, D.
    Diaz, R.
    Padron, R.
    Lorca, R.
    Leon, V.
    Moris, C.
    EUROPEAN HEART JOURNAL, 2018, 39 : 445 - 446
  • [14] Self-expanding transcatheter aortic valve implantation for degenerated Mitroflow bioprosthesis: Early outcomes
    Pascual, Isaac
    Avanzas, Pablo
    Hernandez-Vaquero, Daniel
    Diaz, Rocio
    del Valle, Raquel
    Padron, Remigio
    Lorca, Rebeca
    Leon, Victor
    Martin, Maria
    Alfonso, Fernando
    Moris, Cesar
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2019, 287 : 53 - 58
  • [15] Self-Expanding Valve System for Treatment of Native Aortic Regurgitation by Transcatheter Aortic Valve Implantation (from the STS/ACC TVT Registry)
    Anwaruddin, Saif
    Desai, Nimesh D.
    Szeto, Wilson Y.
    Hermiller, James B.
    Sorajja, Paul
    Kodali, Susheel
    Popma, Jeffrey J.
    Giri, Jay
    Hellmann, Howard C.
    Tang, Gilbert H. L.
    Rame, J. Eduardo
    McCarthy, Fenton H.
    Zhang, Angie Q.
    Reardon, Michael J.
    AMERICAN JOURNAL OF CARDIOLOGY, 2019, 124 (05): : 781 - 788
  • [16] Prosthesis position and its influence on complications after transcatheter aortic valve implantation with self-expanding valves
    Breitbart, P.
    Minners, J.
    Hein, M.
    Schroefel, H.
    Neumann, F. J.
    Ruile, P.
    EUROPEAN HEART JOURNAL, 2021, 42 : 176 - 176
  • [17] Transcatheter aortic valve implantation with self-expanding valves and the impact of balloon predilatation: The DIRECT II trial
    Koliastasis, Leonidas
    Doundoulakis, Ioannis
    Rychter, Jan
    Zembala, Michal
    Ninios, Vlasis
    Ninios, Ilias
    Evangelou, Sotirios
    Katsimagklis, Georgios
    Mastrokostopoulos, Antonios
    Moraitis, Sotiris
    Komporozos, Christoforos
    Hamilos, Michalis
    Skalidis, Emmanouil
    Syrseloudis, Dimitris
    Pagkalidou, Eirini
    Benetos, Georgios
    Latsios, Georgios
    Drakopoulou, Maria
    Synetos, Andreas
    Aggeli, Konstantina
    Tousoulis, Dimitrios
    Tsiou, Konstantinos
    Toutouzas, Konstantinos
    HELLENIC JOURNAL OF CARDIOLOGY, 2024, 77 : 122 - 124
  • [18] Clinical impact of multiple resheathing during transcatheter aortic valve implantation with Evolut self-expanding valves
    Aurigemma, Cristina
    Busco, Marco
    Bianchini, Francesco
    Bianchini, Emiliano
    Di Brango, Claudio
    Marchetta, Michele
    Bruno, Piergiorgio
    Nesta, Marialisa
    Romagnoli, Enrico
    Burzotta, Francesco
    Trani, Carlo
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2024, 410
  • [19] Long-term outcomes following transcatheter aortic valve implantation with the Portico self-expanding valve
    Arturo Giordano
    Silvia Mas-Peiro
    Stephan Fichtlscherer
    Andreas Schaefer
    Martin Beyer
    Francesco Maisano
    Guido Ascione
    Nicola Buzzatti
    Rui Teles
    João Brito
    Francisco Albuquerque
    Lars Sondergaard
    Maarten Vanhaverbeke
    Angelo Quagliana
    Giuliano Costa
    Marco Barbanti
    Paolo Ferraro
    Alberto Morello
    Michele Cimmino
    Michele Albanese
    Martino Pepe
    Luca Bardi
    Salvatore Giordano
    Antonio Cittadini
    Nicola Corcione
    Giuseppe Biondi-Zoccai
    Clinical Research in Cardiology, 2024, 113 : 86 - 93
  • [20] Long-term outcomes following transcatheter aortic valve implantation with the Portico self-expanding valve
    Giordano, Arturo
    Mas-Peiro, Silvia
    Fichtlscherer, Stephan
    Schaefer, Andreas
    Beyer, Martin
    Maisano, Francesco
    Ascione, Guido
    Buzzatti, Nicola
    Teles, Rui
    Brito, Joao
    Albuquerque, Francisco
    Sondergaard, Lars
    Vanhaverbeke, Maarten
    Quagliana, Angelo
    Costa, Giuliano
    Barbanti, Marco
    Ferraro, Paolo
    Morello, Alberto
    Cimmino, Michele
    Albanese, Michele
    Pepe, Martino
    Bardi, Luca
    Giordano, Salvatore
    Cittadini, Antonio
    Corcione, Nicola
    Biondi-Zoccai, Giuseppe
    CLINICAL RESEARCH IN CARDIOLOGY, 2024, 113 (01) : 86 - 93