Balloon-Expandable vs Self-Expanding Valves for Transcatheter Treatment of Sievers Type 1 Bicuspid Aortic Stenosis

被引：5

作者：

Buono, Andrea ^{[1
]}

Zito, Andrea ^{[2
]}

Kim, Won-Keun ^{[3
,4
]}

Fabris, Tommaso ^{[5
]}

De Biase, Chiara ^{[6
]}

Bellamoli, Michele ^{[1
]}

Montarello, Nicholas ^{[7
]}

Costa, Giuliano ^{[8
,18
]}

Alfadhel, Mesfer ^{[9
]}

Koren, Ofir ^{[10
]}

Fezzi, Simone ^{[11
]}

Bellini, Barbara ^{[12
,13
]}

Massussi, Mauro ^{[14
]}

Scotti, Andrea ^{[15
]}

Bai, Lin ^{[16
]}

Costa, Giulia ^{[17
]}

Mazzapicchi, Alessandro ^{[19
]}

Giacomin, Enrico ^{[20
]}

Gorla, Riccardo ^{[21
]}

Hug, Karsten ^{[22
]}

Briguori, Carlo ^{[23
]}

Bettari, Luca ^{[1
]}

Messina, Antonio ^{[1
]}

Boiago, Mauro

Villa, Emmanuel ^{[1
]}

Renker, Matthias

Gomez, Mario Garcia ^{[24
]}

Fraccaro, Chiara

Rosa, Maria Luisa De ^{[1
]}

Patel, Vivek

Trani, Carlo

De Carlo, Marco

Laterra, Giulia ^{[25
]}

Latini, Alessia

Pellegrini, Dario ^{[27
,28
]}

Ielasi, Alfonso ^{[26
,27
,28
]}

Orbach, Ady ^{[29
]}

Landes, Uri ^{[29
]}

Rheude, Tobias ^{[22
]}

Testa, Luca

Santos, Ignacio Amat

Mangieri, Antonio

Saia, Francesco

Favero, Luca

Chen, Mao

Adamo, Marianna

Latib, Azeem

Petronio, Anna Sonia

Montorfano, Matteo ^{[30
,31
]}

Makkar, Raj R.

机构：

[1] Fdn Poliambulanza Ist Osped, Valve Ctr, Brescia, Italy

[2] Univ Cattolica Sacro Cuore, Dept Cardiovasc & Pul monary Sci, Rome, Italy

[3] Kerckhoff Heart Ctr, Bad Nauheim, Germany

[4] Justus Liebig Univ Giessen, Dept Cardiol & Angiol, Med Clin 1, Giessen, Germany

[5] Univ Padua, Med Sch, Dept Cardiac Thorac & Vasc Sci & Publ Hlth, Padua, Italy

[6] Clin Pasteur, Grp Cardiovasc Intervent, Toulouse, France

[7] Copenhagen Univ Hosp, Rigshospitalet, Heart Ctr, Copenhagen, Denmark

[8] Univ Catania, AOU Policlin.Emanuele 5, Ctr Alte Special & Trapianti, POG Rodol,UOC Cardiol, Catania, Italy

[9] Leeds Teaching Hosp NHS Trust, Dept Cardiol, Leeds, England

[10] Cedars Sinai Med Ctr, Smidt Heart Inst, Dept Cardiol, Los Angeles, CA USA

[11] Univ Hosp Galway, Dept Cardiol, Galway, Ireland

[12] IRCCS San Raffaele Sci Inst, Intervent Cardiol Unit, Milan, Italy

[13] Civil Hosp Brescia, Brescia, Italy

[14] Univ Brescia, Brescia, Italy

[15] Montefiore Med Ctr, New York, NY USA

[16] Sichuan Univ, West China Hosp, Dept Cardiol, Chengdu, Peoples R China

[17] Univ Pisa, Cardiac Catheterizat Lab, Pisa, Italy

[18] Azienda Osped Univ Pisana, Pisa, Italy

[19] Univ Bologna, IRCCS Azienda Osped, Cardiol Unit, Cardiac Thorac & Vasc Dept, Bologna, Italy

[20] Ca Foncello Hosp Azienda, Marca Trevigiana N2, Cardiol Unit, Cardioneurovasc Dept, Treviso, Italy

[21] IRCCS Policlin San Donato, Dept Cardiol, Milan, San Donato Mila, Italy

[22] Tech Univ Munich, Dept Cardiovasc Dis, German Heart Ctr Munich, Munich, Germany

[23] Intervent Cardiol Unit, Mediterranea Cardioctr, Naples, Italy

[24] Hosp Clin Univ Valladolid, CIBERCV, Div Cardiol, Valladolid, Spain

[25] Univ Enna Kore, Enna, Italy

[26] IRCCS Humanitas Res Hosp, Cardio Ctr, Milan, Italy

[27] Edith Wolfson Med Ctr, Cardiol Dept, Holon, Israel

[28] Tel Aviv Univ, Tel Aviv, Israel

[29] IRCCS, Hosp Galeazzi St Ambrogio, Div Cardiol, Milan, Italy

[30] Univ Vita Salute San Raffaele, Sch Med, Milan, Italy

[31] IRCCS San Raffaele Sci Inst, Intervent Cardiol Unit, Milan, Italy

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2024年 / 17卷 / 22期

关键词：

balloon expandable; bicuspid aortic valve; raphe; self-expanding; transcatheter aortic valve replacement; OUTCOMES; REPLACEMENT; CLASSIFICATION;

D O I：

10.1016/j.jcin.2024.07.031

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Balloon-expandable valves (BEVs) and self-expanding valves (SEVs) have different features that may impact the outcomes of patients with Sievers type 1 bicuspid aortic valve (BAV) stenosis undergoing transcatheter aortic valve replacement. OBJECTIVES This study sought to compare procedural and clinical outcomes of BEVs and SEVs in Sievers type 1 BAV stenosis. METHODS AD-HOC (Characteristics, Sizing, and Outcomes of Stenotic Raphe-Type Bicuspid Aortic Valves Treated With Transcatheter Device Implantation) is an observational registry enrolling patients with Sievers type 1 BAV stenosis undergoing transcatheter aortic valve replacement with current-generation BEVs and SEVs at 24 international centers. A 1:1 propensity score matching analysis was performed to adjust for baseline imbalances. The primary endpoint was midterm major adverse events, defined as a composite of all-cause death, neurologic events, or hospitalization for heart failure. RESULTS Among 955 eligible patients, propensity score matching resulted in 301 pairs. At a median follow-up of 1.3 years, BEVs and SEVs had a similar risk of major adverse events (BEV vs SEV: HR: 0.75; 95% CI: 0.49-1.16; P = 0.200). Technical success was similar (OR: 1.38; 95% CI: 0.63-3.04; P = 0.421). At 30 days, BEVs were associated with a lower risk of new permanent pacemaker implantation (OR: 0.42; 95% CI: 0.24-0.72; P = 0.002) and moderate or greater paravalvular regurgitation (OR: 0.16; 95% CI: 0.05-0.48; P = 0.001) but a higher risk of severe patient-prosthesis mismatch (OR: 3.03; 95% CI 1.02-8.95; P = 0.045). CONCLUSIONS Current-generation BEVs and SEVs proved similar technical success and midterm clinical efficacy in Sievers type 1 BAV stenosis. Compared to SEVs, BEVs were associated with less permanent pacemaker implantation and moderate or greater paravalvular regurgitation but with more severe patient-prosthesis mismatch. (JACC Cardiovasc Interv. 2024;17:2596-2608) (c) 2024 by the American College of Cardiology Foundation.

引用

页码：2596 / 2608

页数：13

共 33 条

[1] Comparison of Transvalvular Aortic Mean Gradients Obtained by Intraprocedural Echocardiography and Invasive Measurement in Balloon and Self-Expanding Transcatheter Valves [J].

Abbas, Amr E. ;

Mando, Ramy ;

Kadri, Amer ;

Khalili, Houman ;

Hanzel, George ;

Shannon, Francis ;

Al-Azizi, Karim ;

Waggoner, Thomas ;

Kassas, Safwan ;

Pilgrim, Thomas ;

Okuno, Taishi ;

Camacho, Alexander ;

Selberg, Alexandra ;

Elmariah, Sammy ;

Bavry, Anthony ;

Ternacle, Julien ;

Christensen, Jared ;

Gheewala, Neil ;

Pibarot, Philippe ;

Mack, Michael .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2021, 10 (19)

[2] Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves [J].

Blackman, Daniel ;

Gabbieri, Davide ;

Del Blanco, Bruno Garcia ;

Kempfert, Jorg ;

Laine, Mika ;

Mascherbauer, Julia ;

Parma, Radoslaw ;

Tchetche, Didier .

CARDIOLOGY AND THERAPY, 2021, 10 (02) :277-288

[3] Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI) / transcatheter aortic valve replacement (TAVR): An expert consensus document of the Society of Cardiovascular Computed Tomography [J].

Blanke, Philipp ;

Weir-McCall, Jonathan R. ;

Achenbach, Stephan ;

Delgado, Victoria ;

Hausleiter, Joerg ;

Jilaihawi, Hasan ;

Marwan, Mohamed ;

Norgaard, Bjarne L. ;

Piazza, Niccolo ;

Schoenhagen, Paul ;

Leipsic, Jonathon A. .

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY, 2019, 13 (01) :1-20

[4] Transcatheter Aortic Valve Replacement in Low-risk Patients With Bicuspid Aortic Valve Stenosis [J].

Forrest, John K. ;

Ramlawi, Basel ;

Deeb, G. Michael ;

Zahr, Firas ;

Song, Howard K. ;

Kleiman, Neal S. ;

Chetcuti, Stanley J. ;

Michelena, Hector I. ;

Mangi, Abeel A. ;

Skiles, Jeffrey A. ;

Huang, Jian ;

Popma, Jeffrey J. ;

Reardon, Michael J. .

JAMA CARDIOLOGY, 2021, 6 (01) :50-57

[5]

Généreux P, 2021, EUR HEART J, V42, P1825, DOI [10.1093/eurheartj/ehaa799, 10.1016/j.jacc.2021.02.038]

[6] Supra-annular sizing of transcatheter aortic valve prostheses in raphe-type bicuspid aortic valve disease: the LIRA method [J].

Iannopollo, Gianmarco ;

Romano, Vittorio ;

Buzzatti, Nicola ;

Ancona, Marco ;

Ferri, Luca ;

Russo, Filippo ;

Bellini, Barbara ;

Granada, Juan F. ;

Chieffo, Alaide ;

Montorfano, Matteo .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2020, 317 :144-151

[7] A revised methodology for aortic-valvar complex calcium quantification for transcatheter aortic valve implantation [J].

Jilaihawi, Hasan ;

Makkar, Raj R. ;

Kashif, Mohammad ;

Okuyama, Kazuaki ;

Chakravarty, Tarun ;

Shiota, Takahiro ;

Friede, Gerald ;

Nakamura, Mamoo ;

Doctor, Niraj ;

Rafique, Asim ;

Shibayama, Kentaro ;

Mihara, Hirotsugu ;

Trento, Alfredo ;

Cheng, Wen ;

Friedman, John ;

Berman, Daniel ;

Fontana, Gregory P. .

EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2014, 15 (12) :1324-1332

[8] Bicuspid Aortic Valve Disease: Classifications, Treatments, and Emerging Transcatheter Paradigms [J].

Kalra, Ankur ;

Das, Rajiv ;

Alkhalil, Mohammad ;

Dykun, Iryna ;

Candreva, Alessandro ;

Jarral, Omar ;

Rehman, Syed M. ;

Majmundar, Monil ;

Patel, Kunal N. ;

Rodes-Cabau, Josep ;

Reardon, Michael J. ;

Puri, Rishi .

STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM, 2024, 8 (01)

[9] Determinants of paravalvular leakage following transcatheter aortic valve replacement in patients with bicuspid and tricuspid aortic stenosis [J].

Kim, Won-Keun ;

Bhumimuang, Kid ;

Renker, Matthias ;

Fischer-Rasokat, Ulrich ;

Mollmann, Helge ;

Walther, Thomas ;

Choi, Yeong-Hoon ;

Nef, Holger ;

Hamm, Christian W. .

EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2021, 22 (12) :1387-1396

[10] Proposed standardized neurological endpoints for cardiovascular clinical trials [J].

Lansky, Alexandra J. ;

Messe, Steven R. ;

Brickman, Adam M. ;

Dwyer, Michael ;

van der worp, H. Bart ;

Lazar, Ronald M. ;

Pietras, Cody G. ;

Abrams, Kevin J. ;

McFadden, Eugene ;

Petersen, Nils H. ;

Browndyke, Jeffrey ;

Prendergast, Bernard ;

Ng, Vivian G. ;

Cutlip, Donald E. ;

Kapadia, Samir ;

Krucoff, Mitchell W. ;

Linke, Axel ;

Moy, Claudia Scala ;

Schofer, Joachim ;

van Es, Gerrit-Anne ;

Virmani, Renu ;

Popma, Jeffrey ;

Parides, Michael K. ;

Kodali, Susheel ;

Bilello, Michel ;

Zivadinov, Robert ;

Akar, Joseph ;

Furie, Karen L. ;

Gress, Daryl ;

Voros, Szilard ;

Moses, Jeffrey ;

Greer, David ;

Forrest, John K. ;

Holmes, David ;

Kappetein, Arie P. ;

Mack, Michael ;

Baumbach, Andreas .

EUROPEAN HEART JOURNAL, 2018, 39 (19) :1687-1697

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