Incidence, Risk Factors, and Outcomes of Coronary Obstruction Following Valve-in-Valve Transcatheter Aortic Valve Replacement A Systematic Review and Meta-Analysis

被引:4
作者
Gao, Zhichun [1 ,2 ]
Wang, Yong [1 ,2 ]
Qian, Dehui [1 ,2 ]
Jin, Jun [1 ,2 ]
机构
[1] Inst Cardiovasc Dis PLA, Chongqing, Peoples R China
[2] Third Mil Med Univ, Xinqiao Hosp, Dept Cardiol, Army Med Univ, Chongqing, Peoples R China
关键词
Aortic stenosis; Stentless valves; New-generation valves; CLINICAL-OUTCOMES; ANATOMICAL RISK; IMPLANTATION; TAVR; PREDICTORS; INSIGHTS; IMPACT;
D O I
10.1536/ihj.20-401
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There is scant information about the incidence, risk factors, and outcomes of coronary obstruction (CO) following valve-in-valve transcatheter aortic valve replacement (VIV-TAVR). A meta-analysis of the published studies from January 2000 to April 2020 was conducted, and the endpoint was CO. A total of 2858 patients were enrolled in this study. The mean age was 77.7 +/- 9.8, and 39.9% of them were female. The Society of Thoracic Surgeons (STS) score, European System for Cardiac Operative Risk Evaluation (EuroSCORE), and Logistic EuroSCORE were 8.9 +/- 7.8, 16.0 +/- 10.9, and 26.3 +/- 16.3, respectively. The overall incidence of CO was 2.58%. CO incidence between patients with prior stented and stentless valves were significantly different (1.67% versus 7.17%), with an odds ratio (OR) of 0.25 and a 95% confidence interval (CI) of 0.14-0.44 (P < 0.00001). The first-generation valves were significantly associated with higher CO incidence compared with the second-generation valves (7.09% versus 2.03%; OR, 2.44; 95%CI, 1.06-5.62; P = 0.04), while no statistical difference was found between self-expandable valves and balloon-expandable valves (2.45% versus 2.60%; OR, 0.99; 95%CI, 0.55-1.79; P = 0.98). Virtual transcatheter to coronary ostia (VTC) distance (3.3 +/- 2.1 mm, n = 29 versus 5.8 +/- 2.4 mm, n = 169; mean difference, -2.70; 95%CI, -3.46 to -1.95; P < 0.00001) and the sinus of Valsalva (SOV) diameter (27.5 +/- 3.8 mm, n = 23 versus 32.3 +/- 4.0 mm, n = 101; mean difference, -3.80; 95%CI, -6.55 to -1.05; P = 0.007) were enormously shorter in patients with CO. The 24-hour, in-hospital, and 30-day mortality of patients with CO were 10.5%, 30.8%, and 37.1%, respectively. In conclusion, device selections, VTC distances, and SOV diameters may be important factors in assessing the CO risk in VIV-TAVR.
引用
收藏
页码:104 / 111
页数:8
相关论文
共 34 条
  • [1] Adamo M, 2017, EUROINTERVENTION, V13, P1032
  • [2] Clinical outcomes of coronary occlusion following transcatheter aortic valve replacement: A systematic review
    Akinseye, Oluwaseun A.
    Jha, Sunil K.
    Ibebuogu, Uzoma N.
    [J]. CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2018, 19 (02) : 229 - 236
  • [3] Hemodynamic Performances and Clinical Outcomes in Patients Undergoing Valve-in-Valve Versus Native Transcatheter Aortic Valve Implantation
    Akodad, Mariama
    Meilhac, Alexandra
    Lefevre, Thierry
    Cayla, Guillaume
    Lattuca, Benoit
    Autissier, Cecile
    Duflos, Claire
    Gandet, Thomas
    Macia, Jean-Christophe
    Delseny, Delphine
    Roubille, Francois
    Maupas, Eric
    Schmutz, Laurent
    Piot, Christophe
    Targosz, Frederic
    Robert, Gabriel
    Rivalland, Francois
    Albat, Bernard
    Chevalier, Bernard
    Leclercq, Florence
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2019, 124 (01) : 90 - 97
  • [4] Incidence and predictors of coronary obstruction following transcatheter aortic valve implantation in the real world
    Arai, Takahide
    Lefevre, Thierry
    Hovasse, Thomas
    Garot, Philippe
    Benamer, Hakim
    Unterseeh, Thierry
    Roy, Andrew K.
    Romano, Mauro
    Hayashida, Kentaro
    Watanabe, Yusuke
    Bouvier, Erik
    Morice, Marie-Claude
    Chevalier, Bernard
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2017, 90 (07) : 1192 - 1197
  • [5] A systematic review on the safety of second-generation transcatheter aortic valves
    Athappan, Ganesh
    Gajulapalli, Rama D.
    Tuzcu, Murat E.
    Svensson, Lars G.
    Kapadia, Samir R.
    [J]. EUROINTERVENTION, 2016, 11 (09) : 1034 - 1043
  • [6] 2018 AATS/ACC/SCAI/STS expert consensus systems of care document: Operator and institutional recommendations and requirements for transcatheter aortic valve replacement A Joint Report of the American Association for Thoracic Surgery, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
    Bavaria, Joseph E.
    Brindis, Ralph G.
    Carroll, John D.
    Deeb, G. Michael
    Feldman, Ted E.
    Gleason, Thomas G.
    Horlick, Eric M.
    Kavinsky, Clifford J.
    Kumbhani, Dharam J.
    Miller, D. Craig
    Seals, A. Allen
    Shahian, David M.
    Shemin, Richard J.
    Sundt, Thoralf M., III
    Thourani, Vinod H.
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2019, 93 (03) : E153 - E184
  • [7] Computed tomography assessment for transcatheter aortic valve in valve implantation: The vancouver approach to predict anatomical risk for coronary obstruction and other considerations
    Blanke, Philipp
    Soon, Jeanette
    Dvir, Danny
    Park, Jong K.
    Naoum, Christopher
    Kueh, Shaw-Hua
    Wood, David A.
    Norgaard, Bjarne L.
    Selvakumar, Kapilan
    Ye, Jian
    Cheung, Anson
    Webb, John G.
    Leipsic, Jonathon
    [J]. Journal of Cardiovascular Computed Tomography, 2016, 10 (06) : 491 - 499
  • [8] Single Institution Experience With Transcatheter Valve-in-Valve Implantation Emphasizing Strategies for Coronary Protection
    Camboni, Daniele
    Holzamer, Andreas
    Floerchinger, Bernhard
    Debl, Kurt
    Endeman, Dierk
    Zausig, York
    Maier, Lars S.
    Schmid, Christof
    Hilker, Michael
    [J]. ANNALS OF THORACIC SURGERY, 2015, 99 (05) : 1532 - 1538
  • [9] Acute and 30-Day Outcomes in Women After TAVR Results From the WIN-TAVI (Women's INternational Transcatheter Aortic Valve Implantation) Real-World Registry
    Chieffo, Alaide
    Petronio, Anna Sonia
    Mehilli, Julinda
    Chandrasekhar, Jaya
    Sartori, Samantha
    Lefevre, Thierry
    Presbitero, Patrizia
    Capranzano, Piera
    Tchetche, Didier
    Iadanza, Alessandro
    Sardella, Gennaro
    Van Mieghem, Nicolas M.
    Meliga, Emanuele
    Dumonteil, Nicholas
    Fraccaro, Chiara
    Trabattoni, Daniela
    Mikhail, Ghada W.
    Sharma, Samin
    Ferrer, Maria Cruz
    Naber, Christoph
    Kievit, Peter
    Faggioni, Michela
    Snyder, Clayton
    Morice, Marie Claude
    Mehran, Roxana
    [J]. JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (15) : 1589 - 1600
  • [10] Transcatheter Aortic Valve-in-Valve Treatment of Degenerative Stentless Supra-annular Freedom Solo Valves: A Single Centre Experience
    Cockburn, James
    Dooley, Maureen
    Parker, Jessica
    Hill, Andrew
    Hutchinson, Nevil
    de Belder, Adam
    Trivedi, Uday
    Hildick-Smith, David
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2017, 89 (03) : 438 - 444