Transfemoral Implantation of Transcatheter Heart Valves After Deterioration of Mitral Bioprosthesis or Previous Ring Annuloplasty

被引：87

作者：

Bouleti, Claire ^{[1
]}

Fassa, Amir-Ali ^{[1
]}

Himbert, Dominique ^{[1
]}

Brochet, Eric ^{[1
]}

Ducrocq, Gregory ^{[1
]}

Nejjari, Mohammed ^{[1
]}

Ghodbane, Walid ^{[2
]}

Depoix, Jean-Pol ^{[3
]}

Nataf, Patrick ^{[2
]}

Vahanian, Alec ^{[1
]}

机构：

[1] Univ Paris 07, Hop Bichat Claude Bernard, AP HP, Dept Cardiol, Paris, France

[2] Univ Paris 07, Hop Bichat Claude Bernard, AP HP, Dept Cardiovasc Surg, Paris, France

[3] Univ Paris 07, Hop Bichat Claude Bernard, AP HP, Dept Anesthesiol, Paris, France

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2015年 / 8卷 / 01期

关键词：

mitral valve; transcatheter valve implantation; valve-in-ring; valve-in-valve; MELODY VALVE; REPLACEMENT; ECHOCARDIOGRAPHY; RECOMMENDATIONS; INTERVENTIONS; EXPERIENCE; FAILURE; REPAIR;

D O I：

10.1016/j.jcin.2014.07.026

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVES This study sought to evaluate the feasibility of transfemoral transcatheter heart valve (THV) implantation in failed mitral bioprostheses and ring annuloplasties. BACKGROUND Redo mitral surgery may be high risk or contraindicated due to comorbidity. THV implantation has been recently reported in this setting. METHODS Transfemoral implantation of Edwards Sapien prosthesis was performed in 17 patients for degenerated mitral bioprosthesis or previous ring annuloplasty (6 bioprostheses, 11 ring annuloplasties). The procedure was elective for 14 patients and attempted as a rescue in 3 patients. Mean age was 61 +/- 24 years. All patients were in New York Heart Association class >= III, and the surgical risk was high (EuroSCORE [European System for Cardiac Operative Risk Evaluation]: 37 +/- 29%, Society of Thoracic Surgeons score: 18 +/- 22%). RESULTS Procedure was successful in 14 patients (82%). Two complications occurred during rescue procedures: 1 procedural death and 1 THV migration. One patient had moderate paraprosthetic regurgitation following the procedure, whereas residual regurgitation was trace or less in 11 patients (69%) and mild in 4 patients (25%). Mean gradient decreased from 12 +/- 6 mm Hg to 8 +/- 3 mm Hg. During a mean follow-up of 22 months, 4 patients died, 3 from cardiac cause. The 18-month survival was 68 +/- 14% in the overall population and 78 +/- 14% for patients with elective procedure. One patient underwent mitral valve replacement due to periprosthetic mitral regurgitation. At last follow-up, 12 patients were in New York Heart Association class <= II (75%) and 4 in class III (25%). CONCLUSIONS This single-center series suggests that transfemoral THV implantation for deterioration of mitral bioprosthesis or surgical repair is feasible in selected patients and improves early hemodynamic and midterm functional status. (C) 2015 by the American College of Cardiology Foundation.

引用

页码：83 / 91

页数：9

共 24 条

[1] Transcatheter valve in valve implantation for failed mitral and tricuspid bioprosthesis [J].

Cerillo, Alfredo Giuseppe ;

Chiaramonti, Francesca ;

Murzi, Michele ;

Bevilacqua, Stefano ;

Cerone, Elisa ;

Palmieri, Cataldo ;

Del Sarto, Paolo ;

Mariani, Massimiliano ;

Berti, Sergio ;

Glauber, Mattia .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2011, 78 (07) :987-995

[2] 5-Year Experience With Transcatheter Transapical Mitral Valve-in-Valve Implantation for Bioprosthetic Valve Dysfunction [J].

Cheung, Anson ;

Webb, John G. ;

Barbanti, Marco ;

Freeman, Melanie ;

Binder, Ronald K. ;

Thompson, Christopher ;

Wood, David A. ;

Ye, Jian .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 61 (17) :1759-1766

[3] Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis - First human case description [J].

Cribier, A ;

Eltchaninoff, H ;

Bash, A ;

Borenstein, N ;

Tron, C ;

Bauer, F ;

Derumeaux, G ;

Anselme, F ;

Laborde, F ;

Leon, MB .

CIRCULATION, 2002, 106 (24) :3006-3008

[4] Transvenous, Antegrade Melody Valve-in-Valve Implantation for Bioprosthetic Mitral and Tricuspid Valve Dysfunction A Case Series in Children and Adults [J].

Cullen, Michael W. ;

Cabalka, Allison K. ;

Alli, Oluseun O. ;

Pislaru, Sorin V. ;

Sorajja, Paul ;

Nkomo, Vuyisile T. ;

Malouf, Joseph F. ;

Cetta, Frank ;

Hagler, Donald J. ;

Rihal, Charanjit S. .

JACC-CARDIOVASCULAR INTERVENTIONS, 2013, 6 (06) :598-605

[5] Transcatheter valve-in-ring implantation after failure of surgical mitral repair [J].

Descoutures, Fleur ;

Himbert, Dominique ;

Maisano, Francesco ;

Casselman, Filip ;

de Weger, Arend ;

Bodea, Oana ;

Van der Kley, Frank ;

Colombo, Antonio ;

Giannini, Cristina ;

Rein, Kjell Arne ;

De Bruyne, Bernard ;

Petronio, Anna Sonia ;

Dahle, Gry ;

Alfieri, Ottavio ;

Vahanian, Alec .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2013, 44 (01) :E8-E15

[6] Transcatheter Aortic Valve Replacement for Degenerative Bioprosthetic Surgical Valves Results From the Global Valve-in-Valve Registry [J].

Dvir, Danny ;

Webb, John ;

Brecker, Stephen ;

Bleiziffer, Sabine ;

Hildick-Smith, David ;

Colombo, Antonio ;

Descoutures, Fleur ;

Hengstenberg, Christian ;

Moat, Neil E. ;

Bekeredjian, Raffi ;

Napodano, Massimo ;

Testa, Luca ;

Lefevre, Thierry ;

Guetta, Victor ;

Nissen, Henrik ;

Hernandez, Jose-Maria ;

Roy, David ;

Teles, Rui C. ;

Segev, Amit ;

Dumonteil, Nicolas ;

Fiorina, Claudia ;

Gotzmann, Michael ;

Tchetche, Didier ;

Abdel-Wahab, Mohamed ;

De Marco, Federico ;

Baumbach, Andreas ;

Laborde, Jean-Claude ;

Kornowski, Ran .

CIRCULATION, 2012, 126 (19) :2335-+

[7] Emergency transseptal transcatheter mitral valve-in-valve implantation [J].

Fassa, Amir-Ali ;

Himbert, Dominique ;

Brochet, Eric ;

Alkhoder, Soleiman ;

Al-Attar, Nawwar ;

Brun, Pierre-Yves ;

Wolff, Michel ;

Nataf, Patrick ;

Vahanian, Alec .

EUROINTERVENTION, 2013, 9 (05) :636-642

[8] Mitral valve in valve: A new choice to be still cautious [J].

Ferrera, Carlos ;

Almeria, Carlos ;

Maroto, Luis ;

Cobiella, Javier ;

Alberto de Agustin, Jose ;

Luis Rodrigo, Jose ;

Islas, Fabian ;

Marcos-Alberca, Pedro ;

Enrique Rodriguez, Jose ;

Perez de Isla, Leopoldo ;

Macaya, Carlos .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2014, 171 (02) :304-307

[9] Short-Term Performance of the Transcatheter Melody Valve in High-Pressure Hemodynamic Environments in the Pulmonary and Systemic Circulations [J].

Hasan, Babar S. ;

McElhinney, Doff B. ;

Brown, David W. ;

Cheatham, John P. ;

Vincent, Julie A. ;

Hellenbrand, William E. ;

Jones, Thomas K. ;

Zahn, Evan M. ;

Lock, James E. .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2011, 4 (06) :615-620

[10] Transvenous Mitral Valve Replacement After Failure of Surgical Ring Annuloplasty [J].

Himbert, Dominique ;

Descoutures, Fleur ;

Brochet, Eric ;

Iung, Bernard ;

Detaint, Delphine ;

Messika-Zeitoun, David ;

Alkhoder, Soleiman ;

Mimoun, Lea ;

Sordi, Martina ;

Depoix, Jean-Pol ;

Ducrocq, Gregory ;

Nataf, Patrick ;

Vahanian, Alec .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 60 (13) :1205-1206

← 1 2 3 →