Sung-Han Yoon1, Sabine Bleiziffer2, Ole De Backer3, Victoria Delgado4, Takahide Arai5, Johannes Ziegelmueller2, Marco Barbanti6, Rahul Sharma7, Gidon Y Perlman8, Omar K Khalique9, Erik W Holy10, Smriti Saraf11, Florian Deuschl12, Buntaro Fujita13, Philipp Ruile14, Franz-Josef Neumann15, Gregor Pache15, Masao Takahashi16, Hidehiro Kaneko17, Tobias Schmidt18, Yohei Ohno8, Niklas Schofer12, William K F Kong19, Edgar Tay20, Daisuke Sugiyama21, Hiroyuki Kawamori7, Yoshio Maeno7, Yigal Abramowitz7, Tarun Chakravarty7, Mamoo Nakamura7, Shingo Kuwata22, Gerald Yong23, Hsien-Li Kao24, Michael Lee25, Hyo-Soo Kim26, Thomas Modine27, S Chiu Wong28, Francesco Bedgoni29, Luca Testa29, Emmanuel Teiger16, Christian Butter17, Stephan M Ensminger13, Ulrich Schaefer12, Danny Dvir8, Philipp Blanke8, Jonathon Leipsic8, Fabian Nietlispach22, Mohamed Abdel-Wahab10, Bernard Chevalier5, Corrado Tamburino6, David Hildick-Smith11, Brian K Whisenant30, Seung-Jung Park31, Antonio Colombo32, Azeem Latib32, Susheel K Kodali9, Jeroen J Bax4, Lars Søndergaard3, John G Webb5, Thierry Lefèvre5, Martin B Leon9, Raj Makkar7. 1. Department of Interventional Cardiology, Cedars-Sinai Heart Institute, Los Angeles, California. Electronic address: yunsonhan@gmail.com. 2. Clinic for Cardiovascular Surgery, German Heart Center Munich, Germany. 3. The Heart Centre, Rigshospitalet University Hospital, Copenhagen, Denmark. 4. Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands. 5. Générale de Santé, Institut Cardiovasculaire Paris Sud, Hopital Privé Jacques Cartier, Massy, France. 6. Division of Cardiology, Ferrarotto Hospital, University of Catania, Catania, Italy. 7. Department of Interventional Cardiology, Cedars-Sinai Heart Institute, Los Angeles, California. 8. Department of Cardiology, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada. 9. Columbia University Medical Center/New York Presbyterian Hospital, New York, New York. 10. Heart Center, Segeberger Kliniken GmbH, Academic Teaching Hospital of the Universities of Kiel, Hamburg, and Lübeck, Bad Segeberg, Germany. 11. Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom. 12. Department of General and Interventional Cardiology, University Heart Center, Hamburg, Germany. 13. Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr-University Bochum, Bad Oeynhausen, Germany. 14. Department of Cardiology & Angiology II, University Heart Center Freiburg-Bad Krozingen, Bad Krozingen, Germany. 15. Department of Radiology, Section of Cardiovascular Radiology, University of Freiburg, Bad Krozingen, Germany. 16. Department of Cardiology, Henri Mondor University Hospital, Créteil, France. 17. Heart Center Brandenburg in Bernau, Bernau, Germany. 18. Department of Cardiology, Asklepios Klink St. Georg, Hamburg, Germany. 19. Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands; Department of Cardiology, National University Heart Centre, Singapore. 20. Department of Cardiology, National University Heart Centre, Singapore. 21. Department of Preventive Medicine and Public Health, Keio University, Tokyo, Japan. 22. University Heart Center, University Hospital Zurich, Zurich, Switzerland. 23. Division of Cardiology, Royal Perth Hospital, Perth, Western Australia, Australia. 24. Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. 25. Division of Cardiology, Queen Elizabeth Hospital, Kowloon, Hong Kong. 26. Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea. 27. Department of Cardiovascular Surgery, Hospital Cardiologique, Lille, France. 28. Greenberg Division of Cardiology, New York-Presbyterian Hospital, Weil Cornell Medicine, New York, New York. 29. Department of Cardiology, IRCCS Pol San Donato, San Donato Milanese, Milan, Italy. 30. Division of Cardiovascular Diseases, Intermountain Heart Institute, Salt Lake City, Utah. 31. Division of Cardiology, University of Ulsan, Asan Medical Center, Seoul, Korea. 32. Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus & San Raffaele Scientific Institute, Milan, Italy San Raffaele Hospital, Milan, Italy.
Abstract
BACKGROUND: Transcatheter aortic valve replacement (TAVR) is being increasingly performed in patients with bicuspid aortic valve stenosis (AS). OBJECTIVES: This study sought to compare the procedural and clinical outcomes in patients with bicuspid versus tricuspid AS from the Bicuspid AS TAVR multicenter registry. METHODS: Outcomes of 561 patients with bicuspid AS and 4,546 patients with tricuspid AS were compared after propensity score matching, assembling 546 pairs of patients with similar baseline characteristics. Procedural and clinical outcomes were recorded according to Valve Academic Research Consortium-2 criteria. RESULTS: Compared with patients with tricuspid AS, patients with bicuspid AS had more frequent conversion to surgery (2.0% vs. 0.2%; p = 0.006) and a significantly lower device success rate (85.3% vs. 91.4%; p = 0.002). Early-generation devices were implanted in 320 patients with bicuspid and 321 patients with tricuspid AS, whereas new-generation devices were implanted in 226 and 225 patients with bicuspid and tricuspid AS, respectively. Within the group receiving early-generation devices, bicuspid AS had more frequent aortic root injury (4.5% vs. 0.0%; p = 0.015) when receiving the balloon-expanding device, and moderate-to-severe paravalvular leak (19.4% vs. 10.5%; p = 0.02) when receiving the self-expanding device. Among patients with new-generation devices, however, procedural results were comparable across different prostheses. The cumulative all-cause mortality rates at 2 years were comparable between bicuspid and tricuspid AS (17.2% vs. 19.4%; p = 0.28). CONCLUSIONS: Compared with tricuspid AS, TAVR in bicuspid AS was associated with a similar prognosis, but lower device success rate. Procedural differences were observed in patients treated with the early-generation devices, whereas no differences were observed with the new-generation devices.
BACKGROUND: Transcatheter aortic valve replacement (TAVR) is being increasingly performed in patients with bicuspid aortic valve stenosis (AS). OBJECTIVES: This study sought to compare the procedural and clinical outcomes in patients with bicuspid versus tricuspid AS from the Bicuspid AS TAVR multicenter registry. METHODS: Outcomes of 561 patients with bicuspid AS and 4,546 patients with tricuspid AS were compared after propensity score matching, assembling 546 pairs of patients with similar baseline characteristics. Procedural and clinical outcomes were recorded according to Valve Academic Research Consortium-2 criteria. RESULTS: Compared with patients with tricuspid AS, patients with bicuspid AS had more frequent conversion to surgery (2.0% vs. 0.2%; p = 0.006) and a significantly lower device success rate (85.3% vs. 91.4%; p = 0.002). Early-generation devices were implanted in 320 patients with bicuspid and 321 patients with tricuspid AS, whereas new-generation devices were implanted in 226 and 225 patients with bicuspid and tricuspid AS, respectively. Within the group receiving early-generation devices, bicuspid AS had more frequent aortic root injury (4.5% vs. 0.0%; p = 0.015) when receiving the balloon-expanding device, and moderate-to-severe paravalvular leak (19.4% vs. 10.5%; p = 0.02) when receiving the self-expanding device. Among patients with new-generation devices, however, procedural results were comparable across different prostheses. The cumulative all-cause mortality rates at 2 years were comparable between bicuspid and tricuspid AS (17.2% vs. 19.4%; p = 0.28). CONCLUSIONS: Compared with tricuspid AS, TAVR in bicuspid AS was associated with a similar prognosis, but lower device success rate. Procedural differences were observed in patients treated with the early-generation devices, whereas no differences were observed with the new-generation devices.
Authors: Sophie C Hofferberth; Mossab Y Saeed; Lara Tomholt; Matheus C Fernandes; Christopher J Payne; Karl Price; Gerald R Marx; Jesse J Esch; David W Brown; Jonathan Brown; Peter E Hammer; Richard W Bianco; James C Weaver; Elazer R Edelman; Pedro J Del Nido Journal: Sci Transl Med Date: 2020-02-19 Impact factor: 17.956
Authors: Federico E Mordini; Conor F Hynes; Richard L Amdur; Jeffrey Panting; Dominic A Emerson; Jason Morrissette; Erin Goheen-Thomas; Michael D Greenberg; Gregory D Trachiotis Journal: Int J Cardiovasc Imaging Date: 2021-03-10 Impact factor: 2.357
Authors: Andrew J Gorton; Eric P Anderson; Jonathan A Reimer; Khaled Abdelhady; Raed Sawaqed; Malek G Massad Journal: Pediatr Cardiol Date: 2021-05-28 Impact factor: 1.655