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Prosthesis-Patient Mismatch After Aortic Valve Replacement in the PARTNER 2 Trial and Registry

Authors :
Vinod H. Thourani
Pamela S. Douglas
Rebecca T. Hahn
Wael A. Jaber
Amr E. Abbas
Philippe Pibarot
Jeroen J. Bax
Marie-Annick Clavel
Erin Rogers
Abdellaziz Dahou
Michael J. Mack
Mathieu Bernier
Howard C. Herrmann
Omar K. Khalique
Ezequiel Guzzetti
Philipp Blanke
Martin B. Leon
Erwan Salaun
Jonathan Beaudoin
Julien Ternacle
Mohamed Salah Annabi
Susheel Kodali
Jonathon Leipsic
Maria Alu
Ke Xu
Neil J. Weissman
Source :
JACC: Cardiovascular Interventions. 14:1466-1477
Publication Year :
2021
Publisher :
Elsevier BV, 2021.

Abstract

This study aimed to compare incidence and impact of measured prosthesis-patient mismatch (PPMTAVR studies have used measured effective orifice area indexed (EOAi) to body surface area (BSA) to define PPM, but most SAVR series have used predicted EOAi. This difference may contribute to discrepancies in incidence and outcomes of PPM between series.The study analyzed SAVR patients from the PARTNER (Placement of Aortic Transcatheter Valves) 2A trial and TAVR patients from the PARTNER 2 SAPIEN 3 Intermediate Risk registry. PPM was classified as moderate if EOAi ≤0.85 cmThe incidence of moderate and severe PPMEOAi measured by echocardiography results in a higher incidence of PPM following SAVR or TAVR than PPM based on predicted EOAi. Severe PPM

Details

ISSN :
19368798
Volume :
14
Database :
OpenAIRE
Journal :
JACC: Cardiovascular Interventions
Accession number :
edsair.doi.dedup.....0bbc79b855762061454e588ad3c2e53b