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The feasibility of transcatheter aortic valve implantation using the Edwards SAPIEN 3 for patients with severe bicuspid aortic stenosis
- Source :
- Journal of Cardiology. 70:220-224
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Background There are currently only limited data focusing on transcatheter aortic valve implantation (TAVI) for bicuspid aortic valves (BAV) patients using the Edwards SAPIEN (Irvine, CA, USA) 3 (S3) valve. The aim of this study was to evaluate the feasibility and efficacy of TAVI using the S3 in patients with BAV. Methods A total of 153 TAVI cases performed with the S3 were included. BAV was detected by multidetector computed tomography (MDCT) in 10 (7%) patients. The other patients had tricuspid aortic valves (TAV). The BAV and TAV groups were compared. Results Patient age and logistic EuroSCORE were similar in the BAV and TAV groups. The calculated annulus average diameter (CAAD) by MDCT was significantly larger in the BAV group (26.5 mm vs 23.7 mm, p = 0.036) as was the annular area by MDCT (562 mm 2 vs 446 mm 2 , p = 0.033). On the other hand, the valve diameter/CAAD ratio was significantly lower in the BAV group (1.01 vs 1.06, p = 0.010) as was the annular area oversizing percentage (3% vs 11%, p = 0.033). There were no significant differences between the two groups regarding the frequency of paravalvular aortic leakage (PVL) ≥2 (0% vs 6%, p = 0.492) and the 30-day mortality rate (0% vs 1%, p = 0.799). Conclusions Although TAVI for BAV tended to be carried out with a less oversized valve compared to TAVI for TAV, the frequency of post-procedural PVL ≥2 was similarly low in the two groups. TAVI using the S3 in patients with BAV seems to be feasible.
- Subjects :
- Male
Aortic valve
medicine.medical_specialty
Transcatheter aortic
Heart Valve Diseases
030204 cardiovascular system & hematology
Transcatheter Aortic Valve Replacement
03 medical and health sciences
0302 clinical medicine
Bicuspid aortic valve
Bicuspid Aortic Valve Disease
Internal medicine
Multidetector Computed Tomography
Multidetector computed tomography
medicine
Humans
030212 general & internal medicine
Aged
Aged, 80 and over
Tricuspid valve
business.industry
Aortic Valve Stenosis
medicine.disease
Surgery
Stenosis
Treatment Outcome
medicine.anatomical_structure
Aortic Valve
Aortic valve stenosis
cardiovascular system
Cardiology
Feasibility Studies
Female
Tricuspid Valve
Cardiology and Cardiovascular Medicine
business
Edwards sapien
Subjects
Details
- ISSN :
- 09145087
- Volume :
- 70
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....2d4d968e792be572414f3c2e3467fe58