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Transcatheter aortic valve implantation in failed bioprosthetic surgical valves
- Source :
- Jama : the Journal of the American Medical Association, vol. 312, no. 2, pp. 162-170, Dvir, D, Webb, J G, Bleiziffer, S, Pasic, M, Waksman, R, Kodali, S, Barbanti, M, Latib, A, Schaefer, U, Rodés-Cabau, J, Treede, H, Piazza, N, Hildick-Smith, D, Himbert, D, Walther, T, Hengstenberg, C, Nissen, H, Bekeredjian, R, Presbitero, P, Ferrari, E, Segev, A, de Weger, A, Windecker, S, Moat, N E, Napodano, M, Wilbring, M, Cerillo, A G, Brecker, S, Tchetche, D, Lefèvre, T, De Marco, F, Fiorina, C, Petronio, A S, Teles, R C, Testa, L, Laborde, J-C, Leon, M B, Kornowski, R & Valve-in-Valve International Data Registry Investigators 2014, ' Transcatheter aortic valve implantation in failed bioprosthetic surgical valves ', J A M A: The Journal of the American Medical Association, vol. 312, no. 2, pp. 162-170 . https://doi.org/10.1001/jama.2014.7246, Journal of the American Medical Association, 312(2), 162-170
- Publication Year :
- 2014
-
Abstract
- IMPORTANCE: Owing to a considerable shift toward bioprosthesis implantation rather than mechanical valves, it is expected that patients will increasingly present with degenerated bioprostheses in the next few years. Transcatheter aortic valve-in-valve implantation is a less invasive approach for patients with structural valve deterioration; however, a comprehensive evaluation of survival after the procedure has not yet been performed. OBJECTIVE: To determine the survival of patients after transcatheter valve-in-valve implantation inside failed surgical bioprosthetic valves. DESIGN, SETTING, AND PARTICIPANTS: Correlates for survival were evaluated using a multinational valve-in-valve registry that included 459 patients with degenerated bioprosthetic valves undergoing valve-in-valve implantation between 2007 and May 2013 in 55 centers (mean age, 77.6 [SD, 9.8] years; 56% men; median Society of Thoracic Surgeons mortality prediction score, 9.8% [interquartile range, 7.7%-16%]). Surgical valves were classified as small (≤21 mm; 29.7%), intermediate (>21 and
- Subjects :
- Aortic valve
Adult
Male
medicine.medical_specialty
Cardiac Catheterization
medicine.medical_treatment
Aortic Valve Insufficiency
Prosthesis Design
Interquartile range
Internal medicine
Aged
Aged, 80 and over
Aortic Valve
Aortic Valve Stenosis
Female
Heart Valve Prosthesis Implantation
Humans
Middle Aged
Prosthesis Failure
Registries
Survival Analysis
Treatment Outcome
Bioprosthesis
Medicine (all)
medicine
80 and over
Survival rate
Survival analysis
Cardiac catheterization
business.industry
Hazard ratio
Aortic Valve/surgery
Aortic Valve Insufficiency/surgery
Aortic Valve Stenosis/surgery
Heart Valve Prosthesis Implantation/methods
General Medicine
medicine.disease
Surgery
Stenosis
medicine.anatomical_structure
Aortic valve stenosis
Cardiology
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Jama : the Journal of the American Medical Association, vol. 312, no. 2, pp. 162-170, Dvir, D, Webb, J G, Bleiziffer, S, Pasic, M, Waksman, R, Kodali, S, Barbanti, M, Latib, A, Schaefer, U, Rodés-Cabau, J, Treede, H, Piazza, N, Hildick-Smith, D, Himbert, D, Walther, T, Hengstenberg, C, Nissen, H, Bekeredjian, R, Presbitero, P, Ferrari, E, Segev, A, de Weger, A, Windecker, S, Moat, N E, Napodano, M, Wilbring, M, Cerillo, A G, Brecker, S, Tchetche, D, Lefèvre, T, De Marco, F, Fiorina, C, Petronio, A S, Teles, R C, Testa, L, Laborde, J-C, Leon, M B, Kornowski, R & Valve-in-Valve International Data Registry Investigators 2014, ' Transcatheter aortic valve implantation in failed bioprosthetic surgical valves ', J A M A: The Journal of the American Medical Association, vol. 312, no. 2, pp. 162-170 . https://doi.org/10.1001/jama.2014.7246, Journal of the American Medical Association, 312(2), 162-170
- Accession number :
- edsair.doi.dedup.....e88bd02a7367de651ebda5ab5c8a36c1
- Full Text :
- https://doi.org/10.1001/jama.2014.7246