Incidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: insights from the VIVID registry

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dc.citation.issue8
dc.citation.volume39
dc.contributor.authorRibeiro, Henrique B.
dc.contributor.authorRodes-Cabau, Josep
dc.contributor.authorBlanke, Philipp
dc.contributor.authorLeipsic, Jonathon
dc.contributor.authorPark, Jong Kwan
dc.contributor.authorBapat, Vinayak
dc.contributor.authorMakkar, Raj
dc.contributor.authorSimonato, Matheus [UNIFESP]
dc.contributor.authorBarbanti, Marco
dc.contributor.authorSchofer, Joachim
dc.contributor.authorBleiziffer, Sabine
dc.contributor.authorLatib, Azeem
dc.contributor.authorHildick-Smith, David
dc.contributor.authorPresbitero, Patrizia
dc.contributor.authorWindecker, Stephan
dc.contributor.authorNapodano, Massimo
dc.contributor.authorCerillo, Alfredo G.
dc.contributor.authorAbdel-Wahab, Mohamed
dc.contributor.authorTchetche, Didier
dc.contributor.authorFiorina, Claudia
dc.contributor.authorSinning, Jan-Malte
dc.contributor.authorCohen, Mauricio G.
dc.contributor.authorGuerrero, Mayra E.
dc.contributor.authorWhisenant, Brian
dc.contributor.authorNietlispach, Fabian
dc.contributor.authorPalma, Jose Honorio [UNIFESP]
dc.contributor.authorNombela-Franco, Luis
dc.contributor.authorde Weger, Arend
dc.contributor.authorKass, Malek
dc.contributor.authorde Brito, Fabio Sandoli, Jr.
dc.contributor.authorLemos, Pedro A.
dc.contributor.authorKornowski, Ran
dc.contributor.authorWebb, John
dc.contributor.authorDvir, Danny
dc.coverageOxford
dc.date.accessioned2020-07-08T13:09:39Z
dc.date.available2020-07-08T13:09:39Z
dc.date.issued2018
dc.description.abstractAims There are limited data on coronary obstruction following transcatheter valve-in-valve (ViV) implantation inside failed aortic bioprostheses. The objectives of this study were to determine the incidence, predictors, and clinical outcomes of coronary obstruction in transcatheter ViV procedures. Methods and results A total of 1612 aortic procedures from the Valve-in-Valve International Data (VIVID) Registry were evaluated. Data were subject to centralized blinded corelab computed tomography (CT) analysis in a subset of patients. The virtual transcatheter valve to coronary ostium distance (VTC) was determined. A total of 37 patients (2.3%) had clinically evident coronary obstruction. Baseline clinical characteristics in the coronary obstruction patients were similar to controls. Coronary obstruction was more common in stented bioprostheses with externally mounted leaflets or stentless bioprostheses than in stented with internally mounted leaflets bioprostheses (6.1% vs. 3.7% vs. 0.8%, respectivelyen
dc.description.abstractP < 0.001). CT measurements were obtained in 20 (54%) and 90 (5.4%) of patients with and without coronary obstruction, respectively. VTC distance was shorter in coronary obstruction patients in relation to controls (3.24 +/- 2.22 vs. 6.30 +/- 2.34, respectivelyen
dc.description.abstractP < 0.001). Using multivariable analysis, the use of a stentless or stented bioprosthesis with externally mounted leaflets [odds ratio (OR): 7.67en
dc.description.abstract95% confidence interval (CI): 3.14-18.7en
dc.description.abstractP < 0.001] associated with coronary obstruction for the global population. In a second model with CT data, a shorter VTC distance predicted this complication (OR: 0.22 per 1mm increaseen
dc.description.abstract95% CI: 0.09-0.51en
dc.description.abstractP < 0.001), with an optimal cut-off level of 4mm (area under the curve: 0.943en
dc.description.abstractP < 0.001). Coronary obstruction was associated with a high 30-day mortality (52.9% vs. 3.9% in the controls, respectivelyen
dc.description.abstractP < 0.001). Conclusion Coronary obstruction following aortic ViV procedures is a life-threatening complication that occurred more frequently in patients with prior stentless or stented bioprostheses with externally mounted leaflets and in those with a short VTC.en
dc.description.affiliationLaval Univ, Quebec Heart & Lung Inst, Dept Cardiol, 2725 Chemin Ste Foy, Quebec City, PQ G1V 4G5, Canada
dc.description.affiliationUniv Sao Paulo, Heart Inst Sao Paulo InCor, Dept Cardiol, Av Dr Eneas de Carvalho Aguiar 44, BR-05403900 Sao Paulo, Brazil
dc.description.affiliationSt Pauls Hosp, Div Cardiol, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada
dc.description.affiliationSt Thomas Hosp, Cardiac Surg, 6th Floor,East Wing St,Westminster Bridge Rd, London SE1 7EH, England
dc.description.affiliationCedars Sinai Med Ctr, Cardiac Catherizat Lab, Adv Hlth Sci Pavil,A3600 127 S San Vicente Blvd, Los Angeles, CA 90048 USA
dc.description.affiliationEscola Paulista Med UNIFESP, Div Cardiac Surg, R Botucatu 740, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationFerrarotto Hosp, Div Intervent Cardiol, Via S Sofia 78, I-95123 Catania, Italy
dc.description.affiliationAlbertinen Herz & Gefasszentrum Hamburg, Cardiol Dept, Hogenfelder Str 22, D-22457 Hamburg, Germany
dc.description.affiliationGerman Heart Ctr State Bavaria, Dept Cardiovasc Surg, Lazarettstr 36, D-80636 Munich, Germany
dc.description.affiliationOsped San Raffaele, Cardiol Interventist Emodinam, Via Olgettina 60, I-20132 Milan, Italy
dc.description.affiliationSussex Cardiac Ctr, Intervent Cardiol, Eastern Rd, Brighton BN2 5BE, E Sussex, England
dc.description.affiliationHumanitas, Cardiol Clin & Interventist, Via Alessandro Manzoni 56, I-20089 Milan, Italy
dc.description.affiliationUniv Spital Bern, Univ Klin Kardiol, Freiburgstr 4, CH-3010 Bern, Switzerland
dc.description.affiliationUniv Padua, Intervent Cardiol, Via Giustiniani 2, I-35128 Padua, Italy
dc.description.affiliationG Pasquinucci Hosp, Div Cardiac Surg, Via Vittorio Veneto 293, I-55049 Massa, Italy
dc.description.affiliationSegeberger Kliniken, Innere Med, Kardiol, Krankenhausstr 2, D-23795 Bad Segeberg, Germany
dc.description.affiliationClin Pasteur, Gen Intervent Cardiol, 45 Ave Lombez,BP 27617, F-31076 Toulouse, France
dc.description.affiliationSpedali Civili Brescia, Cardiothorac Dept, Piazzale Spedali Civili 1, I-25123 Brescia, Italy
dc.description.affiliationUniv Klinikum Bonn, Med Klin & Poliklin 2, Sigmund Freud Str 25, D-53127 Bonn, Germany
dc.description.affiliationUniv Miami, Miller Sch Med, Cardiac Catheterizat Lab, 1400 NW 12th Ave, Miami, FL 33136 USA
dc.description.affiliationEvanston Hosp Corp, Intervent Cardiol, 2650 Ridge Ave, Evanston, IL 60201 USA
dc.description.affiliationIntermt Healthcare, Div Cardiol, 5169 S Cottonwood St Ste 520, Murray, UT 84107 USA
dc.description.affiliationUniv Spital Zurich, Univ Herzzentrum Zurich, Ramistr 100, CH-8091 Zurich, Switzerland
dc.description.affiliationHosp Clin San Carlos, Intervent Cardiol, Calle Prof Mart Lagos S-N, Madrid 28040, Spain
dc.description.affiliationLeids Univ, Med Ctr, Dept Cardiothorac Surg, Albinusdreef 2,Postbus 9600, NL-2300 Leiden, Netherlands
dc.description.affiliationSt Boniface Gen Hosp, Div Cardiol, 409 Tache Ave, Winnipeg, MB R2H 2A6, Canada
dc.description.affiliationHosp Israelita Albert Einstein, Div Cardiol, Av Albert Einstein 627, BR-05652900 Sao Paulo, Brazil
dc.description.affiliationRabin Med Ctr, Div Intervent Cardiol, Zeev Jabotinsky Rd 39, IL-4941492 Petah Tiqwa, Israel
dc.description.affiliationUniv Washington, Div Cardiol, 1959 NE Pacific St, Seattle, WA 98195 USA
dc.description.affiliationUnifespEscola Paulista Med UNIFESP, Div Cardiac Surg, R Botucatu 740, BR-04023062 Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico
dc.description.sponsorshipIDConselho Nacional de Desenvolvimento Cientifico e Tecnologico: 246860/2012-0
dc.format.extent687-#ERROR!
dc.identifierhttp://dx.doi.org/10.1093/eurheartj/ehx455
dc.identifier.citationEuropean Heart Journal. Oxford, v. 39, n. 8, p. 687-#ERROR!, 2018.
dc.identifier.doi10.1093/eurheartj/ehx455
dc.identifier.issn0195-668X
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54118
dc.identifier.wosWOS:000426146300012
dc.language.isoeng
dc.publisherOxford Univ Press
dc.relation.ispartofEuropean Heart Journal
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTranscatheter aortic valve replacementen
dc.subjectPrior surgical bioprosthesisen
dc.subjectCoronary obstructionen
dc.subjectCoronary occlusionen
dc.subjectValve-in-valveen
dc.titleIncidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: insights from the VIVID registryen
dc.typeinfo:eu-repo/semantics/article
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