Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry

Abdel‐Wahab, Mohamed; Zahn, Ralf; Horack, Martin; Gerckens, Ulrich; Schuler, Gerhard; Sievert, Horst; Eggebrecht, Holger; Senges, Jochen; Richardt, Gert

doi:10.1136/hrt.2010.217158

Cited by 449 publications

(240 citation statements)

References 33 publications

(36 reference statements)

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“…Moderate-to-severe PVL after TAVI has been found to impair outcomes [21,22]. The presence of raphes, calcifications and difficulties in accurate positioning of the THV contribute to the risk of PVL in BAV patients.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic changes after transcatheter aortic valve implantation during sequential follow-ups in patients with bicuspid aortic valve compared with tricuspid aortic valve

et al. 2017

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[-0.25, 5.00] mm Hg, p = 0.57 at 1 month; p = 0.21 at 3 months; 0.96 ± 7.81 vs. 1.53 ± 5.85 mm Hg, p = 0.79 at 6 months; 2.25] vs. 3.00 [-0.50, 7.50] mm Hg, p = 0.07 at 1 year). Moreover, the incidence of ≥ mild PVL was not significantly different in patients with p = 0.14 at 1 month; 45.83% vs. 27.27%, p = 0.19 at 3 months; 30.00% vs. 23.53%, p = 0.89 at 6 months; 30.00% vs. 17.65%, p = 0.56 at 1 year). Conclusions: TAVI is effective and applicable in BAV anatomy with sustained and acceptable mid--term prosthesis hemodynamic performance. (Cardiol J 2017; 24, 4: 350-357)

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Section: Discussionmentioning

confidence: 99%

Hemodynamic changes after transcatheter aortic valve implantation during sequential follow-ups in patients with bicuspid aortic valve compared with tricuspid aortic valve

et al. 2017

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“…Importantly, the presence of PVL may worsen clinical outcomes of patients undergoing TAVI [5]. It is present in up to 70% of all patients undergoing TAVI, and more than mild PVL has been reported in about 10-15% of all TAVI patients [1,[6][7][8][9][10][11][12][13][14]. Angio graphy and echocardiography are useful tools to quantify the degree of PVL immediately after deployment of the prosthesis and can be used to identify patients who might benefit from optimisation techniques.…”

Section: Introductionmentioning

confidence: 99%

Impact of post-dilatation on the reduction of paravalvular leak and mortality after transcatheter aortic valve implantation

Kleczyński¹,

Dziewierz²,

Daniec³

et al. 2017

Kardiol Pol

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A b s t r a c tBackground: Post-implantation paravalvular leak (PVL) remains a significant complication of transcatheter aortic valve implantation (TAVI). More importantly, its occurrence may impact long-term mortality. Aim:We sought to evaluate the effects of balloon post-dilatation (PD) on the reduction of PVL and mortality in patients undergoing TAVI.Methods: A total of 101 consecutive patients undergoing TAVI were enrolled. Angiography, echocardiography, and the aortic regurgitation index (ARI) were used to assess the severity of PVL before and after balloon PD. Patients were divided into two groups based whether or not PD after TAVI was performed. Reduction of PVL, change of ARI, and clinical outcomes were assessed.Results: Balloon post-dilatation was performed in 23 (22.8%) patients. In 95.6%, PVL reduction was successful (no or mild PVL). PD increased the ARI from 23.4% (22.4-24.0) to 27.1% (26.1-28.3); p < 0.001. Thirty-day mortality rate was 14.1% in the PD (-) group vs. 0.0% in the PD (+) group; p = 0.07. One-year mortality (21.8% vs. 4.3%, p = 0.97) and procedural stroke rate (7.7% vs. 8.7%, p = 0.99) were not different between the groups. Conclusions:Balloon post-dilatation may be a safe and effective technique to reduce moderate to severe PVL after TAVI.

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“…Undersizing increases the likelihood of a paraprosthetic leak occurring peri and post-procedure, which, if severe, may cause symptoms and is associated with an increased risk of death and non-fatal events including valve migration 18. Oversizing can cause failure of deployment and central regurgitation.…”

Section: Echocardiographic Assessment In Patients Being Considered Fomentioning

confidence: 99%

The art of assessing aortic stenosis

Rajani

Hancock

Chambers

2012

Heart

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This review describes the assessment of the aortic valve by echocardiography and also the roles that multidetector CT (MDCT) and cardiac magnetic resonance have to play as complimentary imaging modalities. It describes how to resolve apparent discrepancies in grading aortic stenosis and discusses the management of apparently moderate stenosis associated with cardiac symptoms or left ventricular dysfunction. The role of cardiac imaging including three-dimensional (3D) echocardiography and MDCT scanning in the preparation for transcatheter aortic valve implantation and during and after the procedure are described. While echocardiography remains the mainstay of imaging, 3D modalities, notably MDCT, are increasingly useful and a multimodality approach is likely to become established as routine clinical practice.

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Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry

Cited by 449 publications

References 33 publications

Hemodynamic changes after transcatheter aortic valve implantation during sequential follow-ups in patients with bicuspid aortic valve compared with tricuspid aortic valve

Hemodynamic changes after transcatheter aortic valve implantation during sequential follow-ups in patients with bicuspid aortic valve compared with tricuspid aortic valve

Impact of post-dilatation on the reduction of paravalvular leak and mortality after transcatheter aortic valve implantation

The art of assessing aortic stenosis

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