“…Balloon expandable valves have consistently demonstrated lower rates of PPI compared to self‐expandable valves. Ando et al in their meta‐analysis showed the PPI rate was 13% in the S3V compared to 10.5% in the SXT group, which is similar to our results (13.29% vs. 9.23%) . Numerous investigators have sought to better understand the risk factors for PPI after BE valve implantation.…”
Section: Discussionsupporting
confidence: 90%
“…Our findings are novel compared to the previous meta-analysis by Ando et al [12], which did not show a statistically significant difference in mortality between the two valves. The addition of newer data has possibly contributed to the change in observed findings.…”
Patients receiving the S3V had lower risk of PVL, MVC, bleeding, mortality, and stroke. PPI was somewhat higher in the S3V group. S3V implantation was faster and used less contrast.
“…Balloon expandable valves have consistently demonstrated lower rates of PPI compared to self‐expandable valves. Ando et al in their meta‐analysis showed the PPI rate was 13% in the S3V compared to 10.5% in the SXT group, which is similar to our results (13.29% vs. 9.23%) . Numerous investigators have sought to better understand the risk factors for PPI after BE valve implantation.…”
Section: Discussionsupporting
confidence: 90%
“…Our findings are novel compared to the previous meta-analysis by Ando et al [12], which did not show a statistically significant difference in mortality between the two valves. The addition of newer data has possibly contributed to the change in observed findings.…”
Patients receiving the S3V had lower risk of PVL, MVC, bleeding, mortality, and stroke. PPI was somewhat higher in the S3V group. S3V implantation was faster and used less contrast.
“…More than moderate PVR was associated with increased mid‐term all‐cause mortality . With the advent of newer‐generation prosthetic valves, the incidence of more than moderate PVR has declined dramatically . However, the rate of mild PVR remains relatively high even with the new‐generation prosthetic valves and the impact of mild PVR compared to none/trivial PVR on clinical outcome has not been well studied.…”
Mild PVR was associated with increased all-cause and cardiovascular mortality after TAVI. Whether further interventions in mild PVR is of benefit, has yet to be determined.
“…Finally, in our cohort, PPI was performed in 9.3% of the TAVI population. In accordance with the literature, the rate of PPI differed according to the heart valve prosthesis: 6.04% for Sapien‐XT valve, 29.5% for CoreValve, and 11.3% for Sapien‐3 valve . In addition, we observed a significantly higher proportion of patients with preexisting right bundle branch block in a subgroup of patients with PPI compared to the rest of the TAVI population, as largely reported in the literature …”
In the post-TAVI period, our data support PPI in patients with CAVB even if paroxysmal. Our data also suggest PPI may be considered in patients with NOP-LBBB associated with either prolonged PR or HV interval.
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