Balloon-Expandable versus Self-Expandable Valves in Transcatheter Aortic Valve Implantation: Complications and Outcomes from a Large International Patient Cohort

Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- van Nieuwkerk, AC
- Santos, RB
- Andraka, L
- Tchetche, D
- de Brito, FS
- Barbanti, M
- Kornowski, R
- Latib, A
- D'Onofrio, A
- Ribichini, F
- Dumonteil, N
- Baan, J
- Piek, JJ
- Abizaid, A
- Sartori, S
- D'Errigo, P
- Tarantini, G
- Lunardi, M
- Orvin, K
- Pagnesi, M
- Nogales-Asensio, JM
- Ghattas, A
- Dangas, G
- Mehran, R
- Delewi, R
Grupos
Abstract
Background: Both balloon-expandable (BE) and self-expandable (SE) valves for transcatheter aortic valve implantation (TAVI) are broadly used in clinical practice. However, adequately powered randomized controlled trials comparing these two valve designs are lacking. Methods: The CENTER-study included 12,381 patients undergoing transfemoral TAVI. Patients undergoing TAVI with a BE-valve (n = 4096) were compared to patients undergoing TAVI with an SE-valve (n = 4096) after propensity score matching. Clinical outcomes including one-year mortality and stroke rates were assessed. Results: In the matched population of n = 5410 patients, the mean age was 81 +/- 3 years, 60% was female, and the STS-PROM predicted 30-day mortality was 6.2% (IQR 4.0-12.4). One-year mortality was not different between patients treated with BE- or SE-valves (BE: 16.4% vs. SE: 17.0%, Relative Risk 1.04, 95%CI 0.02-1.21, p = 0.57). One-year stroke rates were also comparable (BE: 4.9% vs. SE: 5.3%, RR 1.09, 95%CI 0.86-1.37, p = 0.48). Conclusion: This study suggests that one-year mortality and stroke rates were comparable in patients with severe aortic valve stenosis undergoing TAVI with either BE or SE-valves.
Datos de la publicación
- ISSN/ISSNe:
- 2077-0383, 2077-0383
- Tipo:
- Article
- Páginas:
- -
- DOI:
- 10.3390/jcm10174005
- PubMed:
- 34501454
- Factor de Impacto:
- 1,040 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
Journal of clinical medicine MDPI AG
Citas Recibidas en Web of Science: 8
Documentos
- No hay documentos
Filiaciones
Keywords
- aortic valve stenosis; transcatheter aortic valve implantation; mortality; stroke; balloon-expandable; self-expandable
Financiación
Proyectos y Estudios Clínicos
ESTUDIO DE BIOMARCADORES DE FUNCIÓN PLAQUETARIA EN ANGIOPLASTIA PRIMARIA RELACIONADOS CON EL TIPO DE STENT Y EL EFECTO DE LOS FÁRMACOS ANTIPLAQUETARIOS
Investigador Principal: ANTONIO MOSCARDÓ MARTÍNEZ
2015_0403_CRP_MOSCARDO . SOCIEDAD VALENCIANA DE CARDIOLOGIA . 2015
BALÓN LIBERADOR DE PACLITAXEL TRAS STENT CONVENCIONAL VS STENT LIBERADOR DE FÁRMACOS EN EL INFARTO AGUDO CON ELEVACIÓN DE ST (ESTUDIO PEBSI-2).
Investigador Principal: LUIS ANDRÉS LALAGUNA
PEBSI-2 . 2016
FUNCTIONAL VERSUS CULPRIT-ONLY REVASCULARIZATION IN ELDERLY PATIENTS WITH MYOCARDIAL INFARCTION AND MULTIVESSEL DISEASE.
Investigador Principal: JOSÉ LUIS DÍEZ GIL
ESTUDIO FIRE . 2019
DAPAGLIFLOZINA DESPUÉS DEL IMPLANTE DE PRÓTESIS VALVULAR AÓRTICA PERCUTÁNEA (DAPA-TAVI).
Investigador Principal: FRANCISCO TEN MORRO
SEC-DAPATAVI-2020 . 2021
Cita
van AC,Santos RB,Andraka L,Tchetche D,de Brito FS,Barbanti M,Kornowski R,Latib A,D'Onofrio A,Ribichini F,TEN F,Dumonteil N,Baan J,Piek JJ,Abizaid A,Sartori S,D'Errigo P,Tarantini G,Lunardi M,Orvin K,Pagnesi M,Nogales JM,Ghattas A,Dangas G,Mehran R,Delewi R. Balloon-Expandable versus Self-Expandable Valves in Transcatheter Aortic Valve Implantation: Complications and Outcomes from a Large International Patient Cohort. J. Clin. Med. 2021. 10. (17):4005. IF:4,964. (2).