Incidence, Predictor, and Clinical Outcomes of Multiple Resheathing With Self‐Expanding Valves During Transcatheter Aortic Valve Replacement

Autor: Fernando L. M. Bernardi, Josep Rodés‐Cabau, Gabriela Tirado‐Conte, Ignacio J. Amat Santos, Claudia Plachtzik, Fernando Cura, Matias Sztejfman, Fernanda M. Mangione, Rogério Tumeleiro, Vinicius Borges Cardozo Esteves, Eduardo França Pessoa de Melo, Alejandro Alcocer Chauvet, Felipe Fuchs, Rogerio Sarmento‐Leite, Estêvão Carvalho de Campos Martins, Luis Nombela‐Franco, José Raul Delgado‐Arana, Wolfgang Bocksch, Pablo Lamelas, Carlos Giuliani, Diego Carter Campanha‐Borges, Jose A. Mangione, Fábio Sandoli de Brito, Alexandre C. Abizaid, Henrique B. Ribeiro
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 18 (2021)
Druh dokumentu: article
ISSN: 2047-9980
DOI: 10.1161/JAHA.120.020682
Popis: Background No study has evaluated the impact of the additional manipulation demanded by multiple resheathing (MR) in patients undergoing transcatheter aortic valve replacement with repositionable self‐expanding valves. Methods and Results This study included a real‐world, multicenter registry involving 16 centers from Canada, Germany, Latin America, and Spain. All consecutive patients who underwent transcatheter aortic valve replacement with the Evolut R, Evolut PRO, and Portico valves were included. Patients were divided according to the number of resheathing: no resheathing, single resheathing (SR), and MR. The primary end point was device success. Secondary outcomes included procedural complications, early safety events, and 1‐year mortality. In 1026 patients, the proportion who required SR and MR was 23.9% and 9.3%, respectively. MR was predicted by the use of Portico and moderate/severe aortic regurgitation at baseline (both with P
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