Incidence and predictors of prosthesis–patient mismatch after TAVI using SAPIEN 3 in Asian: differences between the newer and older balloon-expandable valve

Autor: Yusuke Watanabe, Shinichi Shirai, Norio Tada, Toru Naganuma, Futoshi Yamanaka, Hiroshi Ueno, Minoru Tabata, Masanori Yamamoto, Kentaro Hayashida, Shigeaki Kato, Yusuke Enta, Masaki Miyasaka, Masataka Taguri, Masaki Hata, Masahiro Yamawaki
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Open Heart, Vol 8, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2053-3624
DOI: 10.1136/openhrt-2020-001531
Popis: Background The balloon-expandable SAPIEN 3 (S3) is superior to the older-generation balloon-expandable SAPIEN XT (XT) in a lower incidence of paravalvular aortic regurgitation, lower complication rates and better survival in transcatheter aortic valve implantation (TAVI). However, prosthesis–patient mismatch (PPM) more frequently occurs in S3 than XT. Further, little information is available on PPM after TAVI using S3 in Asians. This study aims to determine the incidence and predictors of PPM in S3 by focusing on the difference between S3 and XT using data from a Japanese multicentre registry.Methods From the Optimised transCathEter vAlvular iNtervention-TAVI (OCEAN-TAVI) registry, 2134 patients undergoing TAVI using S3 or XT were included. PPM was defined as moderate if ≧0.65 but ≦0.85 cm2/m2 or severe if
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