Deployment of a Sapien 3 in pericardial valve

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 268-268
Author(s):  
Shmuel Chen ◽  
Lyle Dershowitz ◽  
Isaac George
Keyword(s):  
2016 ◽  
Vol 64 (S 01) ◽  
Author(s):  
F. Pollari ◽  
F. Biancari ◽  
M. Pol ◽  
F. Vogt ◽  
G. Santarpino ◽  
...  

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
F De Torres Alba ◽  
G Kaleschke ◽  
J Vormbrock ◽  
H Reinecke ◽  
H Deschka ◽  
...  

Abstract Introduction Pre-existing right bundle branch block (RBBB) is a well stablished risk factor for the development of high grade conduction abnormalities (CAs) after TAVI. The association of pre-existing 1st degree AV-Block (AVB1) with high grade CAs after TAVI has been inconsistent. A recently published Expert Consensus Document classifies patients with AVB1 in the lowest risk group, allowing for discharge at day 1 post-TAVI. We aimed to study the risk of these patients of developing delayed high grade CAs requiring pacemaker implantation (PM). Methods We studied the development CAs in 1447 consecutive patients treated with Sapien 3 between January 2014 and December 2019. After excluding valve-in-valve procedures (n=30) and pts with previously implanted PM (n=167) 1254 patients remained for analysis. All patients were monitored for at least 7 days, as this was our institutional policy during the study period. We analyzed if pre-existing ECG abnormalities predict early and delayed (>24h) high grade CAs with a multivariable logistic regression model. Results Of 1254 pts, 159 (12.5%) required a permanent PM after TAVI. In 104 (65%) CAs requiring PM occurred intraprocedural or during the first 48h while in the remaining 35% developed with more delay. We analyzed the presence of previous CAs in pts still free from indication for PM after the first 48h after TAVI (n=1150) in order to identify characteristics that may predict delayed PM requirement (Table). In the multivariable model not only RBBB (OR 5.42, CI95% 2.69–10.94, p<0.0001) but also AVB1 was significantly associated to delayed high grade CAs requiring PM implantation (OR 2.25, CI95% 1.24–4.08, p=0.005). Conclusion In this study, in pts requiring PM implantation after TAVI, the high grade CAs occurred after 48h in 35% of patients. Not only RBBB but also AVB1 was an independent predictor of delayed high grade CAs. These results question the safety of considering patients with pre-existing AVB1 as low-risk patients and suggest a more prolonged monitoring also for them. Funding Acknowledgement Type of funding source: None


2021 ◽  
Vol 77 (18) ◽  
pp. 1708
Author(s):  
Hoda Hatoum ◽  
Shelley Gooden ◽  
Janarthanan Sathananthan ◽  
Scott Lilly ◽  
Abdul Rahman Ihdayhid ◽  
...  

2021 ◽  
Vol 77 (18) ◽  
pp. 1768
Author(s):  
Milad Samaee ◽  
Hoda Hatoum ◽  
Vinod Thourani ◽  
Ajit Yoganathan ◽  
Lakshmi Prasad Dasi

2021 ◽  
Vol 30 ◽  
pp. S314
Author(s):  
K. Bhatia ◽  
H. Sritharan ◽  
B. Gautam ◽  
N. Mughal ◽  
A. Ekmejian ◽  
...  

Open Heart ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e001531
Author(s):  
Masaki Miyasaka ◽  
Norio Tada ◽  
Masataka Taguri ◽  
Shigeaki Kato ◽  
Yusuke Enta ◽  
...  

BackgroundThe 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.MethodsFrom 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 <0.65 cm2/m2 at the indexed effective orifice area by postprocedural echocardiography.ResultsThe incidence of moderate and severe PPM in S3 was 13.3% and 1.3%, respectively. The 20 mm transcatheter heart valve (THV) was more frequently used in S3 than XT (7.4% vs 2.4%, p<0.0001). PPM was more frequently observed in S3 than XT (14.7% vs 8.8%, p<0.0001). Multivariate logistic regression analysis revealed S3 predicted PPM (OR 1.92 (95% CI 1.35 to 2.74), p=0.0003). The mutual predictors for PPM between S3 and XT were younger age, larger body surface area, smaller aortic valve area, no balloon postdilatation and the use of 20 mm and 23 mm THV. When comparing 23 mm, 26 mm and 29 mm S3, the ORs of 20 mm S3 were 5.67 (95% CI 2.88 to 11.12), 19.24 (95% CI 8.13 to 46.86) and 51.03 (95% CI 12.28 to 280.77), respectively.ConclusionsThe incidence of PPM after TAVI using S3 was 14.6% overall in this Asian population. PPM was more frequently observed in S3 than XT. A considerable number of patients were treated by the 20 mm S3 in an Asian cohort. The 20 mm THV was identified as a strong predictor for PPM.


Author(s):  
Daniel Blackman ◽  
Davide Gabbieri ◽  
Bruno García Del Blanco ◽  
Jörg Kempfert ◽  
Mika Laine ◽  
...  

2016 ◽  
Vol 68 (18) ◽  
pp. B282-B283
Author(s):  
Rebecca Hahn ◽  
Maria Alu ◽  
Jonathon Leipsic ◽  
Pamela Douglas ◽  
Wael Jaber ◽  
...  

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