Performance and Short-term Outcomes of Three Different TAVR Devices in Patients with Aortic Stenosis: A Single-center Experience.

Performance and Short-term Outcomes of Three Different TAVR Devices in Patients with Aortic Stenosis: A Single-center Experience.

Tzeng, Yun-Hsuan;Lee, Yung-Tsai;Tsao, Tien-Ping;Lee, Kuo-Chen;Huang, Kuan-Chih;Hsiung, Ming-Chon;Wei, Jeng;Yin, Wei-Hsian;
journal of the chinese medical association : jcma 2019
281
tzeng2019performancejournal

Abstract

Data on whether different transcatheter aortic valve replacement (TAVR) devices and delivery approaches can achieve equally favorable outcomes when performed by a single heart team are scarce. We sought to compare the performance and short-term outcomes of three different TAVR devices - self-expanding Medtronic CoreValve (MCV), mechanically expanded Lotus valve (Boston Scientific), and balloon-expandable Edwards SAPIEN XT (SXT) - for the treatment of severe aortic stenosis (AS) in a single large-volume center in Taiwan.We retrospectively reviewed consecutive patients who underwent TAVR for the treatment of severe AS. Clinical outcomes were reported following Valve Academic Research Consortium 2 (VARC-2) criteria. The composite primary endpoint was combined all-cause mortality, myocardial infarction (MI), or disabling stroke within 180 days.A total of 231 patients (MCV n=112, Lotus n=18, and SXT n=101) were included. The device and procedural success rates were similar among all three TAVR devices. At 30 days, there was no significant difference in all-cause mortality, cardiovascular mortality, periprocedural MI, stroke, major vascular complications, life-threatening bleeding, acute kidney injury (AKI) stage 2/3, or VARC-2 composite early safety endpoints. There was no difference among groups in rate of primary endpoint within 180 days. Lack of procedural success, presence of acute coronary occlusion during TAVR, and presence of AKI stage 3 after TAVR were independent predictors of adverse outcomes.TAVR using MCV, Lotus, or SXT was associated with similar 30-day and 180-day clinical outcomes. The presence of periprocedural complications were main determinants of short-term adverse outcomes.

Citation

ID: 43725
Ref Key: tzeng2019performancejournal
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
43725
Unique Identifier:
10.1097/JCMA.0000000000000187
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet