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2
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Chavarria J, Falcao F, Dutra G, Sathananthan J, Wood D, Duovi G, Natarajan M, Jaffer I, Velianou J, Sheth T. Bespoke valve sizing avoids annular rupture in patients treated with a balloon‐expandable transcatheter heart valve. Catheter Cardiovasc Interv 2022; 100:823-831. [DOI: 10.1002/ccd.30402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 08/13/2022] [Accepted: 09/06/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Jorge Chavarria
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
| | - Felipe Falcao
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
| | - Gustavo Dutra
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
| | - Janarthanan Sathananthan
- Centre for Cardiovascular Innovation, St. Paul's and Vancouver General Hospital University of British Columbia Vancouver British Columbia Canada
| | - David Wood
- Centre for Cardiovascular Innovation, St. Paul's and Vancouver General Hospital University of British Columbia Vancouver British Columbia Canada
| | - Georgia Duovi
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
| | - Madhu Natarajan
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
- Population Health Research Institute Hamilton Canada
| | - Iqbal Jaffer
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
| | - James Velianou
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
| | - Tej Sheth
- Division of Cardiology, Hamilton Health Sciences McMaster University Hamilton Canada
- Population Health Research Institute Hamilton Canada
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3
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Zhang X, Puehler T, Frank D, Sathananthan J, Sellers S, Meier D, Both M, Blanke P, Seoudy H, Saad M, Müller OJ, Sondergaard L, Lutter G. TAVR for All? The Surgical Perspective. J Cardiovasc Dev Dis 2022; 9:jcdd9070223. [PMID: 35877585 PMCID: PMC9323639 DOI: 10.3390/jcdd9070223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 06/27/2022] [Accepted: 07/06/2022] [Indexed: 02/01/2023] Open
Abstract
In spite of the noninferiority of transcatheter aortic valve replacement (TAVR) in high- and intermediate-risk patients, there are still obstacles that need to be overcome before the procedure is further expanded and clinically integrated. The lack of evidence on the long-term durability of the bioprostheses used for TAVR remains of particular concern. In addition, surgery may be preferred over TAVR in patients with bicuspid aortic valve (BAV) or with concomitant pathologies such as other valve diseases (mitral regurgitation/tricuspid regurgitation), aortopathy, and coronary artery disease. In this review, we discuss and summarize relevant data from clinical trials, current trends, and remaining obstacles, and provide our perspective on the indications for the expansion of TAVR.
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Affiliation(s)
- Xiling Zhang
- Department of Cardiovascular Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (X.Z.); (T.P.)
- German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg/Kiel/Lübeck, 24105 Kiel, Germany
| | - Thomas Puehler
- Department of Cardiovascular Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (X.Z.); (T.P.)
- German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg/Kiel/Lübeck, 24105 Kiel, Germany
| | - Derk Frank
- Department of Internal Medicine III (Cardiology, Angiology, and Critical Care), University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (D.F.); (H.S.); (M.S.); (O.J.M.)
| | - Janarthanan Sathananthan
- Centre for Heart Lung Innovation & Providence Research, Vancouver, BC V6Z 1Y6, Canada; (J.S.); (S.S.); (D.M.)
- Centre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC V6Z 1Y6, Canada
- Centre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada
- Cardiovascular Translational Laboratory, Centre for Heart Lung Innovation, St Paul’s Hospital, Vancouver, BC V6Z 1Y6, Canada
| | - Stephanie Sellers
- Centre for Heart Lung Innovation & Providence Research, Vancouver, BC V6Z 1Y6, Canada; (J.S.); (S.S.); (D.M.)
- Centre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC V6Z 1Y6, Canada
- Centre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada
- Cardiovascular Translational Laboratory, Centre for Heart Lung Innovation, St Paul’s Hospital, Vancouver, BC V6Z 1Y6, Canada
| | - David Meier
- Centre for Heart Lung Innovation & Providence Research, Vancouver, BC V6Z 1Y6, Canada; (J.S.); (S.S.); (D.M.)
- Centre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC V6Z 1Y6, Canada
- Centre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada
| | - Marcus Both
- Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany;
| | - Philipp Blanke
- Department of Radiology, St. Paul’s Hospital, University of British Columbia, Vancouver, BC V6E 1M7, Canada;
| | - Hatim Seoudy
- Department of Internal Medicine III (Cardiology, Angiology, and Critical Care), University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (D.F.); (H.S.); (M.S.); (O.J.M.)
| | - Mohammed Saad
- Department of Internal Medicine III (Cardiology, Angiology, and Critical Care), University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (D.F.); (H.S.); (M.S.); (O.J.M.)
| | - Oliver J. Müller
- Department of Internal Medicine III (Cardiology, Angiology, and Critical Care), University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (D.F.); (H.S.); (M.S.); (O.J.M.)
| | - Lars Sondergaard
- Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark;
| | - Georg Lutter
- Department of Cardiovascular Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany; (X.Z.); (T.P.)
- German Centre for Cardiovascular Research (DZHK), Partner Site Hamburg/Kiel/Lübeck, 24105 Kiel, Germany
- Correspondence: ; Tel.: +49-(0)4-3150-0220-31; Fax: +49-(0)0-4315-0022-048
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4
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Chatfield A, Sathananthan J, Wood DA, Webb JG. Next generation balloon expandable transcatheter heart valve: the SAPIEN 3 Ultra valve. Future Cardiol 2021; 17:811-816. [PMID: 33470845 DOI: 10.2217/fca-2020-0001] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
The next generation SAPIEN 3 Ultra (Edwards Lifesciences, CA, USA) builds on the success of the SAPIEN 3 (S3) transcatheter heart valve. The textured polyethylene terephthalate external skirt is 40% taller than the S3 valve skirt. The Edwards Commander delivery system and Edwards eSheath remain unchanged from S3 with proven results regarding valve deliverability and low rates of vascular complications.
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Affiliation(s)
| | | | - David A Wood
- Centre for Heart Valve Innovation, Vancouver BC V6Z 1Y6, Canada
| | - John G Webb
- Centre for Heart Valve Innovation, Vancouver BC V6Z 1Y6, Canada
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5
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Pibarot P, Ternacle J, Jaber WA, Salaun E, Dahou A, Asch FM, Weissman NJ, Rodriguez L, Xu K, Annabi MS, Guzzetti E, Beaudoin J, Bernier M, Leipsic J, Blanke P, Clavel MA, Rogers E, Alu MC, Douglas PS, Makkar R, Miller DC, Kapadia SR, Mack MJ, Webb JG, Kodali SK, Smith CR, Herrmann HC, Thourani VH, Leon MB, Hahn RT. Structural Deterioration of Transcatheter Versus Surgical Aortic Valve Bioprostheses in the PARTNER-2 Trial. J Am Coll Cardiol 2020; 76:1830-1843. [DOI: 10.1016/j.jacc.2020.08.049] [Citation(s) in RCA: 135] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 08/20/2020] [Accepted: 08/21/2020] [Indexed: 02/07/2023]
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6
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Wood DA, Sathananthan J. Non-Nominal Deployment of Transcatheter Heart Valves: What Are the Implications? JACC Cardiovasc Interv 2020; 13:217-218. [PMID: 31883723 DOI: 10.1016/j.jcin.2019.09.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 09/24/2019] [Indexed: 11/29/2022]
Affiliation(s)
- David A Wood
- Centre for Heart Valve Innovation, St. Paul's and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Centre for Cardiovascular Innovation, University of British Columbia, Vancouver, British Columbia, Canada.
| | - Janarthanan Sathananthan
- Centre for Heart Valve Innovation, St. Paul's and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Centre for Cardiovascular Innovation, University of British Columbia, Vancouver, British Columbia, Canada
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7
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Ortega-Paz L, Regueiro A, Perdomo JM, Sanchis L, Sabaté M, Freixa X. Minimally Invasive Transradial Percutaneous Closure of an Aortic Paravalvular Leak After Transcatheter Aortic Valve Replacement. Can J Cardiol 2019; 35:941.e1-941.e2. [PMID: 31292099 DOI: 10.1016/j.cjca.2019.04.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 04/16/2019] [Accepted: 04/30/2019] [Indexed: 12/12/2022] Open
Affiliation(s)
- Luis Ortega-Paz
- Department of Cardiology, Cardiovascular Institute, Hospital Clinic, Biomedical Investigation Institute, IDIBAPS, Barcelona, Spain
| | - Ander Regueiro
- Department of Cardiology, Cardiovascular Institute, Hospital Clinic, Biomedical Investigation Institute, IDIBAPS, Barcelona, Spain
| | - Juan Manuel Perdomo
- Department of Cardiology, Cardiovascular Institute, Hospital Clinic, Biomedical Investigation Institute, IDIBAPS, Barcelona, Spain
| | - Laura Sanchis
- Department of Cardiology, Cardiovascular Institute, Hospital Clinic, Biomedical Investigation Institute, IDIBAPS, Barcelona, Spain
| | - Manel Sabaté
- Department of Cardiology, Cardiovascular Institute, Hospital Clinic, Biomedical Investigation Institute, IDIBAPS, Barcelona, Spain
| | - Xavier Freixa
- Department of Cardiology, Cardiovascular Institute, Hospital Clinic, Biomedical Investigation Institute, IDIBAPS, Barcelona, Spain.
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