1
|
Monsuez JJ, Gatzov P, Ferreira-Gonzalez I, Alfonso F, Gatzov P, Aschermann M, Badran HM, Cardim N, Cohen A, De La Torre Hernandez JM, Erol C, Held C, Heusch G, Lancellotti P, Piek J, Sanchis J, Undas A, Ural D, Alfonso F, Ferreira-Gonzalez I. Coronary interventions 2021: insights from the National Societies of Cardiology Journals of the European Society of Cardiology. Eur Heart J 2023; 44:251-253. [PMID: 36478051 DOI: 10.1093/eurheartj/ehac679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Affiliation(s)
- Jean-Jacques Monsuez
- Cardiology, Hôpital René Muret, Hôpitaux Universitaires de Paris Seine Saint-Denis, Avenue du docteur Schaeffner, France
| | - Plamen Gatzov
- Department of Cardiology, Medical University of Pleven, 1, Kl. Ohridski Street, Pleven, Bulgaria
| | - Ignacio Ferreira-Gonzalez
- Cardiology Department, Vall d'Hebron Hospital, and Universitat Autònoma de Barcelona, CIBERESP, Spain
| | - Fernando Alfonso
- Servicio de Cardiología, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Spain
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
2
|
Amat-Santos IJ, Cortés C, Nombela Franco L, Muñoz-García AJ, Suárez De Lezo J, Gutiérrez-Ibañes E, Serra V, Larman M, Moreno R, De La Torre Hernandez JM, Puri R, Jimenez-Quevedo P, Hernández García JM, Alonso-Briales JH, García B, Lee DH, Rojas P, Sevilla T, Goncalves R, Vera S, Gómez I, Rodés-Cabau J, San Román JA. Prosthetic Mitral Surgical Valve in Transcatheter Aortic Valve Replacement Recipients: A Multicenter Analysis. JACC Cardiovasc Interv 2018; 10:1973-1981. [PMID: 28982562 DOI: 10.1016/j.jcin.2017.07.045] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Revised: 07/13/2017] [Accepted: 07/19/2017] [Indexed: 12/27/2022]
Abstract
OBJECTIVES The aim of this study was to determine the prognosis and specific complications of patients with prosthetic mitral valves (PMVs) undergoing transcatheter aortic valve replacement (TAVR). BACKGROUND TAVR is performed relatively often in patients with PMVs, but specific risks are not well described. METHODS A multicenter analysis was conducted, including patients with severe symptomatic aortic stenosis who underwent TAVR at 10 centers. Patients' clinical characteristics and outcomes were evaluated according to the presence of a PMV. RESULTS The mean age of the study population (n = 2,414) was 81 ± 8 years, and 48.8% were men. A total of 91 patients (3.77%) had PMVs. They were more commonly women, younger, and had higher surgical risk. PMVs were implanted a median of 14 years before TAVR, and most patients had mechanical prostheses (73.6%). Eighty-six patients (94.5%) were on long-term vitamin K inhibitor therapy, and bridging antithrombotic therapy was administered in 59 (64.8%). TAVR device embolization occurred in 6.7% (vs. 3.3% in the non-PMV group; p = 0.127), in all instances when distance between the PMV and the aortic annulus was <7 mm. Mortality rates did not show a difference, but the rate of bleeding was higher in patients with PMV (24.2% vs. 16.1%; p = 0.041), even in those treated via the transfemoral approach (22.2% vs. 13.9%; p = 0.048). Indeed, bleeding complications, prior atrial fibrillation, chronic obstructive pulmonary disease, surgical risk, and New York Heart Association functional class were independent predictors of mortality. CONCLUSIONS TAVR presents similar mortality irrespective of the presence of a PMV. However, patients with PMVs had higher bleeding risk that was independently associated with higher mortality. Risk for valve embolization was relatively high, but it occurred only in patients with PMV-to-aortic annulus distances <7 mm.
Collapse
Affiliation(s)
| | - Carlos Cortés
- Institute of Heart Sciences, Hospital Clínico Universitario, Valladolid, Spain
| | | | | | | | | | - Vicenç Serra
- Hospital Universitario Vall D'Hebron, Barcelona, Spain
| | | | - Raúl Moreno
- Hospital Universitario La Paz, Madrid, Spain
| | | | - Rishi Puri
- Institute Universitaire de Cardiologie et Pneumologie de Quebec, Ville de Québec, Québec, Canada; Department of Medicine, University of Adelaide, Australia; Cleveland Clinic Coordinating Center for Clinical Research, Cleveland, Ohio
| | | | | | | | - Bruno García
- Hospital Universitario Vall D'Hebron, Barcelona, Spain
| | - Dae-Hyun Lee
- Hospital Universitario Marques de Valdecilla, Santander, Spain
| | - Paol Rojas
- Institute of Heart Sciences, Hospital Clínico Universitario, Valladolid, Spain
| | - Teresa Sevilla
- CIBERCV, Hospital Clínico Universitario, Valladolid, Spain
| | | | - Silvio Vera
- Institute of Heart Sciences, Hospital Clínico Universitario, Valladolid, Spain
| | - Itziar Gómez
- CIBERCV, Hospital Clínico Universitario, Valladolid, Spain
| | - Josep Rodés-Cabau
- Institute Universitaire de Cardiologie et Pneumologie de Quebec, Ville de Québec, Québec, Canada
| | | |
Collapse
|
3
|
Lee DH, Corada BA, De La Torre Hernandez JM, Milagros J, Delgado G, Garcia Camarero T, De Miguel IO, Laso FS, Zueco Gil J. Safety in a Very Long Term Follow-up (> 5 Years) of a Cut-off Value of 6 mm2 for the Minimal Lumen Area of Intermediate Left Main Coronary Artery Lesions. Am J Cardiol 2013. [DOI: 10.1016/j.amjcard.2013.01.106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|