Transcatheter Aortic Valve Implantation with ACURATE


Journal

Journal of interventional cardiology
ISSN: 1540-8183
Titre abrégé: J Interv Cardiol
Pays: United States
ID NLM: 8907826

Informations de publication

Date de publication:
2022
Historique:
received: 02 11 2021
revised: 18 03 2022
accepted: 03 05 2022
entrez: 14 7 2022
pubmed: 15 7 2022
medline: 16 7 2022
Statut: epublish

Résumé

The PROGRESS PVL registry evaluated transcatheter aortic valve implantation (TAVI) in patients treated with ACURATE While clinical outcomes with TAVI are comparable with those achieved with surgery, residual aortic regurgitation (AR) and paravalvular leak (PVL) are common complications. The ACURATE The primary endpoint was the rate of total AR over time, as assessed by a core echocardiographic laboratory. The study enrolled 500 patients (mean age: 81.8 ± 5.1 years; 61% female; mean baseline STS score: 6.0 ± 4.5%) from 22 centers in Europe and Canada; 498 patients were treated with ACURATE The rate of ≥ moderate AR was 4.6% at discharge and 3.1% at 12 months; the rate of ≥ moderate PVL was 4.6% at discharge and 2.6% at 12 months. Paired analyses showed significant improvement in overall PVL between discharge and 12 months ( Results from PROGRESS PVL support the sustained safety and performance of TAVI with the ACURATE

Sections du résumé

Objectives UNASSIGNED
The PROGRESS PVL registry evaluated transcatheter aortic valve implantation (TAVI) in patients treated with ACURATE
Background UNASSIGNED
While clinical outcomes with TAVI are comparable with those achieved with surgery, residual aortic regurgitation (AR) and paravalvular leak (PVL) are common complications. The ACURATE
Methods UNASSIGNED
The primary endpoint was the rate of total AR over time, as assessed by a core echocardiographic laboratory. The study enrolled 500 patients (mean age: 81.8 ± 5.1 years; 61% female; mean baseline STS score: 6.0 ± 4.5%) from 22 centers in Europe and Canada; 498 patients were treated with ACURATE
Results UNASSIGNED
The rate of ≥ moderate AR was 4.6% at discharge and 3.1% at 12 months; the rate of ≥ moderate PVL was 4.6% at discharge and 2.6% at 12 months. Paired analyses showed significant improvement in overall PVL between discharge and 12 months (
Conclusions UNASSIGNED
Results from PROGRESS PVL support the sustained safety and performance of TAVI with the ACURATE

Identifiants

pubmed: 35832535
doi: 10.1155/2022/9138403
pmc: PMC9252754
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

9138403

Informations de copyright

Copyright © 2022 Won-Keun Kim et al.

Déclaration de conflit d'intérêts

Dr. Kim reports personal fees from Boston Scientific, Edwards Lifesciences, Abbott, Medtonic, and Meril, outside the submitted work. Dr. Thiele has nothing to disclose. Dr. Linke reports grants from Novartis and Edwards Lifesciences, personal fees from Medtronic, Abbott, Edwards Lifesciences, Boston Scientific, Astra Zeneca, Novartis, Pfizer, Abiomed, Bayer, and Boehringer, and other from Picardia, Transverse Medical, and Claret Medical, outside the submitted work. Dr. Kuntze reports grants from Edwards, outside the submitted work. Dr. Fichtlscherer has nothing to disclose. Dr. Webb reports personal fees from Edwards Lifesciences, outside the submitted work. Dr. Chu reports personal fees from Medtronic, Edwards Lifesciences, Boston Scientific, Abbott Vascular, Terumo Aortic, and Cryolife, outside the submitted work. Dr. Adam reports grants and personal fees from Medtronic and personal fees from Boston Scientific and Edwards Lifesciences, outside the submitted work. Dr Schymik has nothing to disclose. Dr. Geisler reports grants from Edwards Lifesciences and Medtronic, outside the submitted work. Dr. Kharbanda reports grants and personal fees from Boston Scientific, outside the submitted work. Drs. Christen and Allocco are employees and shareholders of Boston Scientific.

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Auteurs

Won-Keun Kim (WK)

Department of Cardiology and Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.

Holger Thiele (H)

Department of Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.

Axel Linke (A)

Department of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, Dresden, Germany.

Thomas Kuntze (T)

Department of Cardiology, Heart Centre, Central Clinic in Bad Berka, Bad Berka, Germany.

Stephan Fichtlscherer (S)

Department of Internal Medicine, Division of Cardiology, Johann W. Goethe University, Frankfurt, Germany.

John Webb (J)

Centre for Heart Valve Innovation, St. Paul's and Vancouver General Hospitals, University of British Columbia, Vancouver, British Columbia, Canada.

Michael W A Chu (MWA)

Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.

Matti Adam (M)

Clinic for Cardiology, University Hospital Cologne, Cologne, Germany.

Gerhard Schymik (G)

Medical Clinic IV, Department of Cardiology, Municipal Hospital Karlsruhe, Karlsruhe, Baden-Württemberg, Germany.

Tobias Geisler (T)

Department of Cardiology and Angiology, University Hospital Tübingen, Tübingen, Germany.

Rajesh Kharbanda (R)

Oxford Heart Centre, John Radcliffe Hospital, Oxford, UK.

Thomas Christen (T)

Boston Scientific, Marlborough, MA, USA.

Dominic Allocco (D)

Boston Scientific, Marlborough, MA, USA.

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Classifications MeSH