Incidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: insights from the VIVID registry

• Autor(a) principal: Ribeiro, Henrique B.
• Data de Publicação: 2018
• Outros Autores: Rodes-Cabau, Josep, Blanke, Philipp, Leipsic, Jonathon, Park, Jong Kwan, Bapat, Vinayak, Makkar, Raj, Simonato, Matheus [UNIFESP], Barbanti, Marco, Schofer, Joachim, Bleiziffer, Sabine, Latib, Azeem, Hildick-Smith, David, Presbitero, Patrizia, Windecker, Stephan, Napodano, Massimo, Cerillo, Alfredo G., Abdel-Wahab, Mohamed, Tchetche, Didier, Fiorina, Claudia, Sinning, Jan-Malte, Cohen, Mauricio G., Guerrero, Mayra E., Whisenant, Brian, Nietlispach, Fabian, Palma, Jose Honorio [UNIFESP], Nombela-Franco, Luis, de Weger, Arend, Kass, Malek, de Brito, Fabio Sandoli, Jr., Lemos, Pedro A., Kornowski, Ran, Webb, John, Dvir, Danny
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1093/eurheartj/ehx455; https://repositorio.unifesp.br/handle/11600/54118
• topic: Transcatheter aortic valve replacement; Prior surgical bioprosthesis; Coronary obstruction; Coronary occlusion; Valve-in-valve

Aims There are limited data on coronary obstruction following transcatheter valve-in-valve (ViV) implantation inside failed aortic bioprostheses. The objectives of this study were to determine the incidence, predictors, and clinical outcomes of coronary obstruction in transcatheter ViV procedures. Methods and results A total of 1612 aortic procedures from the Valve-in-Valve International Data (VIVID) Registry were evaluated. Data were subject to centralized blinded corelab computed tomography (CT) analysis in a subset of patients. The virtual transcatheter valve to coronary ostium distance (VTC) was determined. A total of 37 patients (2.3%) had clinically evident coronary obstruction. Baseline clinical characteristics in the coronary obstruction patients were similar to controls. Coronary obstruction was more common in stented bioprostheses with externally mounted leaflets or stentless bioprostheses than in stented with internally mounted leaflets bioprostheses (6.1% vs. 3.7% vs. 0.8%, respectively