Transcatheter Mitral Valve Replacement for Degenerated Bioprosthetic Valves and Failed Annuloplasty Rings

被引：260

作者：

Yoon, Sung-Han ^{[1
]}

Whisenant, Brian K. ^{[2
]}

Bleiziffer, Sabine ^{[3
]}

Delgado, Victoria ^{[4
]}

Schofer, Niklas ^{[5
]}

Eschenbach, Lena ^{[3
]}

Fujita, Buntaro ^{[6
]}

Sharma, Rahul ^{[1
]}

Ancona, Marco ^{[7
,8
]}

Yzeiraj, Ermela ^{[9
]}

Cannata, Stefano ^{[10
]}

Barker, Colin ^{[11
]}

Davies, James E. ^{[12
]}

Frangieh, Antonio H. ^{[13
]}

Deuschl, Florian ^{[5
]}

Podlesnikar, Tomaz ^{[4
]}

Asami, Masahiko ^{[14
]}

Dhoble, Abhijeet ^{[15
]}

Chyou, Anthony ^{[16
]}

Masson, Jean-Bernard ^{[17
]}

Wijeysundera, Harindra C. ^{[18
]}

Blackman, Daniel J. ^{[19
]}

Rampat, Rajiv ^{[20
]}

Taramasso, Maurizio ^{[21
]}

Gutierrez-Ibanes, Enrique ^{[22
]}

Chakravarty, Tarun ^{[1
]}

Attizzani, Guiherme F. ^{[23
]}

Kaneko, Tsuyoshi ^{[24
]}

Wong, S. Chiu ^{[16
]}

Sievert, Horst ^{[25
]}

Nietlispach, Fabian ^{[21
]}

Hildick-Smith, David ^{[20
]}

Nombela-Franco, Luis ^{[26
]}

Conradi, Lenard ^{[27
]}

Hengstenberg, Christian ^{[13
,28
]}

Reardon, Michael J. ^{[11
]}

Kasel, Albert Markus ^{[13
]}

Redwood, Simon ^{[10
]}

Colombo, Antonio ^{[7
,8
]}

Kar, Saibal ^{[1
]}

Maisano, Francesco ^{[21
]}

Windecker, Stephan ^{[14
]}

Pilgrim, Thomas ^{[14
]}

Ensminger, Stephan M. ^{[6
]}

Prendergast, Bernard D. ^{[10
]}

Schofer, Joachim ^{[9
]}

Schaefer, Ulrich ^{[5
]}

Bax, Jeroen J. ^{[4
]}

Latib, Azeem ^{[7
,8
]}

Makkar, Raj R. ^{[1
]}

机构：

[1] Cedars Sinai Heart Inst, Dept Intervent Cardiol, Los Angeles, CA USA

[2] Intermt Heart Inst, Div Cardiovasc Dis, Salt Lake City, UT USA

[3] German Heart Ctr, Clin Cardiovasc Surg, Munich, Germany

[4] Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands

[5] Univ Heart Ctr, Dept Gen & Intervent Cardiol, Hamburg, Germany

[6] Ruhr Univ Bochum, Heart & Diabet Ctr NRW, Dept Thorac & Cardiovasc Surg, Bad Oeynhausen, Germany

[7] Osped San Raffaele, EMO GVM Ctr Cuore Columbus, Intervent Cardiol Unit, Milan, Italy

[8] Osped San Raffaele, San Raffaele Sci Inst, Milan, Italy

[9] Hamburg Univ, Cardiovasc Ctr, Hamburg, Germany

[10] St Thomas Hosp, Dept Cardiol, London, England

[11] Houston Methodist DeBakey Heart & Vasc Ctr, Houston, TX USA

[12] Univ Alabama Birmingham, Div Cardiac & Thorac Surg, Birmingham, AL USA

[13] Tech Univ Munich, Deutsch Herzzentrum Munchen, Munich, Germany

[14] Bern Univ Hosp, Dept Cardiol, Bern, Switzerland

[15] Univ Texas Hlth Sci Ctr Houston, Dept Cardiol, Houston, TX 77030 USA

[16] New York Presbyterian Hosp, Greenberg Div Cardiol, Weil Cornell Med, New York, NY USA

[17] Ctr Hosp Univ Montreal, Div Cardiol, Montreal, PQ, Canada

[18] Sunnybrook Hlth Sci Ctr, Div Cardiol, Toronto, ON, Canada

[19] Leeds Teaching Hosp, Cardiol Dept, Leeds, W Yorkshire, England

[20] Brighton & Sussex Univ Hosp NHS Trust, Sussex Cardiac Ctr, Brighton, E Sussex, England

[21] Univ Hosp Zurich, Univ Heart Ctr, Zurich, Switzerland

[22] Hosp Gen Univ Gregorio Maranon, Dept Cardiol, Madrid, Spain

[23] Univ Hosp Case Med Ctr, Valve & Struct Heart Intervent Ctr, Cleveland, OH USA

[24] Brigham & Womens Hosp, Div Cardiac Surg, Boston, MA 02115 USA

[25] Cardiovasc Ctr, Dept Cardiol & Vasc Med, Frankfurt, Germany

[26] Hosp Clinicio San Carlos, Div Cardiol, Madrid, Spain

[27] Univ Heart Ctr Hamburg, Dept Cardiothorac Surg, Hamburg, Germany

[28] German Ctr Cardiovasc Res, Partner Site Munich Heart Alliance, Munich, Germany

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2017年 / 70卷 / 09期

关键词：

annuloplasty ring; degenerated bioprostheses; mitral valve; transcatheter valve implantation; CALCIFIC AORTIC-STENOSIS; TRIAL DESIGN PRINCIPLES; END-POINT DEFINITIONS; IN-VALVE; CONSENSUS DOCUMENT; HEART-VALVES; IMPLANTATION; RISK; THROMBOSIS; REPAIR;

D O I：

10.1016/j.jacc.2017.07.714

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Limited data exist regarding transcatheter mitral valve replacement (TMVR) for patients with failed mitral valve replacement and repair. OBJECTIVES This study sought to evaluate the outcomes of TMVR in patients with failed mitral bioprosthetic valves (valve-in-valve [ViV]) and annuloplasty rings (valve-in-ring [ViR]). METHODS From the TMVR multicenter registry, procedural and clinical outcomes of mitral ViV and ViR were compared according to Mitral Valve Academic Research Consortium criteria. RESULTS A total of 248 patients with mean Society of Thoracic Surgeons score of 8.9 +/- 6.8% underwent TMVR. Transseptal access and the balloon-expandable valve were used in 33.1% and 89.9%, respectively. Compared with 176 patients undergoing ViV, 72 patients undergoing ViR had lower left ventricular ejection fraction (45.6 +/- 17.4% vs. 55.3 +/- 11.1%; p < 0.001). Overall technical and device success rates were acceptable, at 92.3% and 85.5%, respectively. However, compared with the ViV group, the ViR group had lower technical success (83.3% vs. 96.0%; p = 0.001) due to more frequent second valve implantation (11.1% vs. 2.8%; p = 0.008), and lower device success (76.4% vs. 89.2%; p = 0.009) due to more frequent reintervention (16.7% vs. 7.4%; p = 0.03). Mean mitral valve gradients were similar between groups (6.4 +/- 2.3 mm Hg vs. 5.8 +/- 2.7 mm Hg; p = 0.17), whereas the ViR group had more frequent post-procedural mitral regurgitation moderate or higher (19.4% vs. 6.8%; p = 0.003). Furthermore, the ViR group had more frequent life-threatening bleeding (8.3% vs. 2.3%; p = 0.03), acute kidney injury (11.1% vs. 4.0%; p = 0.03), and subsequent lower procedural success (58.3% vs. 79.5%; p = 0.001). The 1-year all-cause mortality rate was significantly higher in the ViR group compared with the ViV group (28.7% vs. 12.6%; log-rank test, p = 0.01). On multivariable analysis, failed annuloplasty ring was independently associated with all-cause mortality (hazard ratio: 2.70; 95% confidence interval: 1.34 to 5.43; p = 0.005). CONCLUSIONS The TMVR procedure provided acceptable outcomes in high-risk patients with degenerated bioprostheses or failed annuloplasty rings, but mitral ViR was associated with higher rates of procedural complications and mid-term mortality compared with mitral ViV. (C) 2017 by the American College of Cardiology Foundation.

引用

页码：1121 / 1131

页数：11

共 50 条

[21] Simultaneous transcatheter valve-in-valve replacement of severely degenerated bioprosthetic aortic and mitral prostheses
Hendrik Wienemann
Victor Mauri
Elmar Kuhn
Stephan Baldus
Matti Adam
Clinical Research in Cardiology, 2022, 111 : 1396 - 1400
[22] Simultaneous transcatheter valve-in-valve replacement of severely degenerated bioprosthetic aortic and mitral prostheses
Wienemann, Hendrik
Mauri, Victor
Kuhn, Elmar
Baldus, Stephan
Adam, Matti
CLINICAL RESEARCH IN CARDIOLOGY, 2022, 111 (12) : 1396 - 1400
[23] Reoperative Surgical Aortic Valve Replacement Versus Transcatheter Valve-in-Valve Replacement for Degenerated Bioprosthetic Aortic Valves
Ejiofor, Julius I.
Yammine, Maroun
Harloff, Morgan T.
McGurk, Siobhan
Muehlschlegel, Jochen D.
Shekar, Prem S.
Cohn, Lawrence H.
Shah, Pinak
Kaneko, Tsuyoshi
ANNALS OF THORACIC SURGERY, 2016, 102 (05): : 1452 - 1458
[24] Early Outcomes of Percutaneous Transvenous Transseptal Transcatheter Valve Implantation in Failed Bioprosthetic Mitral Valves, Ring Annuloplasty, and Severe Mitral Annular Calcification
Eleid, Mackram F.
Whisenant, Brian K.
Cabalka, Allison K.
Williams, Mathew R.
Nejjari, Mohammed
Attias, David
Fam, Neil
Amoroso, Nicholas
Foley, Thomas A.
Pollak, Peter M.
Alli, Oluseun O.
Pislaru, Sorin V.
Said, Sameh M.
Dearani, Joseph A.
Rihal, Charanjit S.
JACC-CARDIOVASCULAR INTERVENTIONS, 2017, 10 (19) : 1932 - 1942
[25] Case report: Transapical transcatheter double valve-in-valve replacement of degenerated aortic and mitral bioprosthetic valves with limited radiopaque landmarks
Zhou, Jiawei
Li, Yuehuan
Zhang, Haibo
FRONTIERS IN CARDIOVASCULAR MEDICINE, 2022, 9
[26] Predicting LVOT Obstruction in Transcatheter Mitral Valve Replacement for Failed Surgical Annuloplasty
Cannata, Stefano
Pasta, Salvatore
Turrisi, Marco
Gentile, Giovanni
Romano, Giuseppe
Raffa, Giuseppe
Pilato, Michele
Gandolfo, Caterina
STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM, 2020, 4 (04): : 342 - 344
[27] Transcatheter mitral valve replacement in failed surgical annuloplasty ring with Impella support
Hachinohe, Daisuke
Horita, Ryo
Sagar, Shah
Ohtake, Ryo
Shitan, Hidemasa
Mizutani, Kazuki
CARDIOVASCULAR INTERVENTION AND THERAPEUTICS, 2025, 40 (02) : 443 - 444
[28] Transcatheter valve-in-valve replacement of degenerated bioprosthetic aortic valves: A single Australian Centre experience
Subban, Vijayakumar
Savage, Michael
Crowhurst, James
Poon, Karl
Incani, Alexander
Aroney, Constantine
Tesar, Peter
Clarke, Andrew
Raffel, Christopher
Murdoch, Dale
Platts, David
Burstow, Darryl
Saireddy, Ramakrishna
Bett, Nicholas
Walters, Darren L.
CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2014, 15 (08) : 388 - 392
[29] TRANSCATHETER VALVE IN VALVE IMPLANTATION FOR FAILED BIOPROSTHETIC HEART VALVES
Wood, David Alexander
Gurvitch, Ronen
Cheung, Anson
Ye, Jian
Leipsic, Jonathon
Horlick, Eric
Rodes-Cabau, Josep
Dumont, Eric
Osten, Mark
Wender, Olaf
Masson, Jean Bernard
Wijesinghe, Namal
Tay, Edgar
Nietlispach, Fabian
Johnson, Mark
Munt, Brad
Moss, Rob
Thompson, Christopher R.
Lichtenstein, Samuel V.
Webb, John G.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 55 (10)
[30] Role of Echocardiography in Transcatheter Mitral Valve Replacement in Native Mitral Valves and Mitral Rings
Mackensen, G. Burkhard
Lee, James C.
Wang, Dee Dee
Pearson, Paul J.
Blanke, Philipp
Dvir, Danny
Kirkpatrick, James N.
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2018, 31 (04) : 475 - 490

← 1 2 3 4 5 →