دورية أكاديمية

Temporal Trends, Characteristics, and Outcomes of Infective Endocarditis After Transcatheter Aortic Valve Replacement.

التفاصيل البيبلوغرافية
العنوان: Temporal Trends, Characteristics, and Outcomes of Infective Endocarditis After Transcatheter Aortic Valve Replacement.
المؤلفون: Del Val D; Quebec Heart and Lung Institute, Laval University, Quebec City, Canada., Abdel-Wahab M; Heart Center Leipzig at University of Leipzig, Leipzig, Germany.; Heart Center, Segeberger Kliniken, Bad Segeberg, Germany., Linke A; Heart Center Leipzig at University of Leipzig, Leipzig, Germany.; Herzzentrum Dresden, Technische Universität Dresden, Dresden, Germany., Durand E; Hôpital Charles Nicolle, University of Rouen, Rouen, France., Ihlemann N; Righospitalet, Copenhagen, Denmark., Urena M; Bichat Hôpital, Paris, France., Pellegrini C; Deutsches Herzzentrum München, Munich, Germany., Giannini F; Ospedale San Raffaele, Milan, Italy.; Maria Cecilia Hospital, GVM Care and Research, Cotignola RA, Italy., Landt M; Heart Center, Segeberger Kliniken, Bad Segeberg, Germany., Auffret V; Centre Hospitalier Universitaire de Rennes, Rennes, France., Sinning JM; Heart Center Bonn, Bonn, Germany., Cheema A; St Michaels Hospital, Toronto, Canada.; Southlake Regional Health Centre, Newmarket, Canada., Nombela-Franco L; Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain., Chamandi C; Hôpital Européen Georges Pompidou, Paris, France., Campelo-Parada F; Hôpital Rangueil, Toulouse, France., Munoz-Garcia A; Hospital Universitario Virgen de la Victoria, Malaga, Spain., Herrmann HC; Hospital of the University of Pennsilvania, Philadelphia, Pennsylvania, USA., Testa L; IRCCS Pol San Donato, Milan, Italy., Won-Keun K; Kerckhoff Klinik, Bad Nauheim, Germany., Castillo JC; Hospital Universitario Reina Sofia, Cordoba, Spain., Alperi A; Hospital Universitario Central de Asturias, Oviedo, Spain., Tchetche D; Clinique Pasteur, Toulouse, France., Bartorelli A; Centro Cardiologico Monzino, IRCCS, University of Milan, Italy., Kapadia S; Cleveland Clinic, Cleveland, Ohio, USA., Stortecky S; Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Switzerland., Amat-Santos I; CIBERCV, Hospital Clinico Universitario de Valladolid, Valladolid, Spain., Wijeysundera HC; Sunnybrook Health Science Center, Toronto, Canada., Lisko J; Emory University School of Medicine, Atlanta, Georgia, USA., Gutiérrez-Ibanes E; Instituto de Investigación Universitaria Gregorio Marañón, Hospital Gregorio Marañón, Madrid, Spain., Serra V; Hospital Vall d'Hebron, Barcelona, Spain., Salido L; Hospital Universitario Ramón y Cajal, Madrid, Spain., Alkhodair A; St Paul's Hospital, Vancouver, Canada., Livi U; University Hospital of Udine, Udine, Italy., Chakravarty T; Cedars-Sinai Heart Institute, Los Angeles, California, USA., Lerakis S; Emory University School of Medicine, Atlanta, Georgia, USA.; Mount Sinai Hospital, New York, New York, USA., Vilalta V; Hospital Germans Trias i Pujol, Badalona, Spain., Regueiro A; Hospital Clinic, Barcelona, Spain., Romaguera R; Hospital de Bellvitge, L'Hospitalet de Llobregat, Spain., Barbanti M; A.O.U. Policlinico Vittorio Emanuele, University of Catania, Catania, Italy., Masson JB; Centre Hospitalier de l'Universite de Montreal, Montreal, Canada., Maes F; Cliniques Universitaires Saint-Luc, Brussels, Belgium., Fiorina C; ASST-Spedali Civili di Brescia, Brescia, Italy., Miceli A; Fondazione Toscana G. Monasterio, Massa, Italy.; Istituto Clinico Sant'Ambrogio, Milan, Italy., Kodali S; Columbia University Medical Center, New York, New York, USA., Ribeiro HB; Instituto do Coração (Incor), Heart Institute, University of São Paulo, Sao Paulo, Brazil., Mangione JA; Hospital Beneficencia Portuguesa, Sao Paulo, Brazil., de Brito FS; Instituto do Coração (Incor), Heart Institute, University of São Paulo, Sao Paulo, Brazil., Actis Dato GM; Ospedale Mauriziano, Torino, Italy., Rosato F; Azienda Ospedaliera Santa Croce e Carle, Cuneo, Italy., Ferreira MC; Hospital Naval Marcilio Dias, Rio de Janeiro, Brazil., Lima VC; Hospital Sao Francisco-Santa Clara, Porto Alegre, Brazil., Colafranceschi AS; Hospital Pró-cardíaco, Rio de Janeiro, Brazil., Abizaid A; Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil., Marino MA; Hospital Madre Teresa, Belo Horizonte, Brazil., Esteves V; Hospital Sao Luiz, São Paulo, Brazil., Andrea J; Clínica Sao Vicente, Rio de Janeiro, Brazil., Godinho RR; Hospital Samaritano Paulista, São Paulo, Brazil., Eltchaninoff H; Hôpital Charles Nicolle, University of Rouen, Rouen, France., Søndergaard L; Righospitalet, Copenhagen, Denmark., Himbert D; Bichat Hôpital, Paris, France., Husser O; Deutsches Herzzentrum München, Munich, Germany.; St-Johannes-Hospital, Dortmund, Germany., Latib A; Ospedale San Raffaele, Milan, Italy.; Montefiore Medical Center, New York, New York, USA., Le Breton H; Centre Hospitalier Universitaire de Rennes, Rennes, France., Servoz C; Hôpital Rangueil, Toulouse, France., Pascual I; Hospital Universitario Central de Asturias, Oviedo, Spain., Siddiqui S; Clinique Pasteur, Toulouse, France., Olivares P; Centro Cardiologico Monzino, IRCCS, University of Milan, Italy., Hernandez-Antolin R; Hospital Universitario Ramón y Cajal, Madrid, Spain., Webb JG; St Paul's Hospital, Vancouver, Canada., Sponga S; University Hospital of Udine, Udine, Italy., Makkar R; Cedars-Sinai Heart Institute, Los Angeles, California, USA., Kini AS; Mount Sinai Hospital, New York, New York, USA., Boukhris M; Centre Hospitalier de l'Universite de Montreal, Montreal, Canada., Mangner N; Heart Center Leipzig at University of Leipzig, Leipzig, Germany.; Herzzentrum Dresden, Technische Universität Dresden, Dresden, Germany., Crusius L; Heart Center Leipzig at University of Leipzig, Leipzig, Germany.; Herzzentrum Dresden, Technische Universität Dresden, Dresden, Germany., Holzhey D; Heart Center Leipzig at University of Leipzig, Leipzig, Germany., Rodés-Cabau J; Quebec Heart and Lung Institute, Laval University, Quebec City, Canada.
المصدر: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [Clin Infect Dis] 2021 Dec 06; Vol. 73 (11), pp. e3750-e3758.
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: United States NLM ID: 9203213 Publication Model: Print Cited Medium: Internet ISSN: 1537-6591 (Electronic) Linking ISSN: 10584838 NLM ISO Abbreviation: Clin Infect Dis Subsets: MEDLINE
أسماء مطبوعة: Publication: Jan. 2011- : Oxford : Oxford University Press
Original Publication: Chicago, IL : The University of Chicago Press, c1992-
مواضيع طبية MeSH: Endocarditis*/epidemiology , Endocarditis*/etiology , Endocarditis*/surgery , Endocarditis, Bacterial*/epidemiology , Endocarditis, Bacterial*/etiology , Endocarditis, Bacterial*/surgery , Transcatheter Aortic Valve Replacement*/adverse effects, Humans ; Incidence ; Postoperative Complications/epidemiology ; Risk Factors ; Treatment Outcome
مستخلص: Background: Procedural improvements combined with the contemporary clinical profile of patients undergoing transcatheter aortic valve replacement (TAVR) may have influenced the incidence and outcomes of infective endocarditis (IE) following TAVR. We aimed to determine the temporal trends, characteristics, and outcomes of IE post-TAVR.
Methods: Observational study including 552 patients presenting definite IE post-TAVR. Patients were divided in 2 groups according to the timing of TAVR (historical cohort [HC]: before 2014; contemporary cohort [CC]: after 2014).
Results: Overall incidence rates of IE were similar in both cohorts (CC vs HC: 5.45 vs 6.52 per 1000 person-years; P = .12), but the rate of early IE was lower in the CC (2.29‰ vs 4.89‰, P < .001). Enterococci were the most frequent microorganism. Most patients presented complicated IE ( CC: 67.7%; HC: 69.6%; P = .66), but the rate of surgical treatment remained low (CC: 20.7%; HC: 17.3%; P = .32). The CC exhibited lower rates of in-hospital acute kidney injury (35.1% vs 44.6%; P = .036) and in-hospital (26.6% vs 36.4%; P = .016) and 1-year (37.8% vs 53.5%; P < .001) mortality. Higher logistic EuroScore, Staphylococcus aureus etiology, and complications (stroke, heart failure, and acute renal failure) were associated with in-hospital mortality in multivariable analyses (P < .05 for all).
Conclusions: Although overall IE incidence has remained stable, the incidence of early IE has declined in recent years. The microorganism, high rate of complications, and very low rate of surgical treatment remained similar. In-hospital and 1-year mortality rates were high but progressively decreased over time.
(© The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.)
معلومات مُعتمدة: Fundación Alfonso Martin Escudero
فهرسة مساهمة: Keywords: TAVR; infective endocarditis; prosthetic valve endocarditis; transcatheter aortic valve replacement
تواريخ الأحداث: Date Created: 20210318 Date Completed: 20220314 Latest Revision: 20220314
رمز التحديث: 20231215
DOI: 10.1093/cid/ciaa1941
PMID: 33733675
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-6591
DOI:10.1093/cid/ciaa1941