دورية أكاديمية

Outcomes After Transcatheter Mitral Valve Replacement According to Regurgitation Etiology.

التفاصيل البيبلوغرافية
العنوان: Outcomes After Transcatheter Mitral Valve Replacement According to Regurgitation Etiology.
المؤلفون: Perrin N; Montreal Heart Institute, Montreal, Quebec, Canada., Ben-Ali W; Montreal Heart Institute, Montreal, Quebec, Canada., Ludwig S; University Heart and Vascular Center Hamburg, Hamburg, Germany; German Center for Cardiovascular Research (DZHK): Partner site Hamburg/Kiel/Lübeck, Hamburg, Germany., Duncan A; Department of Cardiology, Royal Brompton Hospital, London, United Kingdom., Weimann J; University Heart and Vascular Center Hamburg, Hamburg, Germany., Nickenig G; Heart Center Bonn, Bonn, Germany., Tanaka T; Heart Center Bonn, Bonn, Germany., Coisne A; Department of Cardiology, Centre Hospitalier Universitaire de Lille, Lille, France., Vincentelli A; Department of Cardiology, Centre Hospitalier Universitaire de Lille, Lille, France., Makkar R; Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California., Webb JG; Department of Cardiology, St Paul's Hospital, Vancouver, British Columbia, Canada., Akodad M; Department of Cardiology, St Paul's Hospital, Vancouver, British Columbia, Canada., Muller DWM; Department of Cardiology, St Vincent's Hospital, Sydney, New South Wales, Australia., Jansz P; Department of Cardiology, St Vincent's Hospital, Sydney, New South Wales, Australia., Praz F; Department of Cardiology, Bern University Hospital, Bern, Switzerland., Reineke D; Department of Cardiology, Bern University Hospital, Bern, Switzerland., Wild MG; Department of Cardiology, Bern University Hospital, Bern, Switzerland; Ludwig Maximilian University of Munich, Munich, Germany., Hausleiter J; Ludwig Maximilian University of Munich, Munich, Germany., Goel SS; Department of Cardiology, Houston Methodist Hospital, Houston, Texas., Denti P; Department of Cardiac Surgery, Ospedale San Raffaele, Milan, Italy., Chehab O; Department of Cardiology, St Thomas' Hospital, London, United Kingdom., Dahle G; Department of Cardiac Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway., Baldus S; Department of Cardiology, University Hospital of Cologne, Cologne, Germany., Ruge H; German Heart Center Munich, Munich, Germany., Kaneko T; Department of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts., Ternacle J; Department of Cardiac Surgery, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France., Dumonteil N; Clinique Pasteur, Toulouse, France., von Bardeleben RS; Heart Center of the University Medical Center Mainz, Mainz, Germany., Flagiello M; Department of Cardiac Surgery, Louis Pradel Cardiologic Hospital, Lyon, France., Walther T; Department of Cardiology, Frankfurt University Hospital, Frankfurt, Germany., Taramasso M; HerzZentrum Hirslanden, Zürich, Switzerland; CardioCentro, Lugano, Switzerland., Søndergaard L; Department of Cardiology, Rigshospitalet, Copenhagen, Denmark., Bleiziffer S; Heart and Diabetes Center NRW, Bad Oeynhausen, Germany., Fam N; Department of Cardiology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada., Kempfert J; German Heart Center Berlin, Berlin, Germany., Granada JF; Cardiovascular Research Foundation, New York, New York., Tang GHL; Department of Cardiac Surgery, Mount Sinai Hospital, New York, New York., Conradi L; German Center for Cardiovascular Research (DZHK): Partner site Hamburg/Kiel/Lübeck, Hamburg, Germany., Modine T; Department of Cardiac Surgery, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France. Electronic address: thomasmodine@gmail.com.
مؤلفون مشاركون: CHOICE-MI Investigators
المصدر: The Annals of thoracic surgery [Ann Thorac Surg] 2024 May; Vol. 117 (5), pp. 958-964. Date of Electronic Publication: 2023 Sep 17.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier
Original Publication: Boston.
مواضيع طبية MeSH: Mitral Valve Insufficiency*/surgery , Mitral Valve Insufficiency*/etiology , Heart Valve Prosthesis Implantation*/methods , Heart Valve Prosthesis Implantation*/adverse effects , Cardiac Catheterization*/methods, Humans ; Male ; Female ; Aged ; Treatment Outcome ; Aged, 80 and over ; Registries ; Mitral Valve/surgery ; Mitral Valve/diagnostic imaging ; Follow-Up Studies ; Retrospective Studies ; Middle Aged
مستخلص: Background: Whether transcatheter mitral valve replacement (TMVR) devices perform similarly with respect to the underlying mitral regurgitation (MR) etiology remains unknown. The aim of the present analysis was to assess outcomes of TMVR according to the MR underlying etiology among the CHoice of OptImal transCatheter trEatment for Mitral Insufficiency (CHOICE-MI) registry.
Methods: Of 746 patients, 229 patients (30.7%) underwent TMVR. The study population was subdivided according to primary, secondary, or mixed MR. Patients with mitral annular calcification were excluded. The primary study endpoint was a composite endpoint of all-cause mortality or hospitalization for heart failure at 1 year. Secondary study endpoints were all-cause and cardiovascular mortality at 1 year, New York Heart Association functional class, and residual MR, both at discharge and 1 year.
Results: The predominant MR etiology was secondary MR (58.4%), followed by primary MR (28.7%) and mixed MR (12.9%). Technical success and procedural mortality were similar according to MR etiology. Discharge echocardiography revealed residual MR 2+ in 11.3%, 3.7%, and 5.3% of patients with primary, secondary, and mixed MR, respectively (P = .1). MR elimination was similar in all groups up to the 1-year follow-up. There was no difference in terms of primary combined outcome occurrence according to MR etiology. One-year all-cause mortality was reported in 28.8%, 24.2%, and 32.1% of patients with primary, secondary, and mixed MR, respectively (P = .07).
Conclusions: In our study we did not find differences in short-term and 1-year outcomes after TMVR according to MR etiology.
(Copyright © 2024 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20230917 Date Completed: 20240426 Latest Revision: 20240426
رمز التحديث: 20240427
DOI: 10.1016/j.athoracsur.2023.08.033
PMID: 37717882
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-6259
DOI:10.1016/j.athoracsur.2023.08.033