Comparison of Outcomes After One-Versus-Two Transcatheter Aortic Valve Implantation During a Same Procedure (from the FRANCE2 Registry)

Analysis of the causes, outcomes, and mortality of patients with severe symptomatic aortic stenosis requiring the implantation of 2 valves during transcatheter aortic valve implantation was conducted from the French Aortic National CoreValve and Edwards 2 (FRANCE2) registry. Pre- and postprocedural...

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Bibliographic Details
Published in:The American journal of cardiology 2015-05, Vol.115 (9), p.1273-1280
Main Authors: Clerfond, Guillaume, MD, Pereira, Bruno, PhD, Innorta, Andrea, MD, Motreff, Pascal, MD, PhD, Gilard, Martine, MD, PhD, Laskar, Marc, MD, PhD, Eltchaninoff, Helene, MD, PhD, Iung, Bernard, MD, PhD, Leprince, Pascal, MD, PhD, Teiger, Emmanuel, MD, PhD, Chevreul, Karine, MD, Prat, Alain, MD, PhD, Lievre, Michel, MD, Leguerrier, Alain, MD, PhD, Donzeau-Gouge, Patrick, MD, Fajadet, Jean, MD, Souteyrand, Géraud, MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - surgery
Cardiology
Cardiovascular
Confidence intervals
Coronary vessels
Female
Follow-Up Studies
Heart attacks
Heart surgery
Heart Valve Prosthesis
Humans
Hypertension
Male
Medical prognosis
Morbidity
Mortality
Multivariate analysis
Population
Prostheses
Prosthesis Failure
Registries
Retrospective Studies
Survival Rate
Transcatheter Aortic Valve Replacement
Treatment Outcome
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Summary:Analysis of the causes, outcomes, and mortality of patients with severe symptomatic aortic stenosis requiring the implantation of 2 valves during transcatheter aortic valve implantation was conducted from the French Aortic National CoreValve and Edwards 2 (FRANCE2) registry. Pre- and postprocedural data from 3,919 patients from January 2010 to December 2011 (CoreValve or Edwards) were collated and analyzed. Characteristics of patients requiring immediate second valve procedures were compared with those of the other patients. The 72 patients (1.8%) who underwent implantation of a second valve were studied. Indications were device malpositioning (72%) and embolization (28%). Clinical and echocardiographic characteristics of patients receiving 2 valves were comparable with those of the other patients. The 2-year survival rate was 51.7% for patients with 2 valves as opposed to 62.3% for those with 1 valve (p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2015.01.560