Authors
Gilbert HL Tang, Syed Zaid, Isaac George, Omar K Khalique, Yigal Abramowitz, Yoshio Maeno, Raj R Makkar, Hasan Jilaihawi, Norihiko Kamioka, Vinod H Thourani, Vasilis Babaliaros, John G Webb, Nay M Htun, Adrian Attinger-Toller, Hasan Ahmad, Ryan Kaple, Kapil Sharma, Joseph A Kozina, Tsuyoshi Kaneko, Pinak Shah, Sameer A Hirji, Nimesh D Desai, Saif Anwaruddin, Dinesh Jagasia, Howard C Herrmann, Sukhdeep S Basra, Molly A Szerlip, Michael J Mack, Moses Mathur, Christina W Tan, Creighton W Don, Rahul Sharma, Sameer Gafoor, Ming Zhang, Samir R Kapadia, Stephanie L Mick, Amar Krishnaswamy, Nicholas Amoroso, Arash Salemi, S Chiu Wong, Annapoorna S Kini, Josep Rodés-Cabau, Martin B Leon, Susheel K Kodali
Publication date
2018/7/16
Journal
JACC: Cardiovascular Interventions
Volume
11
Issue
14
Pages
1377-1387
Publisher
JACC: Cardiovascular Interventions
Description
Objectives
The aim of this study was to determine factors affecting paravalvular leak (PVL) in transcatheter aortic valve replacement (TAVR) with the Edwards SAPIEN 3 (S3) valve in extremely large annuli.
Background
The largest recommended annular area for the 29-mm S3 is 683 mm2. However, experience with S3 TAVR in annuli >683 mm2 has not been widely reported.
Methods
From December 2013 to July 2017, 74 patients across 16 centers with mean area 721 ± 38 mm2 (range: 684 to 852 mm2) underwent S3 TAVR. The transfemoral approach was used in 95%, and 39% were under conscious sedation. Patient, anatomic, and procedural characteristics were retrospectively analyzed. Valve Academic Research Consortium–2 outcomes were reported.
Results
Procedural success was 100%, with 2 deaths, 1 stroke, and 2 major vascular complications at 30 days. Post-dilatation occurred in 32%, with final balloon …
Scholar articles
GHL Tang, S Zaid, I George, OK Khalique… - JACC: Cardiovascular Interventions, 2018