Title :

Long-term outcomes of transcatheter pulmonary valve implantation with melody and SAPIEN valves.

Author(s) :

Houeijeh, Ali [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hôpital Marie-Lannelongue
Batteux, Clement [Auteur]
Hôpital Marie-Lannelongue
Karsenty, Clement [Auteur]
Hôpital Marie-Lannelongue
Ramdane, Nassima [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lecerf, Florence [Auteur]
Hôpital Marie-Lannelongue
Valdeolmillos, Estibaliz [Auteur]
Hôpital Marie-Lannelongue
Lourtet-Hascoet, Julie [Auteur]
Groupe Hospitalier Paris Saint-Joseph [hpsj]
Cohen, Sarah [Auteur]
Hôpital Marie-Lannelongue
Belli, Emre [Auteur]
Hôpital Marie-Lannelongue
Petit, Jérôme [Auteur]
Hôpital Marie-Lannelongue
Hascoët, Sébastien [Auteur]
Hôpital Marie-Lannelongue

Journal title :

International Journal of Cardiology

Abbreviated title :

Int J Cardiol

Publication date :

2022-10-26

ISSN :

1874-1754

English keyword(s) :

Pulmonary valve
Infective endocarditis
Melody
SAPIEN
Congenital heart disease

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Background Transcatheter pulmonary valve implantation (TPVI) is effective for treating right ventricle outflow tract (RVOT) dysfunction. Factors associated with long-term valve durability remain to be investigated. Met ...
Show more >Background Transcatheter pulmonary valve implantation (TPVI) is effective for treating right ventricle outflow tract (RVOT) dysfunction. Factors associated with long-term valve durability remain to be investigated. Methods Consecutive patients successfully treated by TPVI with Melody valves (n = 32) and SAPIEN valves (n = 182) between 2008 and 2020 at a single tertiary centre were included prospectively and monitored. Results The 214 patients had a median age of 28 years (range, 10–81). The RVOT was a patched native pulmonary artery in 96 (44.8%) patients. Median follow-up was 2.8 years (range, 3 months–11.4 years). Secondary pulmonary valve replacement (sPVR) was performed in 23 cases (10.7%), due to stenosis (n = 22, 95.7%) or severe regurgitation (n = 1, 4.3%), yielding an incidence of 7.6/100 patient-years with melody valves and 1.3/100 patient-years with SAPIEN valves (P = 0.06). The 5- and 10-year sPVR-freedom rates were 78.1% and 50.4% with Melody vs. 94.3% and 82.2% with SAPIEN, respectively (P = 0.06). The incidence of infective endocarditis (IE) was 5.5/100 patient-years with Melody and 0.2/100 patient-years with SAPIEN (P < 0.0001). Factors associated with sPVR by univariate analysis were RV obstruction before TPVI (P = 0.04), transpulmonary maximal velocity > 2.7 m/s after TPVI (p = 0.0005), valve diameter ≤ 22 mm (P < 0.003), IE (P < 0.0001), and age < 25 years at TPVI (P = 0.04). By multivariate analysis adjusted for IE occurrence, transpulmonary maximal velocity remained associated with sPVR. Conclusions TPVI is effective for treating RVOT dysfunction. Incidence of sPVR is higher in patients with residual RV obstruction or IE. IE add a substantial risk of TPVI graft failure and is mainly linked to the Melody valve. Social media abstract Transcatheter pulmonary valve implantation is effective for treating right ventricular outflow tract dysfunction in patients with congenital heart diseases. Incidence of secondary valve replacement is higher in patients with residual obstruction or infective endocarditis.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T03:08:30Z
2024-01-16T09:14:08Z