Impact of Aortic Root Anatomy and Geometry on Paravalvular Leak in Transcatheter Aortic Valve Replacement With Extremely Large Annuli Using the Edwards SAPIEN 3 Valve. (Record no. 3613)

MARC details
000 -LEADER
fixed length control field 03685nam a22003737a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180730s20182018 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1936-8798
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jcin.2018.03.034 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1936-8798(18)30829-X [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 29960755
245 ## - TITLE STATEMENT
Title Impact of Aortic Root Anatomy and Geometry on Paravalvular Leak in Transcatheter Aortic Valve Replacement With Extremely Large Annuli Using the Edwards SAPIEN 3 Valve.
251 ## - Source
Source Jacc: Cardiovascular Interventions. 11(14):1377-1387, 2018 Jul 23.
252 ## - Abbreviated Source
Abbreviated source JACC Cardiovasc Interv. 11(14):1377-1387, 2018 Jul 23.
253 ## - Journal Name
Journal name JACC. Cardiovascular interventions
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2018
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
266 ## - Date added to catalog
Date added to catalog 2018-07-30
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2008 - present
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: The largest recommended annular area for the 29-mm S3 is 683 mm<sup>2</sup>. However, experience with S3 TAVR in annuli >683 mm<sup>2</sup> has not been widely reported.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: TAVR with the 29-mm S3 valve beyond the recommended range by overexpansion is safe, with acceptable PVL and pacemaker rates. Larger LVOTs and more eccentric annuli were associated with more PVL. Longer term follow-up will be needed to determine durability of S3 TAVR in this population.
520 ## - SUMMARY, ETC.
Abstract Copyright (c) 2018 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract METHODS: From December 2013 to July 2017, 74 patients across 16 centers with mean area 721 +/- 38 mm<sup>2</sup> (range: 684 to 852 mm<sup>2</sup>) 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.
520 ## - SUMMARY, ETC.
Abstract 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.
520 ## - SUMMARY, ETC.
Abstract 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 overfilling (1 to 5 ml extra) in 70% of patients. Implantation depth averaged 22.3 +/- 12.4% at the noncoronary cusp and 20.7 +/- 9.9% at the left coronary cusp. New left bundle branch block occurred in 17%, and 6.3% required new permanent pacemakers. Thirty-day echocardiography showed mild PVL in 22.3%, 6.9% moderate, and none severe. There was no annular rupture or coronary obstruction. Mild or greater PVL was associated with larger maximum annular and left ventricular outflow tract (LVOT) diameters, larger LVOT area and perimeter, LVOT area greater than annular area, and higher annular eccentricity.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Thourani, Vinod H
790 ## - Authors
All authors Abramowitz Y, Ahmad H, Amoroso N, Anwaruddin S, Attinger-Toller A, Babaliaros V, Basra SS, Desai ND, Don CW, Gafoor S, George I, Herrmann HC, Hirji SA, Htun NM, Jagasia D, Jilaihawi H, Kamioka N, Kaneko T, Kapadia SR, Kaple R, Khalique OK, Kini AS, Kodali SK, Kozina JA, Krishnaswamy A, Leon MB, Mack MJ, Maeno Y, Makkar RR, Mathur M, Mick SL, Rodes-Cabau J, Salemi A, Shah P, Sharma K, Sharma R, Szerlip MA, Tan CW, Tang GHL, Thourani VH, Webb JG, Wong SC, Zaid S, Zhang M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jcin.2018.03.034">https://dx.doi.org/10.1016/j.jcin.2018.03.034</a>
Public note https://dx.doi.org/10.1016/j.jcin.2018.03.034
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/30/2018   29960755 29960755 07/30/2018 07/30/2018 Journal Article

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