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Previously implanted mitral surgical prosthesis in patients undergoing transcatheter aortic valve implantation: Procedural outcome and morphologic assessment using multidetector computed tomography


Autoři: Makoto Tanaka aff001;  Ryo Yanagisawa aff001;  Fumiaki Yashima aff001;  Takahide Arai aff001;  Masahiro Jinzaki aff002;  Hideyuki Shimizu aff003;  Keiichi Fukuda aff001;  Yusuke Watanabe aff004;  Toru Naganuma aff005;  Shinichi Shirai aff006;  Motoharu Araki aff007;  Norio Tada aff008;  Futoshi Yamanaka aff009;  Akihiro Higashimori aff010;  Kensuke Takagi aff011;  Hiroshi Ueno aff012;  Minoru Tabata aff013;  Kazuki Mizutani aff014;  Masanori Yamamoto aff015;  Kentaro Hayashida aff001
Působiště autorů: Department of Cardiology, Keio University School of Medicine, Tokyo, Japan aff001;  Department of Radiology, Keio University School of Medicine, Tokyo, Japan aff002;  Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan aff003;  Department of Cardiology, Teikyo University School of Medicine, Tokyo, Japan aff004;  Department of Cardiology, New Tokyo Hospital, Matsudo, Japan aff005;  Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan aff006;  Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan aff007;  Department of Cardiology, Sendai Kousei Hospital, Sendai, Japan aff008;  Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan aff009;  Department of Cardiology, Kishiwada Tokushukai Hospital, Kishiwada, Japan aff010;  Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan aff011;  Second Department of Internal Medicine, University of Toyama, Toyama, Japan aff012;  Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan aff013;  Department of Cardiovascular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan aff014;  Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan aff015
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0226512

Souhrn

Transcatheter aortic valve implantation (TAVI) in the presence of a preexisting mitral prosthesis is challenging and its influence on the morphology of mitral prosthesis and the positioning of transcatheter heart valve (THV) is unknown. We assessed the feasibility of TAVI for patients with preexisting mitral prostheses, its influence on mitral prosthesis morphology, and the positional interaction between a newly implanted THV and mitral prosthesis using serial multidetector computed tomography (MDCT). Thirty-one patients with preexisting mitral prosthesis undergoing TAVI were included. MDCT was performed before and after TAVI. Thirty patients successfully underwent TAVI without interference from preexisting mitral prosthesis. Although opening disturbance of the mechanical mitral prosthesis by the THV edge was observed in 1 patient, the patient was managed conservatively. No THV embolization occurred. THV shift during deployment occurred in 9 patients and was predicted by a larger aortic annulus area (odds ratio: 1.24 per 10 mm2, 1.03–1.49, p = 0.02), possibly because of large THVs. The mitral mean pressure gradient was slightly higher after TAVI (3.7 vs. 4.3 mmHg, p = 0.002), whereas the mitral regurgitation grade was similar. MDCT showed that the size of the mitral prosthesis housing was unchanged after TAVI. The median distance between the mitral prosthesis and THV was 2.6 mm. The postprocedural angle between the mitral prosthesis and THV was larger than the preprocedural angle between the mitral prosthesis and the left ventricular outflow tract (64° vs. 61°, p = 0.03). Thus, TAVI is feasible in the case of preexisting mitral prosthesis. Serial MDCT demonstrated favorable THV positioning and unchanged mitral prosthesis morphology after TAVI.

Klíčová slova:

Aortic valve – Blood pressure – Computed axial tomography – Medical implants – Prosthetics – Surgical and invasive medical procedures – Systolic pressure


Zdroje

1. Kapadia SR, Leon MB, Makkar RR, Tuzcu EM, Svensson LG, Kodali S, et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385: 2485–2491. doi: 10.1016/S0140-6736(15)60290-2 25788231

2. Mack MJ, Leon MB, Smith CR, Miller DC, Moses JW, Tuzcu EM, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385: 2477–2484. doi: 10.1016/S0140-6736(15)60308-7 25788234

3. Leon MB, Smith CR, Mack MJ, Makkar RR, Svensson LG, Kodali SK, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med. 2016;374: 1609–1620. doi: 10.1056/NEJMoa1514616 27040324

4. Soon JL, Ye J, Lichtenstein SV, Wood D, Webb JG, Cheung A. Transapical transcatheter aortic valve implantation in the presence of a mitral prosthesis. J Am Coll Cardiol. 2011;58: 715–721. doi: 10.1016/j.jacc.2011.04.023 21816307

5. Bruschi G, De Marco F, Barosi A, Colombo P, Botta L, Nonini S, et al. Self-expandable transcatheter aortic valve implantation for aortic stenosis after mitral valve surgery. Interact Cardiovasc Thorac Surg. 2013;17: 90–95. doi: 10.1093/icvts/ivt086 23537849

6. Amat-Santos IJ, Cortes C, Nombela Franco L, Muñoz-García AJ, Suárez De Lezo J, Gutiérrez-Ibañes E, et al. Prosthetic mitral surgical valve in transcatheter aortic valve replacement recipients: A multicenter analysis. JACC Cardiovasc Interv. 2017;10: 1973–1981. doi: 10.1016/j.jcin.2017.07.045 28982562

7. Acar B, Kuyumcu S, Aydin S, Kara M, Karakurt M, Ozeke O, et al. Fatal prosthetic mitral valve encroachment during transcatheter aortic valve implantation. Int J Cardiol. 2015;182: 235–236. doi: 10.1016/j.ijcard.2014.12.125 25594924

8. Testa L, Gelpi G, Bedogni F. Transcatheter aortic valve implantation in a patient with mechanical mitral prosthesis: a lesson learned from an intraventricular clash. Catheter Cardiovasc Interv. 2013;82: E621–625. doi: 10.1002/ccd.24948 23592397

9. Asil S, Şahiner L, Özer N, Kaya EB, Evranos B, Canpolat U, et al. Transcatheter aortic valve implantation in patients with a mitral prosthesis; single center experience and review of literature. Int J Cardiol. 2016;221: 390–395. doi: 10.1016/j.ijcard.2016.07.051 27404712

10. Zacharoulis A, Antoniades A, Frogoudaki A, Kolokathis F, Lekakis J. TAVR in patients with aortic stenosis and mechanical mitral valve. Int J Cardiol. 2015;180: 226–227. doi: 10.1016/j.ijcard.2014.11.130 25463373

11. Moon SW, Ko YG, Hong GR, Lee S, Chang BC, Shim JK, et al. Transcatheter aortic valve implantation in a patient with previous mitral valve replacement. Korean Circ J. 2014;44: 344–347. doi: 10.4070/kcj.2014.44.5.344 25278988

12. Latsios G, Toutouzas K, Tousoulis D, Synetos A, Stathogiannis K, Mastrokostopoulos A, et al. TAVI with the self-expandable 29 mm core valve prosthesis in a patient with a metallic mitral valve. Int J Cardiol. 2014;175: e4–5. doi: 10.1016/j.ijcard.2014.04.038 24841835

13. Nazeri I, Abdi S, Mandegar MH, Roshanali F, Shahabi P. Transfemoral transcatheter aortic valve implantation in the presence of mitral and tricuspid prostheses. JACC Cardiovasc Interv. 2012;5: e29–30. doi: 10.1016/j.jcin.2012.06.018 23078745

14. Barbanti M, Ussia GP, Latib A, De Marco F, Fiorina C, Santoro G, et al. Transcatheter aortic valve implantation in patients with mitral prosthesis. J Am Coll Cardiol. 2012;60: 1841–1842. doi: 10.1016/j.jacc.2012.07.037 23099216

15. Dumonteil N, Marcheix B, Berthoumieu P, Massabuau P, Dieye E, Decramer I, et al. Transfemoral aortic valve implantation with pre-existent mechanical mitral prosthesis: evidence of feasibility. JACC Cardiovasc Interv. 2009;2: 897–898. doi: 10.1016/j.jcin.2009.05.023 19778782

16. Bruschi G, De Marco F, Oreglia J, Colombo P, Fratto P, Lullo F, et al. Percutaneous implantation of CoreValve aortic prostheses in patients with a mechanical mitral valve. Ann Thorac Surg. 2009;88: e50–52. doi: 10.1016/j.athoracsur.2009.07.028 19853076

17. Mizutani K, Hara M, Iwata S, Murakami T, Shibata T, Yoshiyama M, et al. Elevation of B-type natriuretic peptide at discharge is associated with 2-year mortality after transcatheter aortic valve replacement in patients with severe aortic stenosis: Insights from a multicenter prospective OCEAN-TAVI (Optimized Transcatheter Valvular Intervention-Transcatheter Aortic Valve Implantation) registry. J Am Heart Assoc. 2017;6: e006112. doi: 10.1161/JAHA.117.006112 28710182

18. Watanabe Y, Kozuma K, Hioki H, Kawashima H, Nara Y, Kataoka A, et al. Pre-existing right bundle branch block increases risk for death after transcatheter aortic valve replacement with a balloon-expandable valve. JACC Cardiovasc Interv. 2016;9: 2210–2216. doi: 10.1016/j.jcin.2016.08.035 27832846

19. Piazza N, de Jaegere P, Schultz C, Becker AE, Serruys PW, Anderson RH. Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv. 2008;1: 74–81. doi: 10.1161/CIRCINTERVENTIONS.108.780858 20031657

20. Kappetein AP, Head SJ, Genereux P, Piazza N, van Mieghem NM, Blackstone EH, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. J Am Coll Cardiol. 2012;60: 1438–1454. doi: 10.1016/j.jacc.2012.09.001 23036636

21. Tay EL, Gurvitch R, Wijeysinghe N, Nietlispach F, Leipsic J, Wood DA, et al. Outcome of patients after transcatheter aortic valve embolization. JACC Cardiovasc Interv. 2011;4: 228–234. doi: 10.1016/j.jcin.2010.10.010 21349463

22. Katz M, Carlos Bacelar Nunes Filho A, Caixeta A, Antonio Carvalho L, Sarmento-Leite R, Alves Lemos Neto P, et al. Gender-related differences on short- and long-term outcomes of patients undergoing transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2017;89: 429–436. doi: 10.1002/ccd.26658 27468953

23. Sun Y, Liu X, Chen Z, Fan J, Jiang J, He Y, et al. Meta-analysis of predictors of early severe bleeding in patients who underwent transcatheter aortic valve implantation. Am J Cardiol. 2017;120: 655–661. doi: 10.1016/j.amjcard.2017.05.035 28668263

24. Wang J, Yu W, Jin Q, Li Y, Liu N, Hou X, et al. Risk Factors for post-TAVI bleeding according to the VARC-2 bleeding definition and effect of the bleeding on short-term mortality: A meta-analysis. Can J Cardiol. 2017;33: 525–534. doi: 10.1016/j.cjca.2016.12.001 28256429

25. Chrissoheris M, Ziakas A, Chalapas A, Chadjimiltiades S, Styliades I, Karvounis C, et al. Acute invasive hemodynamic effects of transcatheter aortic valve replacement. J Heart Valve Dis. 2016;25: 162–172. 27989060

26. Essandoh M, Tang J, Gorelik L. Increased mitral gradient after transcatheter aortic valve replacement: Is it anatomic mitral valve obstruction or related to hemodynamics? J Cardiothorac Vasc Anesth. 2018;32: 598–599. doi: 10.1053/j.jvca.2017.02.045 28506459


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