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  • Outcomes of Transcatheter T...
    Taggart, Nathaniel W.; Cabalka, Allison K.; Eicken, Andreas; Aboulhosn, Jamil A.; Thomson, John D.R.; Whisenant, Brian; Bocks, Martin L.; Schubert, Stephan; Jones, Thomas K.; Asnes, Jeremy D.; Fagan, Thomas E.; Meadows, Jeffery; Hoyer, Mark; Martin, Mary H.; Ing, Frank F.; Turner, Daniel R.; Latib, Azeem; Tzifa, Aphrodite; Windecker, Stephan; Goldstein, Bryan H.; Delaney, Jeffrey W.; Kuo, James A.; Foerster, Susan; Gillespie, Matthew; Butera, Gianfranco; Shahanavaz, Shabana; Horlick, Eric; Boudjemline, Younes; Dvir, Daniel; McElhinney, Doff B.

    The American journal of cardiology, 01/2018, Letnik: 121, Številka: 2
    Journal Article

    We sought to describe the acute results and short- to medium-term durability of transcatheter tricuspid valve-in-valve (TVIV) implantation within surgical bioprostheses among patients with Ebstein anomaly (EA). Cases were identified from a voluntary, multicenter, international registry of 29 institutions that perform TVIV. Demographic, clinical, procedural, and follow-up data were analyzed. Eighty-one patients with EA underwent TVIV from 2008 to 2016. Thirty-four patients (42%) were New York Heart Association (NYHA) class 3/4 at time of TVIV. The most common indication for TVIV was the presence of moderate or severe tricuspid regurgitation (40%). Most patients received a Melody valve (64%). TVIV was ultimately successful in all patients, and there was no procedural mortality. Four patients (5%) developed acute valve thrombosis, 4 patients (5%) developed endocarditis, and 9 patients (11%) developed valve dysfunction not related to thrombosis or endocarditis. Eight patients (10%) underwent reintervention (2 transcatheter, 6 surgical) due to thrombosis (3), endocarditis (2), other valve dysfunction (2), and patient-prosthesis mismatch without valve dysfunction (1). Among 69 patients who were alive without reintervention at latest follow-up, 96% of those with NYHA status reported were class 1/2, a significant improvement from baseline (62% NYHA class 1/2, p <0.001). In conclusion, transcatheter TVIV offers a low-risk, minimally invasive alternative to surgical tricuspid valve re-replacement in patients with EA and a failing tricuspid valve bioprosthesis.