Bibliographic Details
| Title: |
Transcatheter aortic valve implantation for combined aortic and mitral stenoses: Insights from the OCEAN‐TAVI Registry |
| Authors: |
Nahoko Kato, Minoru Tabata, Masahiko Noguchi, Joji Ito, Kotaro Obunai, Hiroyuki Watanabe, Fumiaki Yashima, Shinichi Shirai, Norio Tada, Toru Naganuma, Masahiro Yamawaki, Futoshi Yamanaka, Hiroshi Ueno, Yohei Ohno, Masaki Izumo, Hidetaka Nishina, Masahiko Asami, Yusuke Watanabe, Masanori Yamamoto, Toshiaki Otsuka, Kentaro Hayashida, the OCEAN‐TAVI investigators |
| Source: |
ESC Heart Failure, Vol 11, Iss 6, Pp 4257-4266 (2024) |
| Publisher Information: |
Wiley, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
mitral stenosis, mitral annulus calcification, aortic stenosis, transcatheter aortic valve implantation, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Abstract Aims Mitral stenosis (MS) occasionally coexists with aortic stenosis (AS). Limited data are available regarding the functional class and clinical outcomes of patients who undergo transcatheter aortic valve implantation (TAVI) for combined AS and MS. This study compared the clinical outcomes in patients with and without MS who underwent TAVI for severe AS and assessed the impact of mitral annulus calcification (MAC) severity, transmitral gradient (TMG) and mitral valve area (MVA) on outcomes in patients with combined AS and MS. Methods We investigated patients in the OCEAN‐TAVI registry who underwent TAVI. MS was defined as an MVA ≤ 1.5 cm2 or TMG ≥ 5 mmHg. The composite of all‐cause death and admission for heart failure was compared between patients with and without MS. The impact of MAC, TMG and MVA on outcomes was assessed in patients with combined AS and MS. Results We identified 106 patients with MS (MAC 84%; TMG 6.4 ± 2.6 mmHg; MVA 1.10 ± 0.31 cm2) and 6570 without MS as controls. The MS group was older (85 ± 5 vs. 84 ± 5 years, P = 0.033), more of women (85 vs. 67%, P |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2055-5822 |
| Relation: |
https://doaj.org/toc/2055-5822 |
| DOI: |
10.1002/ehf2.15030 |
| Access URL: |
https://doaj.org/article/081d0fac2d3b4ae7b0d035483422d669 |
| Accession Number: |
edsdoj.081d0fac2d3b4ae7b0d035483422d669 |
| Database: |
Directory of Open Access Journals |
