Valvular & structural heart disease

Long-term outcomes of measured and predicted prosthesis-patient mismatch following transcatheter aortic valve replacement

EuroInterventionPublished Prospective registry cohort study

Main finding · 10-year all-cause mortalityResult — go to the resultAdjusted hazard ratio 0.73 95% CI 0.55–0.96

Authors' conclusion

We observed no increased risk of death in patients with PPM over a median follow-up time of 429 days.

Study context

Population
Patients undergoing transcatheter aortic valve replacement (TAVR) in a prospective registry
Participants
2,463 patients
Exposure
Prosthesis-patient mismatch (PPM) vs no PPM, by measured or predicted EOAi
Outcome
All-cause mortality
Follow-up
10 years (median 429 days)

Main finding

10-year all-cause mortality · median follow-up 429 days

Adjusted hazard ratio

0.73

95% CI 0.55–0.96

Predicted PPMTHV vs No PPM
adjusted HR 0.73 (95% CI 0.55–0.96)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeMeasured PPMPredicted PPMTHVPredicted PPMCTNo PPM
Frequency of PPM by definition
Moderate27.0%11.3%12.0%Not reported in the abstractNo PPM: not reported in the abstract
Severe8.7%1.2%0.1%Not reported in the abstractNo PPM: not reported in the abstract

Original publication

Long-term outcomes of measured and predicted prosthesis-patient mismatch following transcatheter aortic valve replacement. EuroIntervention. Published 17 November 2023. doi:10.4244/eij-d-23-00456

Summarised from the published abstract; every number is checked against it

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