Valvular & structural heart disease

Transcatheter Aortic Valve Replacement for Pure Native Aortic Valve Regurgitation: The PANTHEON International Project

JACC Cardiovasc IntervPublished Retrospective cohort study

Authors' conclusion

Despite improved THV platforms and techniques, TAVR for pure severe NAVR remains a challenging procedure, with significant risk for TVEM. SE and BE platforms demonstrated comparable performance in this setting.

Study context

Population
Patients undergoing transcatheter aortic valve replacement (TAVR) with currently available devices for pure severe native aortic valve regurgitation (NAVR)
Participants
201 patients
Exposure
SE vs BE new-generation transcatheter heart valves (THVs) for TAVR
Outcome
Technical and device success; composite of all-cause mortality and HF rehospitalization
Follow-up
1 year (composite)

Main finding

As reported in the abstract

Overall technical success

83.6%

Overall device success

76.1%

Observational data: associations, not effects.

Further findings

Residual moderate or greater aortic regurgitation

P = 0.87

OutcomeP value
Composite of all-cause mortality and HF rehospitalization, TVEM vs no TVEM · 1 yearP = 0.05
  • Composite of all-cause mortality and HF rehospitalization, TVEM vs no TVEM: TVEM 25.7%
  • Composite of all-cause mortality and HF rehospitalization, TVEM vs no TVEM: No TVEM 15.8%

Safety

Acute transcatheter valve embolization or migration (TVEM)

P = 0.47

Original publication

Transcatheter Aortic Valve Replacement for Pure Native Aortic Valve Regurgitation: The PANTHEON International Project. JACC Cardiovasc Interv. Published 28 August 2023. doi:10.1016/j.jcin.2023.07.026

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