Valvular & structural heart disease

Ventricular Arrhythmias After Self-Expanding Transcatheter Pulmonary Valve Replacement: A Report From the SERVE Registry

JACC Clin ElectrophysiolPublished multicenter SERVE registry

Authors' conclusion

This large multicenter registry study of the natural history of VA after SETPV implantation showed VA to be frequent during the procedural admission, with Alterra patients having more VA than Harmony patients. VA burden decreased to lower than baseline at 6 months in Harmony patients and to baseline in Alterra patients.

Study context

Population
Patients with a native or surgically repaired right ventricular outflow tract undergoing self-expanding transcatheter pulmonary valve implantation at 25 U.S. centers
Participants
513 SETPV implants
Exposure
Alterra vs Harmony
  • Alterran = 154
  • Harmonyn = 359
Outcome
VA during the procedural admission
Follow-up
Procedural admission

Main finding

As reported in the abstract

P = 0.014

Observational data: associations, not effects.

Further findings

OutcomeHarmonyAlterra
Predicted probability of VA burden vs baseline · 6 monthschange from baseline −6% (95% CI −10%–-2%)
PP < 0.001P = 0.53
  • Predicted probability of VA burden vs baseline: decreased below baseline for Harmony; to baseline for Alterra

Baseline characteristics

Median age
28 years (Q1-Q3: 17-44 years)
No difference in baseline VA by valve type

Original publication

Ventricular Arrhythmias After Self-Expanding Transcatheter Pulmonary Valve Replacement: A Report From the SERVE Registry. JACC Clin Electrophysiol. Published March 2026. doi:10.1016/j.jacep.2026.02.007

Composed by AI from the published abstract and checked against it. How Briefs are made →

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