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Procedural and clinical outcomes of patients undergoing a TAVI in TAVI procedure: Rationale and design of the multicentre, prospective, observational ReTAVI registry

R. Parma, M. Joner, F. Saia, T. Cuisset, V. Delgado, J. Rodes-Cabau, T. Modine, E. Van Belle, LN. Fovino, U. Landes, HA. Alvarez-Covarrubias, M. Abdel-Wahab, JL. Zamorano, M. Eden, F. Cademartiri, JN. Skipirzepa, J. Kurucova, D. Greinert, P....

. 2024 ; 54 (9) : e14241. [pub] 20240520

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, pozorovací studie, multicentrická studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc24019175

Grantová podpora
Edwards Lifesciences

BACKGROUND: Transcatheter aortic valve implantation (TAVI) is increasingly being used in younger patients and those with lower peri-procedural risk, meaning more patients will live long enough to experience structural valve deterioration (SVD) of the bioprosthesis, indicating repeated TAVI. Experience of repeated TAVI-transcatheter heart valve (THV) implantation into an index THV is limited. This registry aims to assess the peri-procedural and short-term safety, efficacy and durability of repeated TAVI. METHODS: The ReTAVI Prospective observational registry is an investigator-initiated, multicentre, international, prospective registry of patients undergoing repeated TAVI using balloon-expandable SAPIEN prosthesis to evaluate procedural and short-term safety, efficacy and durability as well as anatomical and procedural factors associated with optimal results. The registry will enrol at least 150 patients across 60 high-volume centres. Patients must be ≥18 years old, have had procedural success with their first TAVI, have index THV device failure, intend to undergo repeated TAVI and be considered suitable candidates by their local Heart Team. All patients will undergo a 30-day and 12-month follow-up. The estimated study completion is 2025. CONCLUSIONS: The registry will collect pre-, peri-, postoperative and 12-months data on patients undergoing repeated TAVI procedures with THVs for failure of the index THV and determine VARC-3-defined efficacy and safety at 30 days and functional outcome at 12 months. The registry will expand existing data sets and identify patient characteristics/indicators related to complications and clinical benefits for patients with symptomatic severe calcific degenerative aortic stenosis.

Aix Marseille Université INSERM INRA C2VN and Faculté de Médecine Marseille France

Cardiology Unit Cardio Thoraco Vascular Department Policlinico S Orsola Malpighia University Hospital of Bologn Bologna Italy

Département de Cardiologie Centre Hospitalier Universitaire de Timone Marseille France

Department of Cardiac Thoracic Vascular Sciences and Public Health University of Padua Medical School Padua Italy

Department of Cardiology and Structural Heart Diseases Medical University of Silesia Katowice Poland

Department of Cardiology Deutsches Herzzentrum München Technical University of Munich Munich Germany

Department of Cardiology Hopital Haut Levêque Centre Hospitalier Universitaire de Bordeaux Bordeaux France

Department of Cardiology Quebec Heart and Lung Institute Laval University Québec Canada

Department of Cardiology Rabin Medical Center Petah Tikva Israel

Department of Cardiology University Hospital Germans Trias i Pujol Badalona Spain

Department of Internal Medicine Cardiology Heart Center Leipzig at University of Leipzig Leipzig Germany

Department of Radiology Fondazione Monasterio CNR Pisa Italy

DZHK partner site Munich Heart Alliance Munich Germany

Edwards Lifesciences Prague Czech Republic

Heidelberg University Clinic Department Internal Medicine 3 Heidelberg Germany

Interventional Cardiology Centre Hospitalier Universitaire de Lille Lille France

IPPMed Institute for Pharmacology and Preventive Medicine GmbH Cloppenburg Germany

University Hospital Ramón y Cajal Head of Cardiology Madrid Spain

Citace poskytuje Crossref.org

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