Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus

Matsuhiro, Yutaka; Mizote, Isamu; Nakamura, Daisuke; Dohi, Tomoharu; Maeda, Koichi; Shimamura, Kazuo; Kawamura, Ai; Yamashita, Kizuku; Kosugi, Shumpei; Okuno, Shota; Sugae, Hiroki; Takeda, Yasuharu; Sakata, Yasushi

doi:https://doi.org/10.1002/ccd.31415

Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus

Matsuhiro, Yutaka; Mizote, Isamu; Nakamura, Daisuke et al.

Catheterization and Cardiovascular Interventions, 2025

Number of Access:224（2025-05-30 00:43 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/100541

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Title	Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus
Creator	ORCID 0000-0002-5229-6857 0000-0002-5229-6857 CreatorName Matsuhiro, Yutaka
	NRID 1000010584609 1000010584609 researchmap permalink mizoteisamu mizoteisamu Scopus Author ID 8266113500 8266113500 CreatorName Mizote, Isamu
	NRID 1000030869970 1000030869970 researchmap permalink daifromn0525 daifromn0525 CreatorName Nakamura, Daisuke
	NRID 1000090838137 1000090838137 researchmap permalink dohi_1230 dohi_1230 Scopus Author ID 35071263000 35071263000 CreatorName Dohi, Tomoharu
	NRID 1000050644994 1000050644994 researchmap permalink koichi-maeda koichi-maeda Scopus Author ID 55318832600 55318832600 CreatorName Maeda, Koichi
	NRID 1000010507205 1000010507205 researchmap permalink kazuo-shimamura kazuo-shimamura Scopus Author ID 35969640700 35969640700 CreatorName Shimamura, Kazuo
	NRID 1000010838923 1000010838923 researchmap permalink a-kawamura a-kawamura Scopus Author ID 56414159900 56414159900 CreatorName Kawamura, Ai
	NRID 1000060778661 1000060778661 researchmap permalink ky_osaka-u_2020 ky_osaka-u_2020 Scopus Author ID 57188740592 57188740592 CreatorName Yamashita, Kizuku
	ORCID 0000-0002-0274-5052 0000-0002-0274-5052 CreatorName Kosugi, Shumpei
	researchmap permalink okunoshota okunoshota CreatorName Okuno, Shota
	CreatorName Sugae, Hiroki
	NRID 1000090572305 1000090572305 researchmap permalink takeda14 takeda14 Scopus Author ID 35398343900 35398343900 CreatorName Takeda, Yasuharu
	NRID 1000000397671 1000000397671 ORCID 0000-0002-5618-4721 0000-0002-5618-4721 researchmap permalink C4589 C4589 Scopus Author ID 35395964700 35395964700 CreatorName Sakata, Yasushi
Subject	bioprosthetic valve failure
	small aortic annulus
	structural valve deterioration
	transcatheter aortic valve replacement
Description	Matsuhiro Y., Mizote I., Nakamura D., et al. Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus. Catheterization and Cardiovascular Interventions, (2025); https://doi.org/10.1002/ccd.31415.
Abstract	Background: The long-term valve durability of supra-annular self-expanding valves (SEV) and intra-annular balloon-expandable valves (BEV) in patients with small aortic annuli remains unexplored. Aims: This study aimed to determine the long-term bioprosthetic valve durability with SEV versus BEV in patients with small aortic annuli. Methods: This retrospective study included patients with severe aortic stenosis (AS) and an aortic annulus area of 430 mm2 or less who underwent transcatheter aortic valve replacement using SEV and BEV between October 2009 and December 2022. Based on the Valve Academic Research Consortium's three definitions, the endpoints were hemodynamic structural valve deterioration (SVD) and bioprosthetic valve failure (BVF). Inverse probability of treatment weighting (IPTW) was used to compare between the two groups and adjust for baseline characteristics. The Fine-Gray subdistribution hazard model accounted for the competing risk of death. Results: In total, 565 patients (204 treated with SEV and 361 treated with BEV) were included. The median follow-up duration was 3.6 years [2.0 years, 5.7 years], and the maximum was 12.3 years. Hemodynamic SVD and BVF were less frequently identified in the SEV group than in the BEV group (1.1% vs. 9.1% within 5 years, 0.7% vs. 8.1% within 5 years, respectively). On the IPTW adjusted Fine-Gray subdistribution hazard model analysis, hemodynamic SVD was less frequent in SEV compared with BEV (Hazard Ratio [HR]: 0.16; 95% Confidence Interval [CI]: 0.04–0.56, p = 0.004). SEV was also associated with a lower BVF risk than BEV (HR: 0.25; 95% CI: 0.08–0.76, p = 0.015). Conclusions: SEV appears to be more suitable for long-term valve durability in patients with a small aortic annulus.
Publisher	John Wiley and Sons Inc
Source Title	Catheterization and Cardiovascular Interventions
Date of Issued	2025-01-20
Language	English
Handle URL	https://hdl.handle.net/11094/100541
PISSN	15221946
eISSN	1522726X
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1002/ccd.31415
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

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Local Type	Journal Article
DCTERMS.bibliographicCitation	Catheterization and Cardiovascular Interventions. 2025
DC.title	Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus
DC.creator	Matsuhiro, Yutaka
	Mizote, Isamu
	Nakamura, Daisuke
	Dohi, Tomoharu
	Maeda, Koichi
	Shimamura, Kazuo
	Kawamura, Ai
	Yamashita, Kizuku
	Kosugi, Shumpei
	Okuno, Shota
	Sugae, Hiroki
	Takeda, Yasuharu
	Sakata, Yasushi
DC.publisher	John Wiley and Sons Inc
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-01-20
DC.identifier	https://doi.org/10.1002/ccd.31415
DC.subject	bioprosthetic valve failure
	small aortic annulus
	structural valve deterioration
	transcatheter aortic valve replacement
DC.description	Matsuhiro Y., Mizote I., Nakamura D., et al. Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus. Catheterization and Cardiovascular Interventions, (2025); https://doi.org/10.1002/ccd.31415.
DCTERMS.abstract	Background: The long-term valve durability of supra-annular self-expanding valves (SEV) and intra-annular balloon-expandable valves (BEV) in patients with small aortic annuli remains unexplored. Aims: This study aimed to determine the long-term bioprosthetic valve durability with SEV versus BEV in patients with small aortic annuli. Methods: This retrospective study included patients with severe aortic stenosis (AS) and an aortic annulus area of 430 mm2 or less who underwent transcatheter aortic valve replacement using SEV and BEV between October 2009 and December 2022. Based on the Valve Academic Research Consortium's three definitions, the endpoints were hemodynamic structural valve deterioration (SVD) and bioprosthetic valve failure (BVF). Inverse probability of treatment weighting (IPTW) was used to compare between the two groups and adjust for baseline characteristics. The Fine-Gray subdistribution hazard model accounted for the competing risk of death. Results: In total, 565 patients (204 treated with SEV and 361 treated with BEV) were included. The median follow-up duration was 3.6 years [2.0 years, 5.7 years], and the maximum was 12.3 years. Hemodynamic SVD and BVF were less frequently identified in the SEV group than in the BEV group (1.1% vs. 9.1% within 5 years, 0.7% vs. 8.1% within 5 years, respectively). On the IPTW adjusted Fine-Gray subdistribution hazard model analysis, hemodynamic SVD was less frequent in SEV compared with BEV (Hazard Ratio [HR]: 0.16; 95% Confidence Interval [CI]: 0.04–0.56, p = 0.004). SEV was also associated with a lower BVF risk than BEV (HR: 0.25; 95% CI: 0.08–0.76, p = 0.015). Conclusions: SEV appears to be more suitable for long-term valve durability in patients with a small aortic annulus.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
DC.format	100541
citation_title	Long-Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra-Annular Self-Expanding Versus Intra-Annular Balloon-Expandable Valves in Patients With a Small Aortic Annulus
citation_author	Matsuhiro, Yutaka
	Mizote, Isamu
	Nakamura, Daisuke
	Dohi, Tomoharu
	Maeda, Koichi
	Shimamura, Kazuo
	Kawamura, Ai
	Yamashita, Kizuku
	Kosugi, Shumpei
	Okuno, Shota
	Sugae, Hiroki
	Takeda, Yasuharu
	Sakata, Yasushi
citation_publisher	John Wiley and Sons Inc
citation_language	English
citation_date	2025-01-20
citation_journal_title	Catheterization and Cardiovascular Interventions
citation_doi	https://doi.org/10.1002/ccd.31415
citation_public_url	https://hdl.handle.net/11094/100541