Infective Endocarditis After Transcatheter Versus Surgical Aortic Valve Replacement
© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
BACKGROUND: Scarce data are available comparing infective endocarditis (IE) following surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR). This study aimed to compare the clinical presentation, microbiological profile, management, and outcomes of IE after SAVR versus TAVR.
METHODS: Data were collected from the "Infectious Endocarditis after TAVR International" (enrollment from 2005 to 2020) and the "International Collaboration on Endocarditis" (enrollment from 2000 to 2012) registries. Only patients with an IE affecting the aortic valve prosthesis were included. A 1:1 paired matching approach was used to compare patients with TAVR and SAVR.
RESULTS: A total of 1688 patients were included. Of them, 602 (35.7%) had a surgical bioprosthesis (SB), 666 (39.5%) a mechanical prosthesis, 70 (4.2%) a homograft, and 350 (20.7%) a transcatheter heart valve. In the SAVR versus TAVR matched population, the rate of new moderate or severe aortic regurgitation was higher in the SB group (43.4% vs 13.5%; P < .001), and fewer vegetations were diagnosed in the SB group (62.5% vs 82%; P < .001). Patients with an SB had a higher rate of perivalvular extension (47.9% vs 27%; P < .001) and Staphylococcus aureus was less common in this group (13.4% vs 22%; P = .033). Despite a higher rate of surgery in patients with SB (44.4% vs 27.3%; P < .001), 1-year mortality was similar (SB: 46.5%; TAVR: 44.8%; log-rank P = .697).
CONCLUSIONS: Clinical presentation, type of causative microorganism, and treatment differed between patients with an IE located on SB compared with TAVR. Despite these differences, both groups exhibited high and similar mortality at 1-year follow-up.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:78 |
|---|---|
| Enthalten in: |
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America - 78(2024), 1 vom: 25. Jan., Seite 179-187 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Panagides, Vassili [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Heart surgery |
|---|
| Anmerkungen: |
Date Completed 29.01.2024 Date Revised 29.03.2024 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1093/cid/ciad464 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM36052429X |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM36052429X | ||
| 003 | DE-627 | ||
| 005 | 20240331000641.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/cid/ciad464 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1357.xml |
| 035 | |a (DE-627)NLM36052429X | ||
| 035 | |a (NLM)37552784 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Panagides, Vassili |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Infective Endocarditis After Transcatheter Versus Surgical Aortic Valve Replacement |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 29.01.2024 | ||
| 500 | |a Date Revised 29.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a BACKGROUND: Scarce data are available comparing infective endocarditis (IE) following surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR). This study aimed to compare the clinical presentation, microbiological profile, management, and outcomes of IE after SAVR versus TAVR | ||
| 520 | |a METHODS: Data were collected from the "Infectious Endocarditis after TAVR International" (enrollment from 2005 to 2020) and the "International Collaboration on Endocarditis" (enrollment from 2000 to 2012) registries. Only patients with an IE affecting the aortic valve prosthesis were included. A 1:1 paired matching approach was used to compare patients with TAVR and SAVR | ||
| 520 | |a RESULTS: A total of 1688 patients were included. Of them, 602 (35.7%) had a surgical bioprosthesis (SB), 666 (39.5%) a mechanical prosthesis, 70 (4.2%) a homograft, and 350 (20.7%) a transcatheter heart valve. In the SAVR versus TAVR matched population, the rate of new moderate or severe aortic regurgitation was higher in the SB group (43.4% vs 13.5%; P < .001), and fewer vegetations were diagnosed in the SB group (62.5% vs 82%; P < .001). Patients with an SB had a higher rate of perivalvular extension (47.9% vs 27%; P < .001) and Staphylococcus aureus was less common in this group (13.4% vs 22%; P = .033). Despite a higher rate of surgery in patients with SB (44.4% vs 27.3%; P < .001), 1-year mortality was similar (SB: 46.5%; TAVR: 44.8%; log-rank P = .697) | ||
| 520 | |a CONCLUSIONS: Clinical presentation, type of causative microorganism, and treatment differed between patients with an IE located on SB compared with TAVR. Despite these differences, both groups exhibited high and similar mortality at 1-year follow-up | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a SAVR | |
| 650 | 4 | |a TAVR | |
| 650 | 4 | |a heart surgery | |
| 650 | 4 | |a infective endocarditis | |
| 650 | 4 | |a prognosis | |
| 700 | 1 | |a Cuervo, Guillermo |e verfasserin |4 aut | |
| 700 | 1 | |a Llopis, Jaume |e verfasserin |4 aut | |
| 700 | 1 | |a Abdel-Wahab, Mohamed |e verfasserin |4 aut | |
| 700 | 1 | |a Mangner, Norman |e verfasserin |4 aut | |
| 700 | 1 | |a Habib, Gilbert |e verfasserin |4 aut | |
| 700 | 1 | |a Regueiro, Ander |e verfasserin |4 aut | |
| 700 | 1 | |a Mestres, Carlos A |e verfasserin |4 aut | |
| 700 | 1 | |a Tornos, Pilar |e verfasserin |4 aut | |
| 700 | 1 | |a Durand, Eric |e verfasserin |4 aut | |
| 700 | 1 | |a Selton-Suty, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Ihlemann, Nikolaj |e verfasserin |4 aut | |
| 700 | 1 | |a Bruun, Niels |e verfasserin |4 aut | |
| 700 | 1 | |a Urena, Marina |e verfasserin |4 aut | |
| 700 | 1 | |a Cecchi, Enrico |e verfasserin |4 aut | |
| 700 | 1 | |a Thiele, Holger |e verfasserin |4 aut | |
| 700 | 1 | |a Durante-Mangoni, Emanuele |e verfasserin |4 aut | |
| 700 | 1 | |a Pellegrini, Costanza |e verfasserin |4 aut | |
| 700 | 1 | |a Eltchaninoff, Helene |e verfasserin |4 aut | |
| 700 | 1 | |a Athan, Eugene |e verfasserin |4 aut | |
| 700 | 1 | |a Søndergaard, Lars |e verfasserin |4 aut | |
| 700 | 1 | |a Linke, Axel |e verfasserin |4 aut | |
| 700 | 1 | |a Tattevin, Pierre |e verfasserin |4 aut | |
| 700 | 1 | |a Del Val, David |e verfasserin |4 aut | |
| 700 | 1 | |a Quintana, Eduard |e verfasserin |4 aut | |
| 700 | 1 | |a Chu, Vivian |e verfasserin |4 aut | |
| 700 | 1 | |a Rodés-Cabau, Josep |e verfasserin |4 aut | |
| 700 | 1 | |a Miro, Jose M |e verfasserin |4 aut | |
| 700 | 0 | |a TAVI Infective Endocarditis International Registry and ICE Investigators |e verfasserin |4 aut | |
| 700 | 1 | |a Clara, Liliana |e investigator |4 oth | |
| 700 | 1 | |a Sanchez, Marisa |e investigator |4 oth | |
| 700 | 1 | |a Casabé, José |e investigator |4 oth | |
| 700 | 1 | |a Cortes, Claudia |e investigator |4 oth | |
| 700 | 1 | |a Nacinovich, Francisco |e investigator |4 oth | |
| 700 | 1 | |a Oses, Pablo Fernandez |e investigator |4 oth | |
| 700 | 1 | |a Ronderos, Ricardo |e investigator |4 oth | |
| 700 | 1 | |a Sucari, Adriana |e investigator |4 oth | |
| 700 | 1 | |a Thierer, Jorge |e investigator |4 oth | |
| 700 | 1 | |a Altclas, Javier |e investigator |4 oth | |
| 700 | 1 | |a Kogan, Silvia |e investigator |4 oth | |
| 700 | 1 | |a Spelman, Denis |e investigator |4 oth | |
| 700 | 1 | |a Athan, Eugene |e investigator |4 oth | |
| 700 | 1 | |a Harris, Owen |e investigator |4 oth | |
| 700 | 1 | |a Kennedy, Karina |e investigator |4 oth | |
| 700 | 1 | |a Tan, Ren |e investigator |4 oth | |
| 700 | 1 | |a Gordon, David |e investigator |4 oth | |
| 700 | 1 | |a Papanicolas, Lito |e investigator |4 oth | |
| 700 | 1 | |a Korman, Tony |e investigator |4 oth | |
| 700 | 1 | |a Kotsanas, Despina |e investigator |4 oth | |
| 700 | 1 | |a Dever, Robyn |e investigator |4 oth | |
| 700 | 1 | |a Jones, Phillip |e investigator |4 oth | |
| 700 | 1 | |a Konecny, Pam |e investigator |4 oth | |
| 700 | 1 | |a Lawrence, Richard |e investigator |4 oth | |
| 700 | 1 | |a Rees, David |e investigator |4 oth | |
| 700 | 1 | |a Ryan, Suzanne |e investigator |4 oth | |
| 700 | 1 | |a Feneley, Michael P |e investigator |4 oth | |
| 700 | 1 | |a Harkness, John |e investigator |4 oth | |
| 700 | 1 | |a Jones, Phillip |e investigator |4 oth | |
| 700 | 1 | |a Ryan, Suzanne |e investigator |4 oth | |
| 700 | 1 | |a Jones, Phillip |e investigator |4 oth | |
| 700 | 1 | |a Ryan, Suzanne |e investigator |4 oth | |
| 700 | 1 | |a Jones, Phillip |e investigator |4 oth | |
| 700 | 1 | |a Post, Jeffrey |e investigator |4 oth | |
| 700 | 1 | |a Reinbott, Porl |e investigator |4 oth | |
| 700 | 1 | |a Ryan, Suzanne |e investigator |4 oth | |
| 700 | 1 | |a Gattringer, Rainer |e investigator |4 oth | |
| 700 | 1 | |a Wiesbauer, Franz |e investigator |4 oth | |
| 700 | 1 | |a Andrade, Adriana Ribas |e investigator |4 oth | |
| 700 | 1 | |a de Brito, Ana Cláudia Passos |e investigator |4 oth | |
| 700 | 1 | |a Guimarães, Armenio Costa |e investigator |4 oth | |
| 700 | 1 | |a Grinberg, Max |e investigator |4 oth | |
| 700 | 1 | |a Mansur, Alfredo José |e investigator |4 oth | |
| 700 | 1 | |a Siciliano, Rinaldo Focaccia |e investigator |4 oth | |
| 700 | 1 | |a Strabelli, Tania Mara Varejao |e investigator |4 oth | |
| 700 | 1 | |a Vieira, Marcelo Luiz Campos |e investigator |4 oth | |
| 700 | 1 | |a de Medeiros Tranchesi, Regina Aparecida |e investigator |4 oth | |
| 700 | 1 | |a Paiva, Marcelo Goulart |e investigator |4 oth | |
| 700 | 1 | |a Fortes, Claudio Querido |e investigator |4 oth | |
| 700 | 1 | |a de Oliveira Ramos, Auristela |e investigator |4 oth | |
| 700 | 1 | |a Weksler, Clara |e investigator |4 oth | |
| 700 | 1 | |a Ferraiuoli, Giovanna |e investigator |4 oth | |
| 700 | 1 | |a Golebiovski, Wilma |e investigator |4 oth | |
| 700 | 1 | |a Lamas, Cristiane |e investigator |4 oth | |
| 700 | 1 | |a Karlowsky, James A |e investigator |4 oth | |
| 700 | 1 | |a Keynan, Yoav |e investigator |4 oth | |
| 700 | 1 | |a Morris, Andrew M |e investigator |4 oth | |
| 700 | 1 | |a Rubinstein, Ethan |e investigator |4 oth | |
| 700 | 1 | |a Jones, Sandra Braun |e investigator |4 oth | |
| 700 | 1 | |a Garcia, Patricia |e investigator |4 oth | |
| 700 | 1 | |a Cereceda, M |e investigator |4 oth | |
| 700 | 1 | |a Fica, Alberto |e investigator |4 oth | |
| 700 | 1 | |a Mella, Rodrigo Montagna |e investigator |4 oth | |
| 700 | 1 | |a Fernandez, Ricardo |e investigator |4 oth | |
| 700 | 1 | |a Franco, Liliana |e investigator |4 oth | |
| 700 | 1 | |a Gonzalez, Javier |e investigator |4 oth | |
| 700 | 1 | |a Jaramillo, Astrid Natalia |e investigator |4 oth | |
| 700 | 1 | |a Barsic, Bruno |e investigator |4 oth | |
| 700 | 1 | |a Bukovski, Suzana |e investigator |4 oth | |
| 700 | 1 | |a Krajinovic, Vladimir |e investigator |4 oth | |
| 700 | 1 | |a Pangercic, Ana |e investigator |4 oth | |
| 700 | 1 | |a Rudez, Igor |e investigator |4 oth | |
| 700 | 1 | |a Vincelj, Josip |e investigator |4 oth | |
| 700 | 1 | |a Freiberger, Tomas |e investigator |4 oth | |
| 700 | 1 | |a Pol, Jiri |e investigator |4 oth | |
| 700 | 1 | |a Zaloudikova, Barbora |e investigator |4 oth | |
| 700 | 1 | |a Ashour, Zainab |e investigator |4 oth | |
| 700 | 1 | |a El Kholy, Amani |e investigator |4 oth | |
| 700 | 1 | |a Mishaal, Marwa |e investigator |4 oth | |
| 700 | 1 | |a Osama, Dina |e investigator |4 oth | |
| 700 | 1 | |a Rizk, Hussien |e investigator |4 oth | |
| 700 | 1 | |a Aissa, Neijla |e investigator |4 oth | |
| 700 | 1 | |a Alauzet, Corentine |e investigator |4 oth | |
| 700 | 1 | |a Alla, Francois |e investigator |4 oth | |
| 700 | 1 | |a Campagnac, Catherine |e investigator |4 oth | |
| 700 | 1 | |a Doco-Lecompte, Thanh |e investigator |4 oth | |
| 700 | 1 | |a Selton-Suty, Christine |e investigator |4 oth | |
| 700 | 1 | |a Casalta, Jean-Paul |e investigator |4 oth | |
| 700 | 1 | |a Fournier, Pierre-Edouard |e investigator |4 oth | |
| 700 | 1 | |a Habib, Gilbert |e investigator |4 oth | |
| 700 | 1 | |a Raoult, Didier |e investigator |4 oth | |
| 700 | 1 | |a Thuny, Franck |e investigator |4 oth | |
| 700 | 1 | |a Delahaye, Francois |e investigator |4 oth | |
| 700 | 1 | |a Delahaye, Armelle |e investigator |4 oth | |
| 700 | 1 | |a Vandenesch, Francois |e investigator |4 oth | |
| 700 | 1 | |a Donal, Erwan |e investigator |4 oth | |
| 700 | 1 | |a Donnio, Pierre Yves |e investigator |4 oth | |
| 700 | 1 | |a Flecher, Erwan |e investigator |4 oth | |
| 700 | 1 | |a Michelet, Christian |e investigator |4 oth | |
| 700 | 1 | |a Revest, Matthieu |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t Clinical infectious diseases : an official publication of the Infectious Diseases Society of America |d 1992 |g 78(2024), 1 vom: 25. Jan., Seite 179-187 |w (DE-627)NLM012603007 |x 1537-6591 |7 nnns |
| 773 | 1 | 8 | |g volume:78 |g year:2024 |g number:1 |g day:25 |g month:01 |g pages:179-187 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/cid/ciad464 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 78 |j 2024 |e 1 |b 25 |c 01 |h 179-187 | ||