Pulmonary Valve Replacement in Tetralogy of Fallot : Procedural Volume and Durability of Bioprosthetic Pulmonary Valves
Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Robust data on changes in pulmonary valve replacement (PVR) procedural volume and predictors of bioprosthetic pulmonary valve (BPV) durability in patients with tetralogy of Fallot (TOF) are scarce.
OBJECTIVES: This study sought to assess temporal trends in PVR procedural volume and BPV durability in a nationwide, retrospective TOF cohort.
METHODS: Data were obtained from patient records. Robust linear regression was used to assess temporal trends in PVR procedural volume. Piecewise exponential additive mixed models were used to estimate BPV durability, defined as the time from implantation to redo PVR with death as a competing risk, and to assess risk factors for reduced durability.
RESULTS: In total, 546 PVR were performed in 384 patients from 1976 to 2021. The annual number of PVR increased from 0.4 to 6.0 per million population (P < 0.001). In the last decade, the transcatheter PVR volume increased by 20% annually (P < 0.001), whereas the surgical PVR volume did not change significantly. The median BPV durability was 17 years (Q1: 10-Q3: 10 years-not applicable). There was no significant difference in the durability of different BPV after adjustment for confounders. Age at PVR (HR: 0.78 per 10 years from <1 year; 95% CI: 0.63-0.96; P = 0.02) and true inner valve diameter (9-17 mm vs 18-22 mm HR: 0.40; 95% CI: 0.22-0.73; P = 0.003 and 18-22 mm vs 23-30 mm HR: 0.59; 95% CI: 0.25-1.39; P = 0.23) were associated with reduced BPV durability in multivariate models.
CONCLUSIONS: The PVR procedural volume has increased over time, with a greater increment in transcatheter than surgical PVR during the last decade. Younger patient age at PVR and a smaller true inner valve diameter predicted reduced BPV durability.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
|---|---|
| Enthalten in: |
JACC. Cardiovascular interventions - 17(2024), 2 vom: 22. Jan., Seite 217-227 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Gröning, Mathis [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Bioprosthetic pulmonary valves |
|---|
| Anmerkungen: |
Date Completed 26.01.2024 Date Revised 26.01.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jcin.2023.10.070 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM366176854 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM366176854 | ||
| 003 | DE-627 | ||
| 005 | 20240126232052.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231227s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jcin.2023.10.070 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1271.xml |
| 035 | |a (DE-627)NLM366176854 | ||
| 035 | |a (NLM)38127022 | ||
| 035 | |a (PII)S1936-8798(23)01505-4 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Gröning, Mathis |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Pulmonary Valve Replacement in Tetralogy of Fallot |b Procedural Volume and Durability of Bioprosthetic Pulmonary Valves |
| 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 26.01.2024 | ||
| 500 | |a Date Revised 26.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Robust data on changes in pulmonary valve replacement (PVR) procedural volume and predictors of bioprosthetic pulmonary valve (BPV) durability in patients with tetralogy of Fallot (TOF) are scarce | ||
| 520 | |a OBJECTIVES: This study sought to assess temporal trends in PVR procedural volume and BPV durability in a nationwide, retrospective TOF cohort | ||
| 520 | |a METHODS: Data were obtained from patient records. Robust linear regression was used to assess temporal trends in PVR procedural volume. Piecewise exponential additive mixed models were used to estimate BPV durability, defined as the time from implantation to redo PVR with death as a competing risk, and to assess risk factors for reduced durability | ||
| 520 | |a RESULTS: In total, 546 PVR were performed in 384 patients from 1976 to 2021. The annual number of PVR increased from 0.4 to 6.0 per million population (P < 0.001). In the last decade, the transcatheter PVR volume increased by 20% annually (P < 0.001), whereas the surgical PVR volume did not change significantly. The median BPV durability was 17 years (Q1: 10-Q3: 10 years-not applicable). There was no significant difference in the durability of different BPV after adjustment for confounders. Age at PVR (HR: 0.78 per 10 years from <1 year; 95% CI: 0.63-0.96; P = 0.02) and true inner valve diameter (9-17 mm vs 18-22 mm HR: 0.40; 95% CI: 0.22-0.73; P = 0.003 and 18-22 mm vs 23-30 mm HR: 0.59; 95% CI: 0.25-1.39; P = 0.23) were associated with reduced BPV durability in multivariate models | ||
| 520 | |a CONCLUSIONS: The PVR procedural volume has increased over time, with a greater increment in transcatheter than surgical PVR during the last decade. Younger patient age at PVR and a smaller true inner valve diameter predicted reduced BPV durability | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a bioprosthetic pulmonary valves | |
| 650 | 4 | |a durability | |
| 650 | 4 | |a procedural volume | |
| 650 | 4 | |a pulmonary valve replacement | |
| 650 | 4 | |a tetralogy of Fallot | |
| 700 | 1 | |a Smerup, Morten Holdgaard |e verfasserin |4 aut | |
| 700 | 1 | |a Munk, Kim |e verfasserin |4 aut | |
| 700 | 1 | |a Andersen, Helle |e verfasserin |4 aut | |
| 700 | 1 | |a Nielsen, Dorte Guldbrand |e verfasserin |4 aut | |
| 700 | 1 | |a Nissen, Henrik |e verfasserin |4 aut | |
| 700 | 1 | |a Mortensen, Ulrik Markus |e verfasserin |4 aut | |
| 700 | 1 | |a Jensen, Annette Schophuus |e verfasserin |4 aut | |
| 700 | 1 | |a Bække, Pernille Steen |e verfasserin |4 aut | |
| 700 | 1 | |a Bjerre, Jesper |e verfasserin |4 aut | |
| 700 | 1 | |a Engholm, Morten |e verfasserin |4 aut | |
| 700 | 1 | |a Vejlstrup, Niels |e verfasserin |4 aut | |
| 700 | 1 | |a Juul, Klaus |e verfasserin |4 aut | |
| 700 | 1 | |a Søndergaard, Eva Vad |e verfasserin |4 aut | |
| 700 | 1 | |a Thyregod, Hans Gustav Hørsted |e verfasserin |4 aut | |
| 700 | 1 | |a Andersen, Henrik Ørbæk |e verfasserin |4 aut | |
| 700 | 1 | |a Helvind, Morten |e verfasserin |4 aut | |
| 700 | 1 | |a De Backer, Ole |e verfasserin |4 aut | |
| 700 | 1 | |a Jøns, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Schmidt, Michael Rahbek |e verfasserin |4 aut | |
| 700 | 1 | |a Jørgensen, Troels Højsgaard |e verfasserin |4 aut | |
| 700 | 1 | |a Sondergaard, Lars |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t JACC. Cardiovascular interventions |d 2008 |g 17(2024), 2 vom: 22. Jan., Seite 217-227 |w (DE-627)NLM186220162 |x 1876-7605 |7 nnns |
| 773 | 1 | 8 | |g volume:17 |g year:2024 |g number:2 |g day:22 |g month:01 |g pages:217-227 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jcin.2023.10.070 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 17 |j 2024 |e 2 |b 22 |c 01 |h 217-227 | ||