Comparison of Evolut-R 34 Mm Valve and Smaller Evolut-R Valves in Patients Undergoing Transcatheter Aortic Valve Implantation and Determination of Mild Paravalvular Leak Predictors
dc.contributor.author | Demir, Muhammed | |
dc.contributor.author | Gunlu, Serhat | |
dc.contributor.author | Arslan, Bayram | |
dc.contributor.author | Ertas, Faruk | |
dc.contributor.author | Kilic, Raif | |
dc.contributor.author | Guzel, Tuncay | |
dc.contributor.author | Aktan, Adem | |
dc.date.accessioned | 2024-02-20T10:27:35Z | |
dc.date.accessioned | 2025-09-17T14:28:33Z | |
dc.date.available | 2024-02-20T10:27:35Z | |
dc.date.available | 2025-09-17T14:28:33Z | |
dc.date.issued | 2024 | |
dc.description | Kilic, Raif/0000-0002-8338-4948 | en_US |
dc.description.abstract | Objective: The main purpose of this study was to evaluate and compare the in -hospital, 1 -month and 1 -year post -procedure outcomes of patients treated with Evolut-R 34 mm and Evolut-R 23/26/29 mm devices. Additionally, the study aimed to identify factors that could predict the occurrence of >= mild paravalvular leaks (PVL). Methods: Between April 2015 and May 2022, 269 consecutive patients who underwent transcatheter aortic valve implantation (TAVI) with Evolut-R 34 mm (n = 66, 24.5%) and Evolut-R 23/26/29 mm (n = 203, 75.5%) devices in a single center were retrospectively analyzed. Results: Patients in the Evolut-R 34 mm group had a lower female sex ratio (16.7% vs. 66.5%, P < .001, respectively), ejection fraction (50.7 +/- 10.1% vs. 54.5 +/- 9.3%, P = .016, respectively), and mean aortic gradient (7.4 +/- 3.3 vs. 9.2 +/- 5.0, P = .026, respectively) compared to the Evolut-R 23/26/29 mm group. The groups did not exhibit any statistically significant distinctions with regard to technical success, the need for a permanent pacemaker, occurrences of stroke, major vascular complications, PVL, major adverse cardiovascular and cerebrovascular events, or mortality. Peak velocity was confirmed as a significant pre- dictor of >= mild PVL in both patient groups in the receiver operating characteristic curve analysis. In logistic regression analysis; In patients with Evolut-R 34 mm valve, pre-TAVI aortic valve peak velocity (odds ratio (OR) = 23.202; P = .019) and calcium volume 800 Hounsfield Units (mm(3)) (OR = 1.017; P < .001) were independent predictors of >= mild PVL. Conclusion: The Evolut-R 34 mm valve has shown comparable in -hospital results with smaller valve sizes. Pre-TAVI aortic valve peak velocity and calcium volume predicted >= mild PVL in Evolut-R 34 mm patients. | en_US |
dc.identifier.citation | Kılıç, R. (2024). Comparison of evolut-r 34 mm valve and smaller evolut-r valves in patients undergoing transcatheter aortic valve implantation and determination of mild paravalvular leak predictors. The Anatolian Journal of Cardiology, 109-117. https://doi.org/10.14744/anatoljcardiol.2023.3563 | en_US |
dc.identifier.doi | 10.14744/AnatolJCardiol.2023.3563 | |
dc.identifier.issn | 2149-2263 | |
dc.identifier.issn | 2149-2271 | |
dc.identifier.scopus | 2-s2.0-85184757221 | |
dc.identifier.uri | https://doi.org/10.14744/AnatolJCardiol.2023.3563 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12514/9670 | |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Kare Publ | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Transcatheter Aortic Valve Implantation | en_US |
dc.subject | Paravalvular Leak | en_US |
dc.subject | Evolut-R 34 Mm | en_US |
dc.subject | Peak Velocity | en_US |
dc.title | Comparison of Evolut-R 34 Mm Valve and Smaller Evolut-R Valves in Patients Undergoing Transcatheter Aortic Valve Implantation and Determination of Mild Paravalvular Leak Predictors | en_US |
dc.type | Article | en_US |
dspace.entity.type | Publication |