Immediate and Long-Term Echocardiographic Findings after Transcatheter Aortic Valve Implantation for the Treatment of Aortic Stenosis: The Cribier-Edwards/Edwards-Sapien Valve Experience
“…Echocardiographic performance of the Edwards SAPIEN TM trans-catheter heart valve (THV) was reportedly excellent [17], and prosthetic failure after TAVI is currently rare. However, one case of endocarditis was reported 2 months after TA-AVI using an Edwards SAPIEN TM THV [18], and a failing Corevalve TM prosthesis was found 4 months after TF-AVI [19].…”
Although the incidence of technical intra procedural complications has trended downward, reflecting the learning curve for TA-AVI, 30-day mortality was unchanged, likely due to patient co-morbidities not captured by preoperative risk variables.
“…Echocardiographic performance of the Edwards SAPIEN TM trans-catheter heart valve (THV) was reportedly excellent [17], and prosthetic failure after TAVI is currently rare. However, one case of endocarditis was reported 2 months after TA-AVI using an Edwards SAPIEN TM THV [18], and a failing Corevalve TM prosthesis was found 4 months after TF-AVI [19].…”
Although the incidence of technical intra procedural complications has trended downward, reflecting the learning curve for TA-AVI, 30-day mortality was unchanged, likely due to patient co-morbidities not captured by preoperative risk variables.
“…16 A possible explanation for the progressive reduction in paravalvular AR after balloon-expandable valve implantation is the presence of positive remodeling of the aortic annulus. 17 Over time, the stented prosthesis may adapt to better accommodate and seal the calcified native commissures and thus, minimizing the paravalvular leak.…”
“…Bauer et al 38 recently reported on 2-year echocardiographic follow-up of the CribierEdwards/SAPIEN series of valves, which is similarly encouraging and suggests durability. Mean and peak prosthetic gradients remained stable, with AR tending to decrease at follow-up, with no patient shown to have more than 2+ AR at 2 years.…”
Section: Postprocedural Imaging and Echocardiographic Outcomesmentioning
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