Produção Nacional
Revisado por pares
Infective Endocarditis Following Transcatheter Aortic Valve Replacement
2019; Lippincott Williams & Wilkins; Volume: 12; Issue: 11 Linguagem: Inglês
10.1161/circinterventions.119.007938
ISSN1941-7632
AutoresAnder Regueiro, Axel Linke, Azeem Latib, Nikolaj Ihlemann, Marina Ureña, Thomas Walther, Oliver Hüsser, Hartmut Herrmann, Luis Nombela‐Franco, Asim N. Cheema, Hervé Breton, Stefan Stortecky, Samir Kapadia, Antonio L. Bartorelli, Jan Malte Sinning, Ignacio J. Amat‐Santos, Antonio J. Muñoz-García, Stamatios Lerakis, Enrique Gutiérrez, Mohamed Abdel‐Wahab, Didier Tchetchè, Luca Testa, Hélène Eltchaninoff, Ugolino Livi, Juan C. Castillo, Hasan Jilaihawi, John G. Webb, Marco Barbanti, Susheel Kodali, Fábio Sândoli de Brito, Henrique Barbosa Ribeiro, Antonio Miceli, Claudia Fiorina, Guglielmo Mario Actis Dato, Francesco Rosato, Violeta Serra, Jean-Bernard Masson, Harindra C. Wijeysundera, José Armando Mangione, Maria Cristina Meira Ferreira, Valter C. Lima, Luís Alberto Vieira de Carvalho, Alexandre Abizaid, Marcos Maynar-Mariño, Vinícius Esteves, Júlio Andrea, David Messika‐Zeitoun, Dominique Himbert, Won‐Keun Kim, Costanza Pellegrini, Vincent Auffret, Fabian Nietlispach, Thomas Pilgrim, Éric Durand, John Lisko, Raj Makkar, Pedro A. Lemos, Martin B. Leon, Rishi Puri, José Alberto San Román, Alec Vahanian, Lars Søndergaard, Norman Mangner, Josep Rodés‐Cabau,
Tópico(s)Infectious Aortic and Vascular Conditions
ResumoNo data exist about the characteristics of infective endocarditis (IE) post-transcatheter aortic valve replacement (TAVR) according to transcatheter valve type. We aimed to determine the incidence, clinical characteristics, and outcomes of patients with IE post-TAVR treated with balloon-expandable valve (BEV) versus self-expanding valve (SEV) systems.Data from the multicenter Infectious Endocarditis After TAVR International Registry was used to compare IE patients with BEV versus SEV.A total of 245 patients with IE post-TAVR were included (SEV, 47%; BEV, 53%). The timing between TAVR and IE was similar between groups (SEV, 5.5 [1.2-15] months versus BEV, 5.3 [1.7-11.4] months; P=0.89). Enterococcal IE was more frequent in the SEV group (36.5% versus 15.4%; P<0.01), and vegetation location differed according to valve type (stent frame, SEV, 18.6%; BEV, 6.9%; P=0.01; valve leaflet, SEV, 23.9%; BEV, 38.5%; P=0.01). BEV recipients had a higher rate of stroke/systemic embolism (20.0% versus 8.7%, adjusted OR: 2.46, 95% CI: 1.04-5.82, P=0.04). Surgical explant of the transcatheter valve (SEV, 8.7%; BEV, 13.8%; P=0.21), and in-hospital death at the time of IE episode (SEV, 35.6%; BEV, 37.7%; P=0.74) were similar between groups. After a mean follow-up of 13±12 months, 59.1% and 54.6% of the SEV and BEV recipients, respectively, had died (P=0.66).The characteristics of IE post-TAVR, including microorganism type, vegetation location, and embolic complications but not early or late mortality, differed according to valve type. These results may help to guide the diagnosis and management of IE and inform future research studies in the field.
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