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Mid-term outcomes of patients with Lotus and Evolut transcatheter valves

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F22%3A10446552" target="_blank" >RIV/00064203:_____/22:10446552 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/22:10446552 RIV/00216208:11310/22:10446552

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=UavPXgY9OM" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=UavPXgY9OM</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.5114/aic.2022.118531" target="_blank" >10.5114/aic.2022.118531</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Mid-term outcomes of patients with Lotus and Evolut transcatheter valves

  • Original language description

    Introduction: Long-term data on the Lotus (R) (Boston Scientific, USA) valve are lacking. Aim: To evaluate mid-term outcomes of aortic stenosis patients treated with either Lotus or Evolut R (R) valves (Medtronic, USA). Material and methods: Our study sample comprised 190 patients (71 Lotus and 119 Evolut valves). The mean clinical follow-up was 2.0 +/- 0.9 years. Information on mortality was obtained from the National Institutes of Health Information and Statistics. Results: No significant differences existed in baseline characteristics between the groups. The rate of procedural complications was low and without significant differences between groups. The log rank test showed higher mortality in the Lotus group for cardiovascular mortality (p = 0.02; RR = 2.4, 95% CI: 1.123-5.075). Multivariable analysis revealed that the Lotus valve was independently associated with cardiovascular mortality (p = 0.03). At the end of echocardiography follow-up (4.1 +/- 0.9 years), we found a significantly higher mean aortic valve gradient (AVGm) in the Lotus group than in the Evolut group (17.9 +/- 9.5 vs. 10.2 +/- 3.5 mm Hg; p = 0.0006), and 3 (10%) patients from the Lotus group suffered from symptomatic re-stenosis requiering re-intervention. Conclusions: The results of our study suggest that higher cardiovascular mortality rates during mid-term follow-up were associated with Lotus compared with Evolut valves. Higher AVGm in the Lotus valves suggests the possibility of accelerated prosthesis degeneration.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Advances in Interventional Cardiology / Postępy w Kardiologii Interwencyjnej

  • ISSN

    1734-9338

  • e-ISSN

    1897-4295

  • Volume of the periodical

    18

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    PL - POLAND

  • Number of pages

    8

  • Pages from-to

    146-153

  • UT code for WoS article

    000844053600008

  • EID of the result in the Scopus database

    2-s2.0-85138644455