Risk of Coronary Obstruction Due to Sinus Sequestration in Redo Transcatheter Aortic Valve Replacement
Tomoki Ochiai
1, 2
,
Luke S. Oakley
3
,
Navjot Sekhon
3
,
Ikki Komatsu
4
,
Nir Flint
1, 5
,
Danon Kaewkes
1, 6
,
Sung-Han Yoon
3
,
Matthias Raschpichler
1, 7
,
Vivek Patel
3
,
Ripandeep Tiwana
3
,
Yusuke Enta
3
,
Sahar Mahani
3
,
Yisik Kim
1, 8
,
Jasminka Stegic
3
,
Mamoo Nakamura
3
,
Wen Cheng
3
,
Raj Makkar
3
2
Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan.
|
5
7
University Clinic of Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany.
|
Publication type: Journal Article
Publication date: 2020-11-16
scimago Q1
wos Q1
SJR: 3.527
CiteScore: 11.5
Impact factor: 11.4
ISSN: 19368798, 18767605
PubMed ID:
33213747
Cardiology and Cardiovascular Medicine
Abstract
The aim of this study was to evaluate the risk of coronary obstruction due to sinus sequestration in redo transcatheter aortic valve replacement (TAVR) using post-TAVR computed tomography (CT). Little information is available regarding the risk of coronary obstruction due to sinus sequestration in redo TAVR inside a previously implanted TAV. Post-TAVR CT of 66 patients who received an Evolut R or Evolut PRO and 345 patients who received a SAPIEN 3 were analyzed. Redo TAVR was considered at risk of coronary obstruction due to sinus sequestration if: 1) the prior TAV commissure level was above sinotubular junction (STJ); and 2) the distance between TAV and STJ was <2.0 mm in each coronary sinus. In total, 45.5% in the Evolut R/Evolut PRO group and 2.0% in the SAPIEN 3 group had CT-identified risk of sinus sequestration at 1 or both coronary arteries (p < 0.001). CT-identified risk of sinus sequestration was observed in 39.4% for the left coronary artery and 24.2% for the right coronary artery in the Evolut R/Evolut PRO group, while those percentages were 2.0% for the left coronary artery and 0.6% for the right coronary artery in the SAPIEN 3 group. In a coronary-level analysis, overlaps between the first TAV commissural posts and coronary ostium were observed in 45.2% in the Evolut R/Evolut PRO group and 11.1% in in the SAPIEN 3 group among coronary arteries at CT-identified risk of sinus sequestration. The risk of sinus sequestration in redo TAVR should be carefully screened by CT, especially in patients with low STJ height. TAV with low commissure height that was designed to achieve commissure-to-commissure alignment with the native aortic valves may be preferable to avoid the risk of coronary obstruction due to sinus sequestration and allow for a preventive leaflet laceration procedure in future redo TAVR. (Assessment of TRanscathetEr and Surgical Aortic BiOprosthetic Valve Thrombosis and Its TrEatment With Anticoagulation [RESOLVE]; NCT02318342 )
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GOST
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Ochiai T. et al. Risk of Coronary Obstruction Due to Sinus Sequestration in Redo Transcatheter Aortic Valve Replacement // JACC: Cardiovascular Interventions. 2020. Vol. 13. No. 22. pp. 2617-2627.
GOST all authors (up to 50)
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Ochiai T., Oakley L. S., Sekhon N., Komatsu I., Flint N., Kaewkes D., Yoon S., Raschpichler M., Patel V., Tiwana R., Enta Y., Mahani S., Kim Y., Stegic J., Chakravarty T., Nakamura M., Cheng W., Makkar R. Risk of Coronary Obstruction Due to Sinus Sequestration in Redo Transcatheter Aortic Valve Replacement // JACC: Cardiovascular Interventions. 2020. Vol. 13. No. 22. pp. 2617-2627.
Cite this
RIS
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TY - JOUR
DO - 10.1016/j.jcin.2020.09.022
UR - https://doi.org/10.1016/j.jcin.2020.09.022
TI - Risk of Coronary Obstruction Due to Sinus Sequestration in Redo Transcatheter Aortic Valve Replacement
T2 - JACC: Cardiovascular Interventions
AU - Ochiai, Tomoki
AU - Oakley, Luke S.
AU - Sekhon, Navjot
AU - Komatsu, Ikki
AU - Flint, Nir
AU - Kaewkes, Danon
AU - Yoon, Sung-Han
AU - Raschpichler, Matthias
AU - Patel, Vivek
AU - Tiwana, Ripandeep
AU - Enta, Yusuke
AU - Mahani, Sahar
AU - Kim, Yisik
AU - Stegic, Jasminka
AU - Chakravarty, Tarun
AU - Nakamura, Mamoo
AU - Cheng, Wen
AU - Makkar, Raj
PY - 2020
DA - 2020/11/16
PB - Elsevier
SP - 2617-2627
IS - 22
VL - 13
PMID - 33213747
SN - 1936-8798
SN - 1876-7605
ER -
Cite this
BibTex (up to 50 authors)
Copy
@article{2020_Ochiai,
author = {Tomoki Ochiai and Luke S. Oakley and Navjot Sekhon and Ikki Komatsu and Nir Flint and Danon Kaewkes and Sung-Han Yoon and Matthias Raschpichler and Vivek Patel and Ripandeep Tiwana and Yusuke Enta and Sahar Mahani and Yisik Kim and Jasminka Stegic and Tarun Chakravarty and Mamoo Nakamura and Wen Cheng and Raj Makkar},
title = {Risk of Coronary Obstruction Due to Sinus Sequestration in Redo Transcatheter Aortic Valve Replacement},
journal = {JACC: Cardiovascular Interventions},
year = {2020},
volume = {13},
publisher = {Elsevier},
month = {nov},
url = {https://doi.org/10.1016/j.jcin.2020.09.022},
number = {22},
pages = {2617--2627},
doi = {10.1016/j.jcin.2020.09.022}
}
Cite this
MLA
Copy
Ochiai, Tomoki, et al. “Risk of Coronary Obstruction Due to Sinus Sequestration in Redo Transcatheter Aortic Valve Replacement.” JACC: Cardiovascular Interventions, vol. 13, no. 22, Nov. 2020, pp. 2617-2627. https://doi.org/10.1016/j.jcin.2020.09.022.