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. 2023 Nov 17;19(9):746–756. doi: 10.4244/EIJ-D-23-00456

Table 2. Clinical outcomes according to the method for the definition of PPM.

Measured PPM
None Moderate Severe Moderate vs none Severe vs none
(N=1,584) (N=664) (N=215) Adjusted HR (95% CI) p-value Adjusted HR (95% CI) p-value
At 1 year All-cause death 154 (10.5) 76 (12.2) 24 (11.8) 1.20 (0.91-1.58) 0.198 1.16 (0.75-1.78) 0.509
Cardiovascular death 94 (6.5) 51 (8.4) 16 (8.1) 1.33 (0.94-1.87) 0.106 1.29 (0.76-2.19) 0.352
Structural valve deterioration 23 (1.7) 10 (1.7) 5 (2.5) 1.02 (0.49-2.15) 0.956 1.54 (0.58-4.05) 0.384
Repeat aortic valve intervention 11 (0.7) 5 (0.8) 4 (1.9) 1.07 (0.37-3.08) 0.90 2.52 (0.80-7.94) 0.114
At 5 years All-cause death 413 (52.8) 178 (58.3) 58 (51.5) 1.17 (0.98-1.39) 0.085 1.07 (0.81-1.41) 0.631
Cardiovascular death 275 (40.0) 128 (46.9) 40 (39.7) 1.26 (1.02-1.56) 0.029 1.13 (0.81-1.58) 0.473
Structural valve deterioration 30 (4.6) 15 (6.2) 9 (11.4) 1.37 (0.74-2.55) 0.319 1.92 (0.91-4.05) 0.088
Repeat aortic valve intervention 15 (2.3) 6 (2.5) 5 (5.8) 1.12 (0.43-2.89) 0.818 2.11 (0.76-5.83) 0.149
At 10 years All-cause death 493 (84.3) 204 (89.7) 67 (94.6) 1.17 (1.00-1.38) 0.055 1.19 (0.92-1.54) 0.187
Cardiovascular death 344 (77.2) 148 (82.7) 48 (92.7) 1.25 (1.03-1.52) 0.023 1.26 (0.93-1.71) 0.131
Structural valve deterioration 34 (8.2) 16 (8.3) 9 (9.3) 1.17 (0.64-2.12) 0.614 1.89 (0.90-3.96) 0.091
Repeat aortic valve intervention 17 (3.8) 7 (11.3) 5 (3.8) 0.99 (0.41-2.41) 0.985 2.09 (0.77-5.70) 0.149
Predicted PPMTHV
None Moderate Severe Moderate vs none Severe vs none
(N=2,155) (N=279) (N=29) Adjusted HR (95% CI) p-value Adjusted HR (95% CI) p-value
At 1 year All-cause death 237 (11.8) 15 (5.9) 2 (7.9) 0.53 (0.32-0.90) 0.019 0.57 (0.14-2.28) 0.422
Cardiovascular death 149 (7.5) 10 (4.0) 2 (7.9) 0.58 (0.30-1.10) 0.094 0.92 (0.23-3.73) 0.910
Structural valve deterioration 33 (1.7) 5 (2.0) 0 1.13 (0.44-2.91) 0.800 - -
Repeat aortic valve intervention 15 (0.7) 5 (1.9) 0 2.34 (0.85-6.46) 0.101 - -
At 5 years All-cause death 600 (49.5) 44 (38.8) 5 (33.0) 0.68 (0.50-0.92) 0.013 0.58 (0.24-1.41) 0.231
Cardiovascular death 407 (38.0) 32 (30.6) 4 (24.6) 0.72 (0.50-1.03) 0.073 0.68 (0.25-1.81) 0.438
Structural valve deterioration 48 (4.1) 6 (3.2) 0 1.00 (0.43-2.35) 0.994 - -
Repeat aortic valve intervention 19 (1.4) 7 (5.0) 0 2.77 (1.16-6.63) 0.022 - -
At 10 years All-cause death 702 (86.8) 56 (82.0) 6 (66.5) 0.73 (0.55-0.96) 0.022 0.54 (0.24-1.22) 0.139
Cardiovascular death 494 (80.3) 41 (72.8) 5 (62.3) 0.74 (0.54-1.03) 0.071 0.62 (0.26-1.49) 0.284
Structural valve deterioration 52 (8.5) 7 (9.6) 0 1.07 (0.48-2.36) 0.870 - -
Repeat aortic valve intervention 20 (3.6) 9 (20.6) 0 3.41 (1.55-7.52) 0.002 - -
Data are event counts with Kaplan-Meier failure rates (%) counting only the first event of each type per patient. Patients were censored at last valid contact with events assessed and adjudicated. Adjusted hazard ratios and p-values after adjusting for age, gender and STS-PROM. CI: confidence interval; HR: hazard ratio; PPM: prosthesis-patient mismatch; PPMTHV: prosthesis-patient mismatch defined by the normal reference values of effective orifice area for each size and model of implanted transcatheter heart valve; STS-PROM: Society of Thoracic Surgeons Predicted Risk of Mortality; THV: transcatheter heart valve