Table 4.
BAAS only for SE device | p-value | BAAS only for BE device | p-value | |||
---|---|---|---|---|---|---|
Large SE-borderline valve (n = 150) | BE- non-borderline valve (n = 70) | Large BE-borderline valve (n = 102) | SE- non-borderline valve (n = 96) | |||
Need for post dilatation | 57 (38) | 9 (12.8) | 0.0001 | 8 (7.8) | 34 (35.4) | 2.97e-06 |
Device success (VARC-2) (%) | 146 (97) | 70 (100) | 0.554 | 101 (99) | 93 (96.8) | 0.11 |
Need for a second valve (%) | 2 (1.3) | 0 (0) | 1 | 2 (1.9) | 2 (2) | 1 |
Valve malposition (%) | 2 (1.3) | 0 (0) | 1 | 0 (0) | 1 (1) | 1 |
Valve migration (%) | 1 (0.6) | 0 (0) | 1 | 0 (0) | 0 (0) | |
Ischemic stroke/TIA (%) | 2 (0.1) | 0 (0) | 1 | 0 (0) | 2 (2) | 0.508 |
Endocarditis (%) | 0 (0) | 1 (1.4) | 0.36 | 1 (0.98) | 1 (1) | 1 |
Procedural mortality (%) | 2 (0.1) | 0 (0) | 0.528 | 0 (0) | 1 (1.6) | 0.927 |
Coronary obstruction (%) | 0 (0) | 2 (3.3) | 0.166 | 0 (0) | 1 (1.6) | 0.927 |
New LBBB (%) | 34 (23) | 17 (28.3) | 0.615 | 29 (28) | 27 (28.1) | 0.737 |
New pacemaker (%) | 17 (11.3) | 9 (15) | 0.579 | 21 (20) | 17 (17.7) | 0.499 |
AV mean pressure (mmHg) | 7.9 ± 5.4 (7, 4) | 12.1 ± 4.5 (12, 8) | 1.70e-10 | 9.9 ± 3.7 [9.6, 5] | 7.8 ± 3.5 (7, 5) | 3.90e-05 |
PVL per echo+ | 0.246 | 0.191 | ||||
None (%) | 82 (54.6) | 47 (67.1) | 68 (66.6) | 52 (54) | ||
Mild (%) | 54 (36) | 20 (28.5) | 29 (28.4) | 36 (37.5) | ||
Mild-mod (%) | 11 (7.3) | 3 (4.3) | 4 (3.9) | 6 (6.25) | ||
Moderate (%) | 3 (2) | 0 (0) | 1 (0.98) | 2 (2) | ||
Moderate-severe (%) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | ||
Overall PVL per echo+ | 68 (45.3) | 23 (32.8) | 0.106 | 34 (33) | 44 (45.8) | 0.0818 |
Large SE-borderline valve (n = 93) |
BE- non-borderline valve (n = 32) |
Large BE-borderline valve (n = 94) |
SE- non-borderline valve (n = 39) |
|||
PVL per echo+ | 0.699 | 0.0015 | ||||
None (%) | 42 (45.1) | 16 (50) | 68 (72.3) | 14 (35.8) | ||
Mild (%) | 40 (45.9) | 14 (43.7) | 23 (25.8) | 20 (51.2) | ||
Mild-moderate (%) | 10 (11.4) | 2 (6.25) | 3 (3.37) | 4 (10.2) | ||
Moderate (%) | 1 (1.1) | 0 (0) | 0 (0) | 1 (3) | ||
Moderate-severe (%) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | ||
Overall PVL per echo+ | 51 | 16 | 0.413 | 26 | 25 | 0.0003 |
Values are mean ± SD or [median, interquartile range (IQR)] or n (%). VARC, valve academic research consortium; TIA, transient ischemic attack; LBBB, left bundle branch block; AV, aortic valve; PVL, paravalvular leak; SE, self-expandable; BE, balloon-expandable; THV, transcatheter heart valve; echo, echocardiography.
subgroup of patients who did undergo post-dilatation. Post-procedural outcomes (during index hospitalization) were endocarditis and new pacemaker implantation.