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Standardized Definition of Structural Valve Degeneration for Surgical and Transcatheter Bioprosthetic Aortic Valves.
- Source :
-
Circulation [Circulation] 2018 Jan 23; Vol. 137 (4), pp. 388-399. - Publication Year :
- 2018
-
Abstract
- Bioprostheses are prone to structural valve degeneration, resulting in limited long-term durability. A significant challenge when comparing the durability of different types of bioprostheses is the lack of a standardized terminology for the definition of a degenerated valve. This issue becomes especially important when we try to compare the degeneration rate of surgically inserted and transcatheter bioprosthetic valves. This document, by the VIVID (Valve-in-Valve International Data), proposes practical and standardized definitions of valve degeneration and provides recommendations for the timing of clinical and imaging follow-up assessments accordingly. Its goal is to improve the quality of research and clinical care for patients with deteriorated bioprostheses by providing objective and strict criteria that can be utilized in future clinical trials. We hope that the adoption of these criteria by both the cardiological and surgical communities will lead to improved comparability and interpretation of durability analyses.<br /> (© 2018 American Heart Association, Inc.)
- Subjects :
- Device Removal
Heart Valve Diseases diagnostic imaging
Heart Valve Diseases physiopathology
Heart Valve Prosthesis Implantation adverse effects
Heart Valves diagnostic imaging
Heart Valves physiopathology
Humans
Predictive Value of Tests
Prosthesis Design
Time Factors
Transcatheter Aortic Valve Replacement adverse effects
Treatment Outcome
Bioprosthesis classification
Heart Valve Diseases surgery
Heart Valve Prosthesis classification
Heart Valve Prosthesis Implantation instrumentation
Heart Valves surgery
Prosthesis Failure
Terminology as Topic
Transcatheter Aortic Valve Replacement instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 1524-4539
- Volume :
- 137
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Circulation
- Publication Type :
- Academic Journal
- Accession number :
- 29358344
- Full Text :
- https://doi.org/10.1161/CIRCULATIONAHA.117.030729