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经导管主动脉瓣生物瓣和外科生物瓣结构性瓣叶衰败的标准化定义。

Standardized Definition of Structural Valve Degeneration for Surgical and Transcatheter Bioprosthetic Aortic Valves.

机构信息

University of Washington Medical Center, Seattle (D.D., C.M.O., G.B.M., M.R., J.M.M., G.S.A.).

Tours University Hospital, France (T.B., M.A.).

出版信息

Circulation. 2018 Jan 23;137(4):388-399. doi: 10.1161/CIRCULATIONAHA.117.030729.


DOI:10.1161/CIRCULATIONAHA.117.030729
PMID:29358344
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.

摘要

生物假体容易发生结构性瓣膜退化,导致长期耐用性有限。在比较不同类型生物假体耐用性时,一个重大挑战是缺乏用于定义退化瓣膜的标准化术语。当我们试图比较经外科植入和经导管生物假体瓣膜的退化率时,这个问题变得尤为重要。这份由 VIVID(经导管瓣中瓣国际数据)提出的文件,提出了瓣膜退化的实用和标准化定义,并相应提供了临床和影像学随访评估时间的建议。其目的是通过提供可用于未来临床试验的客观严格标准,提高患有退化生物假体患者的研究和临床护理质量。我们希望心脏科和外科领域都采用这些标准,从而提高耐用性分析的可比性和解释性。

相似文献

[1]
Standardized Definition of Structural Valve Degeneration for Surgical and Transcatheter Bioprosthetic Aortic Valves.

Circulation. 2018-1-23

[2]
Bioprosthetic aortic valve durability in the era of transcatheter aortic valve implantation.

Heart. 2018-5-7

[3]
How to Define Durability of Transcatheter and Surgical Bioprosthetic Aortic Valves: Facts and Misconceptions.

JACC Cardiovasc Interv. 2020-1-27

[4]
Aortic Bioprosthetic Valve Durability: Incidence, Mechanisms, Predictors, and Management of Surgical and Transcatheter Valve Degeneration.

J Am Coll Cardiol. 2017-8-22

[5]
Transcatheter Aortic Valve-in-Valve Procedure in Patients with Bioprosthetic Structural Valve Deterioration.

Methodist Debakey Cardiovasc J. 2017

[6]
Implications of hydrodynamic testing to guide sizing of self-expanding transcatheter heart valves for valve-in-valve procedures.

Catheter Cardiovasc Interv. 2020-9-1

[7]
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Semin Thorac Cardiovasc Surg. 2015

[8]
Transcatheter Replacement of Failed Bioprosthetic Valves: Large Multicenter Assessment of the Effect of Implantation Depth on Hemodynamics After Aortic Valve-in-Valve.

Circ Cardiovasc Interv. 2016-6

[9]
Standardising definitions for bioprosthetic structural valve deterioration and failure: the European avant-garde.

EuroIntervention. 2018-2-2

[10]
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EuroIntervention. 2016-9-18

引用本文的文献

[1]
Percutaneous interventions in tricuspid valve disease: a new era in cardiac treatment.

Ann Med Surg (Lond). 2025-5-30

[2]
Long-term Mechanical Durability of Inspiris RESILIA Surgical Aortic Valves.

Ann Thorac Surg Short Rep. 2024-12-16

[3]
A fully coupled fluid-structure interaction model for patient-specific analysis of bioprosthetic aortic valve haemodynamics.

Front Bioeng Biotechnol. 2025-5-29

[4]
Rationale and Design of the REPEAT Trial: A Multicenter Randomized Trial Comparing Redo Surgical Aortic Valve Replacement to Valve-in-Valve Transcatheter Aortic Valve Replacement.

J Am Heart Assoc. 2025-5-20

[5]
Valve type and post-dilation impact on transprosthetic gradients in patients undergoing transcatheter aortic valve-in-valve procedure.

Eur Heart J Imaging Methods Pract. 2025-5-14

[6]
[Structural valve deterioration after transcatheter aortic valve replacement: a research update].

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2025-3-25

[7]
Smooth leaflets with curved belly and attachment edge profiles promote adaptive remodeling in tissue-engineered heart valves: an in silico study.

Biomech Model Mechanobiol. 2025-6

[8]
Aortic Valve Replacement with Rapid-Deployment Bioprostheses: Long-Term Single-Center Results After 1000 Consecutive Implantations.

J Clin Med. 2025-2-26

[9]
Outcomes of Hypoattenuating Leaflet Thickening Post-Transcatheter Pulmonary Valve Replacement.

JACC Adv. 2025-3

[10]
Effect of pregnancy on bioprosthetic structural valve degeneration.

Int J Cardiol Congenit Heart Dis. 2024-12-20

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