Division of Cardiology, A.O.U. "Policlinico-Vittorio Emanuele," University of Catania, Catania, Italy.
Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
JACC Cardiovasc Interv. 2020 Jan 27;13(2):257-260. doi: 10.1016/j.jcin.2019.11.025.
In the evolving scenario of transcatheter aortic valve replacement (TAVR), the topic of bioprosthetic valve durability is becoming increasingly important. Unfortunately, the definition of long-term durability of surgical and transcatheter bioprostheses has been inconsistent over time. Comparative studies of TAVR and surgical aortic valve replacement, or studies comparing TAVR devices, would benefit from the use of standardized definitions of valve durability. The definitions of structural valve deterioration and bioprosthetic valve failure developed by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) have been endorsed by both the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) and embraced by many investigators worldwide. In this viewpoint, the authors discuss the strengths and limitations of such approach, which is intended to balance the need for accuracy and simplicity in reporting of long-term durability.
在经导管主动脉瓣置换术(TAVR)不断发展的背景下,生物瓣耐久性这一话题变得愈发重要。不幸的是,外科生物瓣和经导管生物瓣的长期耐久性的定义在不同时期并不一致。TAVR 与外科主动脉瓣置换术的对比研究,或 TAVR 器械的对比研究,将受益于使用标准化的瓣膜耐久性定义。由欧洲经皮心血管介入协会(EAPCI)制定的结构性瓣膜衰败和生物瓣失效的定义,同时得到了欧洲心脏病学会(ESC)和欧洲心胸外科学会(EACTS)的认可,并被全球许多研究人员所采用。在这篇观点文章中,作者讨论了这种方法的优缺点,其旨在平衡准确性和简单性在长期耐久性报告中的需求。