Mid-term outcomes of percutaneous pulmonary valve replacement with Edwards-Sapien bioprosthesis in native right ventricular outflow tract

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Institut Català de la Salut
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[Belahnech Y, Calvo-Barceló M, Ródenas-Alesina E] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Martí-Aguasca G, García del Blanco B, Barrabés JA] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain. [Dos-Subirà L, Pijuan-Domènech A, Miranda B, González-Fernández V] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain. European Reference Network for Rare, Low-Prevalence, Or Complex Diseases of the Heart (ERN GUARD-Heart), Amsterdam, Netherlands. [Betrian-Blasco P, Gran F, Ferrer Q, Giralt-García G, Roses-Noguer F] European Reference Network for Rare, Low-Prevalence, Or Complex Diseases of the Heart (ERN GUARD-Heart), Amsterdam, Netherlands. Servei de Cardiologia Pediàtrica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Gordon B] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Baellaterra, Spain. European Reference Network for Rare, Low-Prevalence, Or Complex Diseases of the Heart (ERN GUARD-Heart), Amsterdam, Netherlands. Cardiology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. [Ferreira-González I] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red en Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
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Martí Aguasca, Gerard
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Ferrer Menduiña, Queralt
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Giralt-Garcia, Gemma
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Gonzalez Fernandez, Victor
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Ferreira González, Ignacio
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Belahnech, Yassin
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DOS SUBIRA, LAURA
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Betrián Blasco, Pedro
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García del Blanco, Bruno
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Calvo-Barceló, Maria
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Ródenas-Alesina, Eduard
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Pijuan-Domenech, Antonia
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Gran, Ferran
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Miranda, Berta
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Gordon Ramirez, Blanca
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Barrabés, José A.
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Roses-Noguer, Ferran
dc.date.accessioned
2025-05-03T13:42:27Z
dc.date.available
2025-05-03T13:42:27Z
dc.date.issued
2025-03-20T12:19:53Z
dc.date.issued
2025-03-20T12:19:53Z
dc.date.issued
2025-02-01
dc.identifier
Belahnech Y, Martí-Aguasca G, Dos-Subirà L, Betrian-Blasco P, García del Blanco B, Calvo-Barceló M, et al. Mid-term outcomes of percutaneous pulmonary valve replacement with Edwards-Sapien bioprosthesis in native right ventricular outflow tract. Sci Rep. 2025 Feb 1;15:3977.
dc.identifier
2045-2322
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http://hdl.handle.net/11351/12799
dc.identifier
10.1038/s41598-024-82336-4
dc.identifier
39893235
dc.identifier
001412657900034
dc.identifier.uri
http://hdl.handle.net/11351/12799
dc.description.abstract
Congenital heart disease; Edwards sapien; Pulmonary valve
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Cardiopatia congènita; Edwards Sapien; Vàlvula pulmonar
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Cardiopatía congénita; Edwards Sapien; Válvula pulmonar
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Information on mid-term outcomes of percutaneous pulmonary valve replacement (PPVR) with the Edwards Sapien (ES) valve in the native right ventricular outflow tract (RVOT) are limited. This study assesses mid-term outcomes in 76 patients who underwent PPVR between 2016 and 2022, comparing native (40.8%) and non-native (59.2%) RVOTs. The primary endpoint was a composite of endocarditis, reinterventions, and cardiovascular death and secondary outcomes included prosthetic valve dysfunction (PVD), tricuspid regurgitation (TR), right ventricular ejection fraction (RVEF), and indexed ventricular volumes. The median patient age was 23.9 years. Pulmonary regurgitation was predominant in the native RVOT group (67.7%), while pulmonary stenosis or combined lesions were more common in the non-native group (90.9%). Procedural success was 98.7%. After a median follow-up of 3.3 years, there was no significant difference in freedom from the primary outcome between groups (87.1% native vs. 93.1% non-native, p = 0.875). Endocarditis and reinterventions occurred at 1.2 per 100 patient-years, and PVD at 3.19 per 100 patient-years, with no differences between groups. A 1-year reduction in ventricular volumes and TR was seen only in the non-native group, with no improvement in RVEF. Overall, PPVR with the ES valve demonstrates satisfactory mid-term outcomes in both native and non-native RVOTs.
dc.description.abstract
Yassin Belahnech is supported by a research non-conditioned grant (Rio Hortega CM22/00242) unrelated to the content of this article.
dc.format
application/pdf
dc.language
eng
dc.publisher
Nature Portfolio
dc.relation
Scientific Reports;15
dc.relation
https://doi.org/10.1038/s41598-024-82336-4
dc.relation
info:eu-repo/grantAgreement/ES/PEICTI2021-2023/CM22%2F00242
dc.rights
Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights
http://creativecommons.org/licenses/by-nc-nd/4.0/
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info:eu-repo/semantics/openAccess
dc.source
Scientia
dc.subject
Infants
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Avaluació de resultats (Assistència sanitària)
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Pròtesis valvulars cardíaques
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Cor - Vàlvules - Malalties - Cirurgia
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NAMED GROUPS::Persons::Age Groups::Child
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Equipment and Supplies::Prostheses and Implants::Bioprosthesis
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Valve Prosthesis Implantation
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DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Pulmonary Valve Insufficiency
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome
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DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::niño
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TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::equipos y suministros::prótesis e implantes::bioprótesis
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos cardíacos::implantación de prótesis valvulares cardíacas
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ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::enfermedades de las válvulas cardíacas::insuficiencia de la válvula pulmonar
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TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento
dc.title
Mid-term outcomes of percutaneous pulmonary valve replacement with Edwards-Sapien bioprosthesis in native right ventricular outflow tract
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


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