{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:37:34Z","timestamp":1761863854000,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,9]],"date-time":"2018-03-09T00:00:00Z","timestamp":1520553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore the rate, the determinants of success, and the hemodynamic impact of balloon postdilatation (BPD) of self\u2010expanding transcatheter heart valves (SE\u2010THVs)<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>BPD is commonly used to optimize valve expansion and reduce paravalvular leakage (PVL) after transcatheter aortic valve implantation (TAVI) without clearly knowing its hemodynamic benefits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients (<jats:italic>n<\/jats:italic>\u2009=\u2009307) who received a SE\u2010THV were stratified according to whether a BPD was performed or not. Patients who received BPD were stratified according to the severity of PVL remaining after BPD into two groups: Successful BPD (\u2264mild PVL\u2009+\u2009BPD) and Failed BPD (moderate\u2010severe PVL\u2009+\u2009BPD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>BPD was performed in 121 patients (39.4%) and was successful in 106 patients (87.6% of attempts). A ratio of the postdilatation balloon diameter to the annulus diameter \u22640.95 was an independent predictor of BPD failure (OR: 10.72 [2.02\u201056.76], <jats:italic>P<\/jats:italic>\u2009=\u2009.005). Peak transvalvular pressure gradient (PG) was lower in the Successful BPD group (14[12\u201022] mm Hg) than in the Failed BPD group (18[16\u201023] mm Hg, <jats:italic>P<\/jats:italic>\u2009=\u2009.029), and did not rise in either group during follow\u2010up (median [IQR], 364[161\u2010739] days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>BPD was performed in 39% of patients who received a SE\u2010THV, and was successful in the majority of attempts. BPD failure was more likely in patients with a small postdilatation balloon\u2010to\u2010annulus diameter ratio. Effective BPD improved THV hemodynamic performance, and this was maintained in the intermediate\u2010term post\u2010TAVI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27538","type":"journal-article","created":{"date-parts":[[2018,3,9]],"date-time":"2018-03-09T06:29:05Z","timestamp":1520576945000},"page":"945-953","source":"Crossref","is-referenced-by-count":1,"title":["Determinants of success and hemodynamic impact of balloon postdilatation of self\u2010expanding transcatheter aortic valves"],"prefix":"10.1002","volume":"92","author":[{"given":"Mohammad","family":"Abdelghani","sequence":"first","affiliation":[{"name":"Department of Cardiology the Academic Medical Center Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robbert J.","family":"de Winter","sequence":"additional","affiliation":[{"name":"Department of Cardiology the Academic Medical Center Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Thoraxcenter, Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Modolo","sequence":"additional","affiliation":[{"name":"Department of Cardiology the Academic Medical Center Amsterdam The Netherlands"},{"name":"Department of Internal Medicine, Cardiology Division University of Campinas (UNICAMP) Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Tateishi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Clinical science and Medicine Yamaguchi University, Graduate School of Medicine Ube Yamaguchi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Thoraxcenter, Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rog\u00e9rio","family":"Sarmento\u2010Leite","sequence":"additional","affiliation":[{"name":"Instituto de Cardiologia do Rio Grande do Sul\/Funda\u00e7\u00e3o Universit\u00e1ria de Cardiologia and Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre Porto Alegre RS Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 A.","family":"Mangione","sequence":"additional","affiliation":[{"name":"Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Abizaid","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama I. 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