{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:43:28Z","timestamp":1783709008751,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>With expansion of transcatheter aortic valve implantation (TAVI) into younger patients, valve durability is critically important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to evaluate long\u2010term valve function and incidence of severe structural valve deterioration (SVD) among patients\u2009\u2265\u200910\u2010years post\u2010TAVI and with echocardiographic follow\u2010up at least 5\u2010years postprocedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on patients who underwent TAVI from 2007 to 2011 were obtained from the UK TAVI registry. Patients with paired echocardiograms postprocedure and \u22655\u2010years post\u2010TAVI were included. Severe SVD was determined according to European task force guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>221 patients (79.4\u2009\u00b1\u20097.3 years; 53% male) were included with median echocardiographic follow\u2010up 7.0 years (range 5\u221213 years). Follow\u2010up exceeded 10 years in 43 patients (19.5%). Valve types were the supra\u2010annular self\u2010expanding CoreValve (SEV; <jats:italic>n<\/jats:italic>\u2009=\u2009143, 67%), balloon\u2010expandable SAPIEN\/XT (BEV; <jats:italic>n<\/jats:italic>\u2009=\u200967, 31%), Portico (<jats:italic>n<\/jats:italic>\u2009=\u20094, 5%) and unknown (<jats:italic>n<\/jats:italic>\u2009=\u20097, 3%). There was no difference between postprocedure and follow\u2010up peak gradient in the overall cohort (19.3 vs. 18.4\u2009mmHg; <jats:italic>p<\/jats:italic>\u2009=\u2009NS) or in those with \u226510\u2010years follow\u2010up (21.1 vs. 21.1\u2009mmHg; <jats:italic>p<\/jats:italic>\u2009=\u2009NS). Severe SVD occurred in 13 patients (5.9%; median 7.8\u2010years post\u2010TAVI). Three cases (23.1%) were due to regurgitation and 10 (76.9%) to stenosis. Valve\u2010related reintervention\/death occurred in 5 patients (2.3%). Severe SVD was more frequent with BEV than SEV (11.9% vs. 3.5%; <jats:italic>p<\/jats:italic>\u2009=\u20090.02), driven by a difference in patients treated with small valves (BEV 28.6% vs. SEV 3.0%; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hemodynamic function of transcatheter heart valves remains stable up to more than 10 years post\u2010TAVI. Severe SVD occurred in 5.9%, and valve\u2010related death\/reintervention in 2.3%. Severe SVD was more common with BEV than SEV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30627","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T06:26:00Z","timestamp":1678947960000},"page":"932-942","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Long\u2010term durability of self\u2010expanding and balloon\u2010expandable transcatheter aortic valve prostheses: UK TAVI registry"],"prefix":"10.1002","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9597-4451","authenticated-orcid":false,"given":"Noman","family":"Ali","sequence":"first","affiliation":[{"name":"Department of Cardiology Leeds Teaching Hospitals NHS Trust Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hildick\u2010Smith","sequence":"additional","affiliation":[{"name":"Department of Cardiology Royal Sussex County Hospital Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Cardiology Royal Sussex County Hospital Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Malkin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Leeds Teaching Hospitals NHS Trust Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Cunnington","sequence":"additional","affiliation":[{"name":"Department of Cardiology Leeds Teaching Hospitals NHS Trust Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuslim","family":"Gurung","sequence":"additional","affiliation":[{"name":"Department of Cardiology Leeds Teaching Hospitals NHS Trust Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9013-5720","authenticated-orcid":false,"given":"Jonathan","family":"Mailey","sequence":"additional","affiliation":[{"name":"Department of Cardiology Royal Victoria Hospital  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip A.","family":"MacCarthy","sequence":"additional","affiliation":[{"name":"Department of Cardiology King's College Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apurva","family":"Bharucha","sequence":"additional","affiliation":[{"name":"Department of Cardiology King's College Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Brecker","sequence":"additional","affiliation":[{"name":"Department of Cardiology St. George's Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Hoole","sequence":"additional","affiliation":[{"name":"Department of Cardiology Royal Papworth Hospital NHS Foundation Trust Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Dorman","sequence":"additional","affiliation":[{"name":"Department of Cardiology Bristol Heart Institute Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar N.","family":"Doshi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Queen Elizabeth University Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5401-4588","authenticated-orcid":false,"given":"Andrew","family":"Wiper","sequence":"additional","affiliation":[{"name":"Department of Cardiology Lancashire Cardiac Centre Blackpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta H.","family":"Buch","sequence":"additional","affiliation":[{"name":"Department of Cardiology Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian P.","family":"Banning","sequence":"additional","affiliation":[{"name":"Department of Cardiology Oxford Universities Hospital Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Spence","sequence":"additional","affiliation":[{"name":"Department of Cardiology Royal Victoria Hospital  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9039-6130","authenticated-orcid":false,"given":"Daniel J.","family":"Blackman","sequence":"additional","affiliation":[{"name":"Department of Cardiology Leeds Teaching Hospitals NHS Trust Leeds 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results of the portico transcatheter aortic heart valve using the Next\u2010Generation FlexNav delivery system","volume":"100562","author":"Fontana GP","year":"2022","journal-title":"JSCAI"},{"issue":"9","key":"e_1_2_9_23_1","first-page":"1071","article-title":"5\u2010year outcomes after TAVR with balloon\u2010expandable versus self\u2010expanding valves","volume":"13","author":"Abdel\u2010Wahab M","year":"2020","journal-title":"JACC"},{"key":"e_1_2_9_24_1","unstructured":"ReardonMJ. 5\u2010Year incidence outcomes and predictors of structural valve deterioration of transcatheter and surgical aortic bioprostheses: insights from the CoreValve US Pivotal and SURTAVI Trials Presented at American College of Cardiology (ACC) 2022 scientific session. Presented at American College of Cardiology (ACC) Scientific Session. 2022."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.08.049"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30627","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.30627","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30627","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T23:22:11Z","timestamp":1692660131000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30627"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,15]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1002\/ccd.30627"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30627","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,15]]},"assertion":[{"value":"2022-12-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}