{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:52:46Z","timestamp":1789685566259,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The long\u2010term valve durability of supra\u2010annular self\u2010expanding valves (SEV) and intra\u2010annular balloon\u2010expandable valves (BEV) in patients with small aortic annuli remains unexplored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to determine the long\u2010term bioprosthetic valve durability with SEV versus BEV in patients with small aortic annuli.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included patients with severe aortic stenosis (AS) and an aortic annulus area of 430\u2009mm<jats:sup>2<\/jats:sup> or less who underwent transcatheter aortic valve replacement using SEV and BEV between October 2009 and December 2022. Based on the Valve Academic Research Consortium's three definitions, the endpoints were hemodynamic structural valve deterioration (SVD) and bioprosthetic valve failure (BVF). Inverse probability of treatment weighting (IPTW) was used to compare between the two groups and adjust for baseline characteristics. The Fine\u2010Gray subdistribution hazard model accounted for the competing risk of death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 565 patients (204 treated with SEV and 361 treated with BEV) were included. The median follow\u2010up duration was 3.6 years [2.0 years, 5.7 years], and the maximum was 12.3 years. Hemodynamic SVD and BVF were less frequently identified in the SEV group than in the BEV group (1.1% vs. 9.1% within 5 years, 0.7% vs. 8.1% within 5 years, respectively). On the IPTW adjusted Fine\u2010Gray subdistribution hazard model analysis, hemodynamic SVD was less frequent in SEV compared with BEV (Hazard Ratio [HR]: 0.16; 95% Confidence Interval [CI]: 0.04\u20130.56, <jats:italic>p<\/jats:italic>\u2009=\u20090.004). SEV was also associated with a lower BVF risk than BEV (HR: 0.25; 95% CI: 0.08\u20130.76, <jats:italic>p<\/jats:italic>\u2009=\u20090.015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SEV appears to be more suitable for long\u2010term valve durability in patients with a small aortic annulus.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31415","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T14:01:10Z","timestamp":1737381670000},"page":"990-997","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long\u2010Term Bioprosthetic Valve Durability After Transcatheter Aortic Valve Replacement With Supra\u2010Annular Self\u2010Expanding Versus Intra\u2010Annular Balloon\u2010Expandable Valves in Patients With a Small Aortic Annulus"],"prefix":"10.1002","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5229-6857","authenticated-orcid":false,"given":"Yutaka","family":"Matsuhiro","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isamu","family":"Mizote","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Osaka University Graduate School of Medicine Osaka 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