{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:36:52Z","timestamp":1761863812676,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Interven Cardiology"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We present our single center experience with Medtronic CoreValve and Evolut R regarding procedural outcome and 3 years follow\u2010up in patients with degenerated bioprostheses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 1645 patients who underwent transfemoral TAVI at our institution between February 2009 and December 2016, 37 patients with degenerated bioprosthesis were treated with Medtronic CoreValve\/Evolut R. All data concerning baseline characteristic, procedural outcomes and follow\u2010up were entered into a dedicated database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age was 83.9\u2009\u00b1\u20094.4 years and patients showed an average logistic EuroSCORE of 33.2\u2009\u00b1\u200916.7%. Successful ViV deployment was achieved in all cases, a permanent pacemaker was implanted in 16.2%, no periinterventional stroke and no coronary obstruction occurred. Mortality at 30 days was 2.7%, at 1\u2010year follow\u2010up 5.7% and at three years 13.5%. Depending on bioprosthesis size &lt;23\u2009mm versus \u226523\u2009mm echocardiographic mean gradients post implantation were significantly higher in the smaller bioprostheses, 22.8 mmHg\u2009\u00b1\u20099.4 mmHg versus 15.1\u2009\u00b1\u20097.1, <jats:italic>P<\/jats:italic>\u2009=\u20090.013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ViV\u2010TAVI with CoreValve\/R is demonstrated to be safe and effective in terms of no coronary obstruction and very low mortality up to 3 years despite slightly higher mean transprosthetic gradients especially in very small bioprostheses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joic.12498","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T23:32:49Z","timestamp":1519860769000},"page":"384-390","source":"Crossref","is-referenced-by-count":11,"title":["Valve\u2010in\u2010valve transcatheter aortic valve implantation with CoreValve\/Evolut R<sup>\u00a9<\/sup> for degenerated small versus bigger bioprostheses"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7445-5986","authenticated-orcid":false,"given":"Smita","family":"Scholtz","sequence":"first","affiliation":[{"name":"Clinic for Cardiology Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelia","family":"Piper","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dieter","family":"Horstkotte","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Gummert","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic and Cardiovascular Surgery, Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan M.","family":"Ensminger","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic and Cardiovascular Surgery, Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"B\u00f6rgermann","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic and Cardiovascular Surgery, Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Werner","family":"Scholtz","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology Herz\u2010 und Diabeteszentrum NRW Ruhr\u2010Universit\u00e4t Bochum Bad Oeynhausen 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