{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:34:51Z","timestamp":1790836491409,"version":"4.1.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The durability of transcatheter aortic bioprosthetic valves is a crucial issue, but data are scarce, especially beyond 5 years of follow-up. We aimed to assess long-term (7 years) structural valve deterioration (SVD) and bioprosthetic valve failure of transcatheter aortic bioprosthetic valves.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results:<\/jats:title>\n            <jats:p>Consecutive patients with at least 5-year follow-up available undergoing transcatheter aortic valve implantation from April 2002 to December 2011 in 5 French centers were included. Incidence of SVD and bioprosthetic valve failure were defined according to newly standardized criteria of the European Association of Percutaneous Cardiovascular Interventions\/European Society of Cardiology\/European Association for Cardio-Thoracic Surgery and reported as cumulative incidence function to account for the competing risk of death. One thousand four hundred three consecutive patients were included with a mean age of 82.6\u00b17.5 years and with a mean logistic EuroSCORE (European System for Cardiac Operative Risk Evaluation) of 21.3\u00b17.5%. A balloon-expandable valve was used in 83.7% of cases. Survival rates were 83.5% (95% CI, 81.4%\u201385.5%) and 18.6% (95% CI, 15.3%\u201321.8%) at 1 and 7 years, respectively. Median duration of follow-up was 3.9 years. Bioprosthetic valve failure occurred in 19 patients with a 7-year cumulative incidence of 1.9% (95% CI, 1.4%\u20132.4%). SVD occurred in 49 patients (moderate, n=32; severe, n=17) with a 7-year cumulative incidence of moderate and severe SVD of 7.0% (95% CI, 5.6%\u20138.4%) and 4.2% (95% CI, 2.9%\u20135.5%), respectively. Five patients had aortic valve reintervention (1.0%; 95% CI, 0.4%\u20131.6%) including 1 case of surgical aortic valve replacement and 4 redo-transcatheter aortic valve implantation. The incidences of SVD and bioprosthetic valve failure were not significantly different between balloon and self-expandable prostheses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The long-term assessment of transcatheter aortic bioprosthetic valves durability is limited by the poor survival of our population beyond 5 years. Further studies are warranted, particularly in younger and lower-risk patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.118.007597","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T09:00:36Z","timestamp":1554714036000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":58,"title":["Assessment of Long-Term Structural Deterioration of Transcatheter Aortic Bioprosthetic Valves Using the New European Definition"],"prefix":"10.1161","volume":"12","author":[{"given":"Eric","family":"Durand","sequence":"first","affiliation":[{"name":"Normandie Univ, UNIROUEN, INSERM U1096, Rouen University Hospital, Department of Cardiology, FHU REMOD-VHF, France (E.D., A.S., C.T., P.Y.L., G.A., A.C., H.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Sokoloff","sequence":"additional","affiliation":[{"name":"Normandie Univ, UNIROUEN, INSERM U1096, Rouen University Hospital, Department of Cardiology, FHU REMOD-VHF, France (E.D., A.S., C.T., P.Y.L., G.A., A.C., H.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Urena-Alcazar","sequence":"additional","affiliation":[{"name":"Assistance Publique-H\u00f4pitaux de Paris, Bichat Hospital, Facult\u00e9 de M\u00e9decine Paris-Diderot University, Department of Cardiology, DHU Fire, INSERM U1148, Paris-Diderot University Paris, France (M.U.-A., C.B., D.H., B.I.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Chevalier","sequence":"additional","affiliation":[{"name":"Institut Hospitalier Jacques Cartier, Ramsay G\u00e9n\u00e9rale de Sant\u00e9, Department of Cardiology, Massy, France (B.C., T.H., T.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Chassaing","sequence":"additional","affiliation":[{"name":"Clinique Saint Gatien, Department of Cardiology, Tours, France (S.C., O.B., D.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Didier","sequence":"additional","affiliation":[{"name":"Brest University Hospital, Department of Cardiology, France (R.D., M.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Tron","sequence":"additional","affiliation":[{"name":"Normandie Univ, UNIROUEN, INSERM U1096, Rouen University Hospital, Department of Cardiology, FHU REMOD-VHF, France (E.D., A.S., C.T., P.Y.L., G.A., A.C., H.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Yves","family":"Litzler","sequence":"additional","affiliation":[{"name":"Normandie Univ, UNIROUEN, INSERM U1096, Rouen University Hospital, Department of Cardiology, FHU REMOD-VHF, France (E.D., A.S., C.T., P.Y.L., G.A., A.C., H.E.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Bouleti","sequence":"additional","affiliation":[{"name":"Assistance Publique-H\u00f4pitaux de Paris, Bichat Hospital, Facult\u00e9 de M\u00e9decine Paris-Diderot University, Department of Cardiology, DHU Fire, INSERM U1148, Paris-Diderot University Paris, France (M.U.-A., C.B., D.H., B.I.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Himbert","sequence":"additional","affiliation":[{"name":"Assistance Publique-H\u00f4pitaux de Paris, Bichat Hospital, Facult\u00e9 de M\u00e9decine Paris-Diderot University, Department of Cardiology, DHU Fire, INSERM U1148, Paris-Diderot University Paris, France (M.U.-A., C.B., D.H., B.I.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hovasse","sequence":"additional","affiliation":[{"name":"Institut Hospitalier Jacques Cartier, Ramsay G\u00e9n\u00e9rale de Sant\u00e9, Department of Cardiology, Massy, France (B.C., T.H., 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