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Circulation. 2018 Jan 23;137(4):388-399. doi: 10.1161/CIRCULATIONAHA.117.030729.

Standardized Definition of Structural Valve Degeneration for Surgical and Transcatheter Bioprosthetic Aortic Valves.

Author information

1
University of Washington Medical Center, Seattle (D.D., C.M.O., G.B.M., M.R., J.M.M., G.S.A.).
2
Tours University Hospital, France (T.B., M.A.).
3
Columbia University Medical Center, New York (R.T.H., M.A.B., M.B.L.).
4
Medical University of Vienna, Austria (R.R.).
5
St Paul's Hospital, Vancouver, British Columbia, Canada (J.G.W., M.S., J.L.).
6
University Heart Center Hamburg, Germany (H.T.).
7
Mayo Clinic, Rochester, MN (M.E.S.).
8
NorthShore University HealthSystem, Evanston, IL (T.F.).
9
Schulich Heart Program, Sunnybrook Hospital, University of Toronto, Ontario, Canada (H.C.W.).
10
Tel Aviv Sourasky Medical Center, Israel (Y.T., Y.A.).
11
Houston Methodist DeBakey Heart & Vascular Center, TX (M.J.R.).
12
University of Pennsylvania, Philadelphia (W.Y.S.).
13
Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Israel (R.K.).
14
University of Maryland School of Medicine, Baltimore (J.S.G.).
15
Georgia Institute of Technology and Emory University, Atlanta, GA (A.P.Y.).
16
Cedars-Sinai Medical Center, Los Angeles, CA (R.R.M.).
17
Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil (A.A.).
18
Rikshospitalet-Radiumhospitalet Medical Center, Oslo, Norway (G.D.).
19
Quebéc Heart & Lung Institute, Laval University, Canada (P.P.).
20
Royal Brompton Hospital, London, United Kingdom (N.E.M.).
21
The Heart Hospital Baylor Plano, TX (M.J.M.).
22
Erasmus Medical Center, Rotterdam, The Netherlands (A.P.K.).

Abstract

Bioprostheses are prone to structural valve degeneration, resulting in limited long-term durability. A significant challenge when comparing the durability of different types of bioprostheses is the lack of a standardized terminology for the definition of a degenerated valve. This issue becomes especially important when we try to compare the degeneration rate of surgically inserted and transcatheter bioprosthetic valves. This document, by the VIVID (Valve-in-Valve International Data), proposes practical and standardized definitions of valve degeneration and provides recommendations for the timing of clinical and imaging follow-up assessments accordingly. Its goal is to improve the quality of research and clinical care for patients with deteriorated bioprostheses by providing objective and strict criteria that can be utilized in future clinical trials. We hope that the adoption of these criteria by both the cardiological and surgical communities will lead to improved comparability and interpretation of durability analyses.

KEYWORDS:

durability; echocardiographic criteria; reintervention; reoperation; transcatheter; valve deterioration

[Indexed for MEDLINE]

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