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Structural Heart
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Volume 4, 2020 - Issue 5
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Review Article

Subclinical Leaflet Thrombosis Post Transcatheter Aortic Valve Replacement – An Update for 2020

, MBBS, MD, , MBChB, PhD, , MBChB, , MBChB, PHD, , MBBS, BSc, , MSc, PhD, , BSc, , BSc, , MD & , MD show all
Pages 369-381 | Received 03 Jan 2020, Accepted 10 Jun 2020, Published online: 18 Sep 2020

References

  • Leon MB, Nikolsky E. The next revolution: percutaneous aortic valve replacement. Rambam Maimonides Med J. 2010;1(2):e0016. doi:10.5041/RMMJ.10016.
  • Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363(17):1597–1607. doi:10.1056/NEJMoa1008232.
  • Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364(23):2187–2198. doi:10.1056/NEJMoa1103510.
  • Leon MB, Smith CR, Mack MJ, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med. 2016;374(17):1609–1620. doi:10.1056/NEJMoa1514616.
  • Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med. 2014;370(19):1790–1798. doi:10.1056/NEJMoa1400590.
  • Popma JJ, Adams DH, Reardon MJ, et al. Transcatheter aortic valve replacement using a self-expanding bioprosthesis in patients with severe aortic stenosis at extreme risk for surgery. J Am Coll Cardiol. 2014;63(19):1972–1981. doi:10.1016/j.jacc.2014.02.556.
  • Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med. 2019;380(18):1706–1715. doi:10.1056/NEJMoa1816885.
  • Reardon MJ, Van Mieghem NM, Popma JJ, et al. Surgical or transcatheter aortic-valve replacement in intermediate-risk patients. N Engl J Med. 2017;376(14):1321–1331. doi:10.1056/NEJMoa1700456.
  • Anantha-Narayanan M, Kandasamy VV, Reddy YN, et al. Low-risk transcatheter versus surgical aortic valve replacement – an updated meta-analysis of randomized controlled trials. Cardiovasc Revasc Med. 2019;21(4):441-452.
  • Waksman R, Rogers T, Torguson R, et al. Transcatheter aortic valve replacement in low-risk patients with symptomatic severe aortic stenosis. J Am Coll Cardiol. 2018;72(18):2095–2105. doi:10.1016/j.jacc.2018.08.1033.
  • Hamm CW, Mollmann H, Holzhey D, et al. The German Aortic Valve Registry (GARY): in-hospital outcome. Eur Heart J. 2014;35(24):1588–1598. doi:10.1093/eurheartj/eht381.
  • Di Mario C, Eltchaninoff H, Moat N, et al. The 2011-12 pilot European sentinel registry of transcatheter aortic valve implantation: in-hospital results in 4,571 patients. EuroIntervention. 2013;8(12):1362–1371. doi:10.4244/EIJV8I12A209.
  • Gilard M, Eltchaninoff H, Iung B, et al. Registry of transcatheter aortic-valve implantation in high-risk patients. N Engl J Med. 2012;366(18):1705–1715. doi:10.1056/NEJMoa1114705.
  • Sondergaard L, Steinbruchel DA, Ihlemann N, et al. Two-year outcomes in patients with severe aortic valve stenosis randomized to transcatheter versus surgical aortic valve replacement: the all-comers nordic aortic valve intervention randomized clinical trial. Circ Cardiovasc Interv. 2016;9(6):e003665.
  • Thyregod HG, Søndergaard L, Ihlemann N, et al. The Nordic Aortic Valve Intervention (NOTION) trial comparing transcatheter versus surgical valve implantation: study protocol for a randomised controlled trial. Trials. 2013;14(1):11. doi:10.1186/1745-6215-14-11.
  • Siontis GCM, Overtchouk P, Cahill TJ, et al. Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of symptomatic severe aortic stenosis: an updated meta-analysis. Eur Heart J. 2019;40(38):3143–3153. doi:10.1093/eurheartj/ehz275.
  • Pache G, Blanke P, Zeh W, Jander N. Cusp thrombosis after transcatheter aortic valve replacement detected by computed tomography and echocardiography. Eur Heart J. 2013;34(46):3546. doi:10.1093/eurheartj/eht316.
  • Sondergaard L, De Backer O, Kofoed KF, et al. Natural history of subclinical leaflet thrombosis affecting motion in bioprosthetic aortic valves. Eur Heart J. 2017;38(28):2201–2207. doi:10.1093/eurheartj/ehx369.
  • Jimenez C, Ohana M, Marchandot B, et al. Impact of antithrombotic regimen and platelet inhibition extent on leaflet thrombosis detected by cardiac MDCT after transcatheter aortic valve replacement. J Clin Med. 2019;8(4):506. doi:10.3390/jcm8040506.
  • Makkar RR, Fontana G, Jilaihawi H, et al. Possible subclinical leaflet thrombosis in bioprosthetic aortic valves. N Engl J Med. 2015;373(21):2015–2024. doi:10.1056/NEJMoa1509233.
  • Leetmaa T, Hansson NC, Leipsic J, et al. Early aortic transcatheter heart valve thrombosis. Circ Cardiovasc Interv. 2015;8(4):e001596. doi:10.1161/CIRCINTERVENTIONS.114.001596.
  • Pache G, Pache G, Schoechlin S, Blanke P, Dorfs S. Early hypo-attenuated leaflet thickening in balloon-expandable transcatheter aortic heart valves. Eur Heart J. 2016;37(28):2263–2271. doi:10.1093/eurheartj/ehv526.
  • Hansson NC, Grove EL, Andersen HR, et al. Transcatheter aortic valve thrombosis: incidence, predisposing factors, and clinical implications. J Am Coll Cardiol. 2016;68(19):2059–2069. doi:10.1016/j.jacc.2016.08.010.
  • Yanagisawa R, Hayashida K, Yamada Y, et al. Incidence, predictors, and mid-term outcomes of possible leaflet thrombosis after TAVR. JACC Cardiovasc Imaging. 2017;10(1):1–11. doi:10.1016/j.jcmg.2016.11.005.
  • Chakravarty T, Søndergaard L, Friedman J, et al. Subclinical leaflet thrombosis in surgical and transcatheter bioprosthetic aortic valves: an observational study. Lancet. 2017;389(10087):2383–2392. doi:10.1016/S0140-6736(17)30757-2.
  • Vollema EM, Kong WKF, Katsanos S, et al. Transcatheter aortic valve thrombosis: the relation between hypo-attenuated leaflet thickening, abnormal valve haemodynamics, and stroke. Eur Heart J. 2017;38(16):1207–1217. doi:10.1093/eurheartj/ehx031.
  • Ruile P, Jander N, Blanke P, et al. Course of early subclinical leaflet thrombosis after transcatheter aortic valve implantation with or without oral anticoagulation. Clin Res Cardiol. 2017;106(2):85–95. doi:10.1007/s00392-016-1052-3.
  • Rashid HN, Gooley RP, Nerlekar N, et al. Bioprosthetic aortic valve leaflet thrombosis detected by multidetector computed tomography is associated with adverse cerebrovascular events: a meta-analysis of observational studies. EuroIntervention. 2018;13(15):e1748–e1755. doi:10.4244/EIJ-D-17-01062.
  • Marwan M, Mekkhala N, Göller M, et al. Leaflet thrombosis following transcatheter aortic valve implantation. J Cardiovasc Comput Tomogr 2018;12(1):8–13. doi:10.1016/j.jcct.2017.11.002.
  • Ruile P, Minners J, Breitbart P, et al. Medium-term follow-up of early leaflet thrombosis after transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2018;11(12):1164–1171. doi:10.1016/j.jcin.2018.04.006.
  • Tang L, Lesser JR, Schneider LM, et al. Prospective evaluation for hypoattenuated leaflet thickening following transcatheter aortic valve implantation. Am J Cardiol. 2019;123(4):658–666. doi:10.1016/j.amjcard.2018.11.012.
  • Yanagisawa R, Tanaka M, Yashima F, et al. Early and late leaflet thrombosis after transcatheter aortic valve replacement. Circ Cardiovasc Interv. 2019;12(2):e007349. doi:10.1161/CIRCINTERVENTIONS.118.007349.
  • Hein M, Minners J, Jander N, et al. Haemodynamic prosthetic valve performance in patients with early leaflet thrombosis after transcatheter aortic valve implantation. Clin Res Cardiol. 2019;108(9):1017–1024. doi:10.1007/s00392-019-01429-7.
  • Nührenberg TG, Hromek J, Kille A, et al. Impact of on-clopidogrel platelet reactivity on incidence of hypoattenuated leaflet thickening after transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2019;12(1):12–18. doi:10.1016/j.jcin.2018.08.008.
  • De Backer O, Dangas GD, Jilaihawi H, et al. Reduced leaflet motion after transcatheter aortic-valve replacement. N Engl J Med. 2020;382:130–139.
  • Jilaihawi H, Asch FM, Manasse E, et al. Systematic CT methodology for the evaluation of subclinical leaflet thrombosis. JACC Cardiovasc Imaging. 2017;10(4):461–470. doi:10.1016/j.jcmg.2017.02.005.
  • Makkar RR, Blanke P, Leipsic J, et al. Subclinical leaflet thrombosis in transcatheter and surgical bioprosthetic valves: PARTNER 3 cardiac computed tomography substudy. J Am Coll Cardiol. 2020;75(24):3003–3015. doi:10.1016/j.jacc.2020.04.043.
  • Kanjanauthai S, Pirelli L, Nalluri N, Kliger CA. Subclinical leaflet thrombosis following transcatheter aortic valve replacement. J Interv Cardiol. 2018;31(5):640–647. doi:10.1111/joic.12521.
  • Brown RA, Khanji MY, Mullen M, Patel RS, Bhattacharyya S. Hypoattenuated leaflet thickening associated with symptomatic thrombotic prosthetic valve obstruction: early complication following transcatheter aortic valve implantation. Eur Heart J Cardiovasc Imaging. 2019. Epub ahead of print. doi:10.1093/ehjci/jez181.
  • Dangas GD, Tijssen JGP, Wöhrle J, et al. A controlled trial of rivaroxaban after transcatheter aortic-valve replacement. N Engl J Med. 2020;382:120–129.
  • Van Mieghem NM, Unverdorben M, Valgimigli M, et al. Edoxaban versus standard of care and their effects on clinical outcomes in patients having undergone transcatheter aortic valve implantation in atrial fibrillation-rationale and design of the ENVISAGE-TAVI AF trial. Am Heart J. 2018;205:63–69. doi:10.1016/j.ahj.2018.07.006.
  • Collet JP, Berti S, Cequier A, et al. Oral anti-Xa anticoagulation after trans-aortic valve implantation for aortic stenosis: the randomized ATLANTIS trial. Am Heart J. 2018;200:44–50. doi:10.1016/j.ahj.2018.03.008.
  • Nijenhuis VJ, Bennaghmouch N, Hassell M, et al. Rationale and design of popular-TAVI: antiplatelet therapy for patients undergoing transcatheter aortic valve implantation. Am Heart J. 2016;173:77–85. doi:10.1016/j.ahj.2015.11.008.
  • Vahidkhah K, Barakat M, Abbasi M, et al. Valve thrombosis following transcatheter aortic valve replacement: significance of blood stasis on the leaflets. Eur J Cardiothorac Surg. 2017;51:927–935.
  • Kappetein AP, Head SJ, Généreux P, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation. Valve Acad Res Consortium-2 Consens Doc. 2012;60:1438–1454.
  • Baumgartner H, Falk V, Bax JJ, et al. ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2017;2017(38):2739–2791. doi:10.1093/eurheartj/ehx391.
  • Egbe AC, Pislaru SV, Pellikka PA, et al. Bioprosthetic valve thrombosis versus structural failure. Clin. Echocardiographic Predictors. 2015;66:2285–2294.
  • Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease. Rep Am College Cardiol/Am Heart Assoc Task Force Clin Pract Guide. 2017;70:252–289.
  • Puri R, Auffret V, Rodés-Cabau J. Bioprosthetic valve thrombosis. J Am Coll Cardiol. 2017;69(17):2193–2211. doi:10.1016/j.jacc.2017.02.051.
  • Blanke P, Weir-McCall JR, Achenbach S, et al. Computed tomography imaging in the context of Transcatheter Aortic Valve Implantation (TAVI)/Transcatheter Aortic Valve Replacement (TAVR): an expert consensus document of the society of cardiovascular computed tomography. JACC Cardiovasc Imaging. 2019;12(1):1–24. doi:10.1016/j.jcmg.2018.12.003.
  • Ruile P, Neumann F-J. Valve thrombosis after TAVI. Eur Heart J. 2017;38(36):2700–2701. doi:10.1093/eurheartj/ehx472.
  • Johnston DR, Soltesz EG, Vakil N, et al. Long-term durability of bioprosthetic aortic valves: implications from 12,569 implants. Ann Thorac Surg. 2015;99(4):1239–1247. doi:10.1016/j.athoracsur.2014.10.070.
  • Rodriguez-Gabella T, Voisine P, Puri R, Pibarot P, Rodes-Cabau J. Aortic bioprosthetic valve durability: incidence, mechanisms, predictors, and management of surgical and transcatheter valve degeneration. J Am Coll Cardiol. 2017;70(8):1013–1028. doi:10.1016/j.jacc.2017.07.715.
  • Zoghbi WA, Chambers JB, Dumesnil JG, et al. Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2009;22:975–1014. quiz 1082-4.
  • Vahanian A, Alfieri O, Andreotti F, et al. Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur J Cardiothorac Surg. 2012;42(4):S1–44. doi:10.1093/ejcts/ezs455.
  • Lancellotti P, Pibarot P, Chambers J, et al. Recommendations for the imaging assessment of prosthetic heart valves: a report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging†. Eur Heart J Cardiovasc Imaging. 2016;17:589–590.
  • Bourguignon T, Bouquiaux-Stablo AL, Candolfi P, et al. Very long-term outcomes of the Carpentier-Edwards Perimount valve in aortic position. Ann Thorac Surg. 2015;99(3):831–837. doi:10.1016/j.athoracsur.2014.09.030.
  • Capodanno D, Petronio AS, Prendergast B, et al. Standardized definitions of structural deterioration and valve failure in assessing long-term durability of transcatheter and surgical aortic bioprosthetic valves: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) endorsed by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2017;38:3382–3390.
  • Dvir D, Bourguignon T, Otto CM, et al. Standardized definition of structural valve degeneration for surgical and transcatheter bioprosthetic aortic valves. Circulation. 2018;137(4):388–399. doi:10.1161/CIRCULATIONAHA.117.030729.
  • Sellers SL, Turner CT, Sathananthan J, et al. Transcatheter aortic heart valves: histological analysis providing insight to leaflet thickening and structural valve degeneration. JACC Cardiovasc Imaging. 2019;12(1):135–145. doi:10.1016/j.jcmg.2018.06.028.
  • Yahagi K, Ladich E, Kutys R, et al. Pathology of balloon-expandable transcatheter aortic valves. Catheter Cardiovasc Interv. 2017;90(6):1048–1057. doi:10.1002/ccd.27160.
  • Yahagi K, Torii S, Ladich E, et al. Pathology of self-expanding transcatheter aortic valves: findings from the CoreValve US pivotal trials. Catheter Cardiovasc Interv. 2018;91(5):947–955. doi:10.1002/ccd.27314.
  • Foroutan F, Guyatt GH, Otto CM, et al. Structural valve deterioration after transcatheter aortic valve implantation. Heart. 2017;103(23):1899–1905. doi:10.1136/heartjnl-2017-311329.
  • Mack MJ, Leon MB, Smith CR, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385(9986):2477–2484. doi:10.1016/S0140-6736(15)60308-7.
  • Blackman DJ, Saraf S, MacCarthy PA, et al. Long-term durability of transcatheter aortic valve prostheses. J Am Coll Cardiol. 2019;73(5):537–545. doi:10.1016/j.jacc.2018.10.078.
  • Del Trigo M, Muñoz-Garcia AJ, Wijeysundera HC, et al. Incidence, timing, and predictors of valve hemodynamic deterioration after transcatheter aortic valve replacement. Multicenter Reg. 2016;67:644–655.
  • Hatoum H, Moore BL, Maureira P, Dollery J, Crestanello JA, Dasi LP. Aortic sinus flow stasis likely in valve-in-valve transcatheter aortic valve implantation. J Thorac Cardiovasc Surg. 2017;154(32–43.e1):32–43.e1. doi:10.1016/j.jtcvs.2017.03.053.
  • Vahidkhah K, Azadani AN. Supra-annular valve-in-valve implantation reduces blood stasis on the transcatheter aortic valve leaflets. J Biomech. 2017;58:114–122. doi:10.1016/j.jbiomech.2017.04.020.
  • Cartlidge TRG, Doris MK, Sellers SL, et al. Detection and prediction of bioprosthetic aortic valve degeneration. J Am Coll Cardiol. 2019;73(10):1107–1119. doi:10.1016/j.jacc.2018.12.056.
  • Simionescu A, Schulte JB, Fercana G, Simionescu DT. Inflammation in cardiovascular tissue engineering: the challenge to a promise: a minireview. Int J Inflammation. 2011;2011:958247. doi:10.4061/2011/958247.

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