{"created":"2025-04-15T02:12:27.481944+00:00","id":2026507,"links":{},"metadata":{"_buckets":{"deposit":"63e835ea-0423-40b2-a74e-ee77abcecb65"},"_deposit":{"id":"2026507","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"2026507"},"status":"published"},"_oai":{"id":"oai:teikyo-u.repo.nii.ac.jp:02026507","sets":["1726879085919:1741828256493"]},"author_link":[],"item_1551264308487":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"Predictors of bioprosthetic valve dysfunction after transcatheter aortic valve implantation","subitem_title_language":"eng"}]},"item_1551264340087":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"familyNames":[{"familyName":"Hioki"}],"givenNames":[{"givenName":"Hirofumi"}]},{"familyNames":[{"familyName":"watanabe","familyNameLang":"eng"},{"familyName":"渡邊","familyNameLang":"jpn"}],"givenNames":[{"givenName":"yuusuke","givenNameLang":"eng"},{"givenName":"雄介","givenNameLang":"jpn"}]},{"familyNames":[{"familyName":"Kawashima"}],"givenNames":[{"givenName":"Hideyuki"}]},{"familyNames":[{"familyName":"Otsuka"}],"givenNames":[{"givenName":"Toshiaki"}]},{"familyNames":[{"familyName":"Omiya"}],"givenNames":[{"givenName":"Jo"}]},{"familyNames":[{"familyName":"Kito"}],"givenNames":[{"givenName":"Kento"}]},{"familyNames":[{"familyName":"Katayama"}],"givenNames":[{"givenName":"Taiga"}]},{"familyNames":[{"familyName":"kataoka","familyNameLang":"eng"},{"familyName":"片岡","familyNameLang":"jpn"}],"givenNames":[{"givenName":"akihisa","givenNameLang":"eng"},{"givenName":"明久","givenNameLang":"jpn"}]},{"familyNames":[{"familyName":"yokoyama","familyNameLang":"eng"},{"familyName":"横山","familyNameLang":"jpn"}],"givenNames":[{"givenName":"naoyuki","givenNameLang":"eng"},{"givenName":"直之","givenNameLang":"jpn"}]},{"familyNames":[{"familyName":"kouzuma","familyNameLang":"eng"},{"familyName":"上妻","familyNameLang":"jpn"}],"givenNames":[{"givenName":"ken","givenNameLang":"eng"},{"givenName":"謙","givenNameLang":"jpn"}]}]},"item_1551264447183":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1551264822581":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"aortic stenosis","subitem_subject_language":"eng","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly (>75 years)","subitem_subject_language":"eng","subitem_subject_scheme":"Other"},{"subitem_subject":"TAVI","subitem_subject_language":"eng","subitem_subject_scheme":"Other"},{"subitem_subject":"Cardiology and Cardiovascular Medicine","subitem_subject_language":"eng","subitem_subject_scheme":"SciVal"},{"subitem_subject":"循環器および心血管医学","subitem_subject_language":"jpn","subitem_subject_scheme":"SciVal"}]},"item_1551264846237":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"

Background: Recently, the Valve Academic Research Consortium (VARC)-3 criteria redefined bioprosthetic valve dysfunction (BVD) after transcatheter aortic valve implantation (TAVI). However, the rate of BVD is scarcely reported in current practice. Aims: We aimed to evaluate the rate and predictors of BVD after TAVI based on the VARC-3 criteria. Methods: We retrospectively analysed patients who had undergone TAVI using single-centre data. BVD was reported as exposure-adjusted event rates with a patient-year unit (per 100 patient-years). Predictors of BVD after TAVI were analysed using Fine-Gray competing risk regression to account for the competing risk of death. Results: Among 514 patients, the rate of BVD was 7.5 events per 100 patient-years (n=74) at a median follow-up of 1.9 years. The main cause of BVD was moderate or severe prosthesis-patient mismatch (PPM; n=59). The Fine-Gray model demonstrated that predilatation was associated with a lower rate of BVD, mainly moderate or severe PPM (adjusted subdistribution hazard ratio [sub-HR] 0.42, 95% confidence interval [CI]: 0.21-0.88). In a subgroup analysis, the patients with a small aortic annulus (area <400 mm2 or perimeter <72 mm) tended to benefit from predilatation (p for interaction=0.03). The same regression model also demonstrated that a small balloon-expandable valve (BEV; ≤23 mm) was associated with a higher rate of BVD (adjusted sub-HR 2.46, 95% CI: 1.38-4.38). Conclusions: Our study suggested that the rate of BVD in patients undergoing TAVI is relatively low at midterm follow-up. Predilatation, particularly in small annuli and small BEV might have an impact on BVD, mainly caused by moderate or severe PPM, after TAVI.

","subitem_description_language":"eng"}]},"item_1551264974654":{"attribute_name":"Date","attribute_value_mlt":[{"subitem_date_issued_datetime":"2023","subitem_date_issued_type":"Issued"}]},"item_1551265002099":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_1551265032053":{"attribute_name":"item_1551265032053","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1551265227803":{"attribute_name":"Relation","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"85153968990","subitem_relation_type_select":"QABO"}},{"subitem_relation_type":"isPartOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"2426-3958","subitem_relation_type_select":"ISSN"}}]},"item_1551265438256":{"attribute_name":"Source Title","attribute_value_mlt":[{"subitem_source_title":"AsiaIntervention"}]},"item_1551265463411":{"attribute_name":"巻","attribute_value_mlt":[{"subitem_volume":"9"}]},"item_1551265520160":{"attribute_name":"号","attribute_value_mlt":[{"subitem_issue":"1"}]},"item_1551265553273":{"attribute_name":"ページ数","attribute_value_mlt":[{"subitem_number_of_pages":"8"}]},"item_1551265569218":{"attribute_name":"開始ページ","attribute_value_mlt":[{"subitem_start_page":"87"},{"subitem_start_page":"94"}]},"item_title":"Predictors of bioprosthetic valve dysfunction after transcatheter aortic valve implantation","item_type_id":"12","owner":"1","path":["1741828256493"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-03-31"},"publish_date":"2025-03-31","publish_status":"0","recid":"2026507","relation_version_is_last":true,"system_identifier_doi":{"attribute_name":"Persistent Identifier(DOI)","attribute_value_mlt":[{"subitem_systemidt_identifier":"https://pure.teikyo.jp/en/publications/016b3f90-b5eb-4574-b3b1-c36541d52022","subitem_systemidt_identifier_type":"URI"},{"subitem_systemidt_identifier":"https://doi.org/10.4244/AIJ-D-22-00067","subitem_systemidt_identifier_type":"DOI"}]},"title":["Predictors of bioprosthetic valve dysfunction after transcatheter aortic valve implantation"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2025-04-17T10:16:52.666641+00:00"}