Temporal Trends in Transcatheter Aortic Valve Replacement in France: FRANCE 2 to FRANCE TAVI

Vincent Auffret 1, 2 Thierry Lefevre Eric Belle Hélène Eltchaninoff 3 Bernard Iung 4 René Koning 5 Pascal Motreff 6 Pascal Leprince 7 Philippe Philippe Thibaut Manigold Geraud Souteyrand 8 Dominique Boulmier Patrick Joly Frédéric Pinaud 9 Dominique Himbert 4 Philippe Collet Gilles Rioufol 10 Said Ghostine Olivier Bar 11 Alain Dibie Didier Champagnac Lionel Leroux 12 Frédéric Collet Emmanuel Teiger 13 Olivier Darremont Thierry Folliguet 14 Florence Leclercq 15 Thibault Lhermusier 16 Patrick Olhmann Bruno Huret Luc Lorgis 17 Laurent Drogoul Bernard Bertrand 18 Christian Spaulding 19 Laurent Quilliet Thomas Cuisset 20 Max Delomez Farzin Beygui 21 Philippe Claudel Alain Hepp Arnaud Jégou Antoine Gommeaux Anfani Mirode Luc Christiaens 22 Christophe Christophe Claude Cassat Damien Metz Lionel Mangin Karl Isaaz 23 Laurent Jacquemin 24 Philippe Guyon Christophe Pouillot Serge Makowski Vincent Bataille 25 Josep Rodes-Cabau 26 Martine Gilard 27 Marc Laskar 28 Bernard Chevalier Thomas Hovasse Patrick Donzeau Gouge Arnaud Farge Mauro Romano Bertrand Bertrand 29 Erik Bouvier Jean Bauchart Cédric Delhaye 30 David Houpe Robert Robert Fabrice Leroy Arnaud Sudre 30 Francis Juthier 31 Mohamed Koussa Thomas Modine Natacha Rousse Jean Auffray Richard Richard Jacques Berland Mathieu Godin Jean Bessou Vincent Letocart Jean Roussel Nicolas Combaret Nicolas D’ostrevy 32 Andrea Innorta 33 Guillaume Clerfond Charles Vorilhon Marc Bedossa 2 Guillaume Leurent 1, 2 Amedeo Anselmi 1, 34 Majid Harmouche 1, 34 Erwan Donal 1, 2 Jacques Bille 35 Rémi Houel Wissam Abi Khalil Stéphane Delepine Olivier Fouquet 34 Frédéric Roule Jérémie Abtan Marina Urena Soleiman Alkhoder Walid Ghodbane Dimitri Arangalage 36 Eric Brochet 4 Coppelia Goublaire Rémi Choussat 36 Guillaume Lebreton 37 Chiro Mastrioanni Raphaël Dauphin 38 Olivier Dubreuil Guy Durand de Gevigney Gérard Finet 39 Brahim Harbaoui 40 Sylvain Ranc Fadi Farhat 41 Olivier Jegaden 42 Jean Obadia Matteo Pozzi Saïd Ghostine Sahbi Fradi Alexandre Azmoun Martin Kauffmann Didier Blanchard 43 Stephan Chassaing Didier Chatel Olivier Le Page Arnaud Tauran Didier Bruere Laurent Bodson Yvon Meurisse Aurélie Seemann Nicolas Amabile 23 Simon Simon Luc Drieu Alice Ohanessian Aurélie Veugeois 44 Matthieu Debauchez Konstantinos Zannis Daniel Czitrom Chrystelle Diakov François Raoux Yves Lienhart Patrick Staat 45 Oualid Zouaghi Vincent Doisy Philippe Frieh Fabrice Wautot 41 Julie Dementhon Olivier Garrier Fadi Jamal Pierre Leroux Frédéric Casassus Benjamin Séguy 46 Laurent Barandon 12 Louis Labrousse 47 Julien Peltan Claire Cornolle Marina Dijos Stephane Lafitte 46 Gilles Bayet Claude Charmasson Alain Vaillant Jacques Vicat Marie Paule Giacomoni Eric Bergoend Céline Zerbib Jean Louis Leymarie Philippe Clerc Emmanuel Choukroun Nicolas Elia Philippe Grimaud Philippe Guibaud Stéphane Wroblewski Eric Abergel 48 Emmanuel Bogino Patrick Dehant Marc Simon Michel Angioi Julien Lemoine Simon Lemoine 49 Batric Popovic Pablo Maureira 50 Olivier Huttin 51 Christine Selton Suty Guillaume Cayla 52 Delphine Delseny Gilles Levy Eric Maupas François Rivalland Gabriel Robert Laurent Schmutz Frédéric Targosz Bernard Albat 53 Arnaud Dubar Nicolas Durrleman Thomas Gandet 54 Emmanuel Munos Stéphane Cade 15 Frédéric Cransac Frédéric Bouisset 16 Etienne Grunenwald 55 Marc Bertrand Pauline Fournier 56 Olivier Morel Patrick Ohlmann Michel Kindo Minh Tam Hoang Hélène Petit Hafida Samet Anne Trinh Guillaume Lecoq Jean François Morelle Pascal Richard Thierry Derieux Emmanuel Monier Cédric Joret 57 Olivier Bouchot 58 Pierre Meyer Stéphane Lopez Michel Tapia Jacques Teboul Pierre Elbeze Alain Mihoubi Gérald Vanzetto 59 Olivier Wittenberg Vincent Bach 60 Cécile Martin Carole Sauier Charlotte Casset 61 Philippe Castellant 27 Eric Bezon 27 Jean Choplain Ahmed Kallifa Bahaa Nasr Yannick Jobic 62 Antoine Lafont 63 Jean Pagny Ramzi Abi Akar Jean Fabiani Rachid Zegdi Alain Berrebi 64 Tania Puscas Bernard Desveaux Fabrice Ivanes 42 Thierry Bourguignon Blandine Aupy Romain Perault Jean Bonnet Marc Lambert Dominique Grisoli Nicolas Jaussaud Erwan Salaün Amine Laghzaoui Christine Savoye Mathieu Bignon Vincent Roule Rémy Sabatier Calin Ivascau Vladimir Saplacan Eric Saloux 65 Damien Bouchayer Guillaume Tremeau Camille Diab Joel Lapeze 41 Franck Pelissier Thomas Sassard 41 Catherine Matz Nicolas Monsarrat Ivan Carel Franck Sibellas Alain Curtil Grégoire Dambrin Xavier Favereau Gabriel Ghorayeb Laurent Guesnier Wassim Khoury Bruno Pouzet Claude Vaislic Riadh Cheikh-Khelifa Loïc Hilpert 66 Philippe Maribas Gery Hannebicque Philippe Hochart Marc Paris Max Pecheux Olivier Fabre Laurent Leborgne Marcel Peltier Hervé Le Breton 1, 2, *
* Auteur correspondant
Abstract : METHODS TAVRs performed in 48 centers across France between January 2013 and December 2015 were prospectively included in the FRANCE TAVI (French Transcatheter Aortic Valve Implantation) registry. Findings were further compared with those reported from the FRANCE 2 (French Aortic National CoreValve and Edwards 2) registry, which captured all TAVRs performed from January 2010 to January 2012 across 34 centers. RESULTS A total of 12,804 patients from FRANCE TAVI and 4,165 patients from FRANCE 2 were included in this analysis. The median age of patients was 84.6 years, and 49.7% were men. FRANCE TAVI participants were older but at lower surgical risk (median logistic European System for Cardiac Operative Risk Evaluation [EuroSCORE]: 15.0% vs. 18.4%; p < 0.001). More than 80% of patients in FRANCE TAVI underwent transfemoral TAVR. Transesophageal echocardiography guidance decreased from 60.7% to 32.3% of cases, whereas more recent procedures were increasingly performed in hybrid operating rooms (15.8% vs. 35.7%). Rates of Valve Academic Research Consortium–defined device success increased from 95.3% in FRANCE 2 to 96.8% in FRANCE TAVI (p < 0.001). In-hospital and 30-day mortality rates were 4.4% and 5.4%, respectively, in FRANCE TAVI compared with 8.2% and 10.1%, respectively, in FRANCE 2 (p < 0.001 for both). Stroke and potentially life-threatening complications, such as annulus rupture or aortic dissection, remained stable over time, whereas rates of cardiac tamponade and pacemaker implantation significantly increased. CONCLUSIONS The FRANCE TAVI registry provided reassuring data regarding trends in TAVR performance in an all-comers population on a national scale. Nonetheless, given that TAVR indications are likely to expand to patients at lower surgical risk, concerns remain regarding potentially life-threatening complications and pacemaker implantation. (Registry of AorticValveBioprosthesesEstablishedbyCatheter[FRANCETAVI];NCT01777828)
Type de document :
Article dans une revue
Journal of the American College of Cardiology, Elsevier, 2017, 70, 42-55 (1), 〈10.1016/j.jacc.2017.04.053〉
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https://hal.archives-ouvertes.fr/hal-01744757
Contributeur : Marie-Hélène Goletto <>
Soumis le : mardi 27 mars 2018 - 16:06:09
Dernière modification le : jeudi 29 novembre 2018 - 16:08:53

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Vincent Auffret, Thierry Lefevre, Eric Belle, Hélène Eltchaninoff, Bernard Iung, et al.. Temporal Trends in Transcatheter Aortic Valve Replacement in France: FRANCE 2 to FRANCE TAVI. Journal of the American College of Cardiology, Elsevier, 2017, 70, 42-55 (1), 〈10.1016/j.jacc.2017.04.053〉. 〈hal-01744757〉

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