TY - JOUR JO - EuroIntervention TI - Long-term follow-up of patients with contained annulus ruptures after TAVI: the EuropeaN COntained RupturE (ENCORE) registry AB - <p><strong>Aims:</strong> The purpose of this registry was to determine the long-term outcomes in patients with asymptomatic contained annulus rupture (CR) as a rare complication of transcatheter aortic valve implantation (TAVI).</p> <p><strong>Methods and results:</strong> The ENCORE registry is a multicentre registry (six centres across Europe) of patients with CR diagnosed on post-TAVI computed tomography angiography (CTA) or transoesophageal echocardiography (TEE). A total of 21 patients (mean age 81.9&plusmn;4.1 years, 81% balloon-expandable TAVI prostheses) were diagnosed with CR (mean size of lesions was 15.3&plusmn;6.9 &times; 8.5&plusmn;3.3 &times; 8.5&plusmn;2.3 mm). Seventeen were diagnosed among a total of 1,602 consecutive routine post-TAVI CTA (incidence 1.1%), two in TEE and two in post-TAVI CTA (each conducted due to suspicion of peri-interventional complications). During a mean follow-up of 2.3&plusmn;1.7 years (cumulative 48.6 patient-years), nine patients (43%) died from non-cardiac causes. None of the patients exhibited symptoms or underwent interventional treatment related to the CR; no sudden cardiac death occurred. A follow-up CTA, performed in eleven patients 240&plusmn;176 days post TAVI, revealed stable CR findings in seven, regression in one, and remission in three patients.</p> <p><strong>Conclusions:</strong> The results of our international multicentre registry demonstrate favourable long-term outcomes of CR after TAVI supporting a watch-and-wait strategy in these patients.</p> AU - Breitbart Philipp AU - Minners Jan AU - Pache Gregor AU - Hansson Christopher Nicolaj AU - Nørgaard Linde Bjarne AU - De Backer Ole AU - Søndergaard Lars AU - Alsanjari Osama AU - Hildick-Smith David AU - Abdel-Wahab Mohamed AU - Löbig Stephanie AU - Neumann Franz-Josef AU - Ruile Philipp VL - 16 IS - 1 Y1 - 20/05/2020 Y1 - 2020 DOI - 10.4244/EIJ-D-19-00740 SP - 83 EP - 88 KW - annulus rupture KW - aortic stenosis KW - degenerative valve KW - non-invasive imaging KW - risk stratification KW - tavi PB - Europa Digital & Publishing SE - Interventions for valvular disease and heart failure UR - https://eurointervention.pcronline.com/article/long-term-follow-up-of-patients-with-contained-annulus-ruptures-after-tavi-the-european-contained-rupture-encore-registry SN - 1774-024X ER -