Research status and treatment strategies of prosthesis-patient mismatch after transcatheter aortic valve replacement_West China Medical Journal

Authors：

ZHAI Meng’en , MAO Yu , JIN Ping , XU Chennian , LIU Jincheng , LIU Yang ,  YANG Jian

Department of Cardiovascular Surgery, First Affiliated Hospital of Air Force Medical University, Xi’an, Shaanxi 710032, P. R. China;

Corresponding author：

YANG Jian, Email: yangjian1212@hotmail.com

Keywords：

Transcatheter aortic valve replacement; prosthesis-patient mismatch; surgical aortic valve replacement; research status

DOI：

10.7507/1002-0179.202203119

Video：

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In recent years, transcatheter aortic valve replacement (TAVR) has developed rapidly in China, and the number and quality of operations have increased significantly. TAVR has become an important treatment strategy for patients with severe aortic stenosis and regurgitation following surgical aortic valve replacement. Prosthesis-patient mismatch (PPM) is one of the main complications after TAVR, but the incidence of TAVR-related PPM is significantly lower than surgical aortic valve replacement. Most studies believe that PPM has no significant effect on the clinical prognosis of most patients after TAVR, and only increases postoperative mortality in a specific population. This article will review the incidence, influencing factors, impact on clinical prognosis and related coping strategies of PPM after TAVR.

Citation： ZHAI Meng’en, MAO Yu, JIN Ping, XU Chennian, LIU Jincheng, LIU Yang, YANG Jian. Research status and treatment strategies of prosthesis-patient mismatch after transcatheter aortic valve replacement. West China Medical Journal, 2022, 37(4): 599-603. doi: 10.7507/1002-0179.202203119 Copy

1.	Rahimtoola SH. The problem of valve prosthesis-patient mismatch. Circulation, 1978, 58(1): 20-24.
2.	Mendoza CE, Celli D. Determining prosthesis-patient mismatch after TAVR: which is the best method?. J Card Surg, 2021, 36(1): 197-198.
3.	Head SJ, Mokhles MM, Osnabrugge RL, et al. The impact of prosthesis-patient mismatch on long-term survival after aortic valve replacement: a systematic review and meta-analysis of 34 observational studies comprising 27 186 patients with 133 141 patient-years. Eur Heart J, 2012, 33(12): 1518-1529.
4.	Flameng W, Herregods MC, Vercalsteren M, et al. Prosthesis-patient mismatch predicts structural valve degeneration in bioprosthetic heart valves. Circulation, 2010, 121(19): 2123-2129.
5.	Abdelghani M, Allali A, Kaur J, et al. Impact of prosthesis-iteration evolution and sizing practice on the incidence of prosthesis-patient mismatch after transcatheter aortic valve replacement. Catheter Cardiovasc Interv, 2019, 93(5): 971-979.
6.	Shi J, Wei L, Chen Y, et al. Transcatheter aortic valve implantation with J-valve: 2-year outcomes from a multicenter study. Ann Thorac Surg, 2021, 111(5): 1530-1536.
7.	Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation, 2021, 143(5): e72-e227.
8.	Pibarot P, Weissman NJ, Stewart WJ, et al. Incidence and sequelae of prosthesis-patient mismatch in transcatheter versus surgical valve replacement in high-risk patients with severe aortic stenosis: a PARTNER trial cohort-a analysis. J Am Coll Cardiol, 2014, 64(13): 1323-1334.
9.	Liao YB, Li YJ, Jun-Li L, et al. Incidence, predictors and outcome of prosthesis-patient mismatch after transcatheter aortic valve replacement: a systematic review and meta-analysis. Sci Rep, 2017, 7(1): 15014.
10.	Fukui M, Garcia S, Lesser JR, et al. Prosthesis-patient mismatch defined by cardiac computed tomography versus echocardiography after transcatheter aortic valve replacement. J Cardiovasc Comput Tomogr, 2021, 15(5): 403-411.
11.	Thyregod HG, Steinbrüchel DA, Ihlemann N, et al. No clinical effect of prosthesis-patient mismatch after transcatheter versus surgical aortic valve replacement in intermediate- and low-risk patients with severe aortic valve stenosis at mid-term follow-up: an analysis from the NOTION trial. Eur J Cardiothorac Surg, 2016, 50(4): 721-728.
12.	He S, Fang Z. Incidence, predictors, and outcome of prosthesis-patient mismatch after transcatheter aortic valve replacement: a meta-analysis. Medicine (Baltimore), 2020, 99(24): e20717.
13.	Okuno T, Khan F, Asami M, et al. Prosthesis-patient mismatch following transcatheter aortic valve replacement with supra-annular and intra-annular prostheses. JACC Cardiovasc Interv, 2019, 12(21): 2173-2182.
14.	Voigtländer L, Kim WK, Mauri V, et al. Transcatheter aortic valve implantation in patients with a small aortic annulus: performance of supra-, intra- and infra-annular transcatheter heart valves. Clin Res Cardiol, 2021, 110(12): 1957-1966.
15.	Regazzoli D, Chiarito M, Cannata F, et al. Transcatheter self-expandable valve implantation for aortic stenosis in small aortic annuli: the TAVI-SMALL registry. JACC Cardiovasc Interv, 2020, 13(2): 196-206.
16.	Vallabhaneni S, Matka M, Modi V, et al. Prevalence and significance of patient prosthesis mismatch following edwards SAPIEN XT and SAPIEN 3 transcatheter aortic valve replacement. Cureus, 2021, 13(9): e18044.
17.	Herrmann HC, Daneshvar SA, Fonarow GC, et al. Prosthesis-patient mismatch in patients undergoing transcatheter aortic valve replacement: from the STS/ACC TVT registry. J Am Coll Cardiol, 2018, 72(22): 2701-2711.
18.	Dayan V, Vignolo G, Soca G, et al. Predictors and outcomes of prosthesis-patient mismatch after aortic valve replacement. JACC Cardiovasc Imaging, 2016, 9(8): 924-933.
19.	Leone PP, Regazzoli D, Pagnesi M, et al. Predictors and clinical impact of prosthesis-patient mismatch after self-expandable TAVR in small annuli. JACC Cardiovasc Interv, 2021, 14(11): 1218-1228.
20.	Miyasaka M, Tada N, Taguri M, et al. Incidence, predictors, and clinical impact of prosthesis-patient mismatch following transcatheter aortic valve replacement in Asian patients: the OCEAN-TAVI registry. JACC Cardiovasc Interv, 2018, 11(8): 771-780.
21.	Kaminishi Y, Misawa Y, Kobayashi J, et al. Patient-prosthesis mismatch in patients with aortic valve replacement. Gen Thorac Cardiovasc Surg, 2013, 61(5): 274-279.
22.	Abbas AE, Ternacle J, Pibarot P, et al. Impact of flow on prosthesis-patient mismatch following transcatheter and surgical aortic valve replacement. Circ Cardiovasc Imaging, 2021, 14(8): e012364.
23.	Kameshima H, Izumo M, Suzuki T, et al. Impact of prosthesis-patient mismatch on hemodynamics during exercise in patients with aortic stenosis after transcatheter aortic valve implantation with a balloon-expandable valve. Front Cardiovasc Med, 2022, 8: 799285.
24.	Ewe SH, Muratori M, Delgado V, et al. Hemodynamic and clinical impact of prosthesis-patient mismatch after transcatheter aortic valve implantation. J Am Coll Cardiol, 2011, 58(18): 1910-1918.
25.	Cahill TJ, Terre JA, George I. Over 15 years: the advancement of transcatheter aortic valve replacement. Ann Cardiothorac Surg, 2020, 9(6): 442-451.

1. Rahimtoola SH. The problem of valve prosthesis-patient mismatch. Circulation, 1978, 58(1): 20-24.
2. Mendoza CE, Celli D. Determining prosthesis-patient mismatch after TAVR: which is the best method?. J Card Surg, 2021, 36(1): 197-198.
3. Head SJ, Mokhles MM, Osnabrugge RL, et al. The impact of prosthesis-patient mismatch on long-term survival after aortic valve replacement: a systematic review and meta-analysis of 34 observational studies comprising 27 186 patients with 133 141 patient-years. Eur Heart J, 2012, 33(12): 1518-1529.
4. Flameng W, Herregods MC, Vercalsteren M, et al. Prosthesis-patient mismatch predicts structural valve degeneration in bioprosthetic heart valves. Circulation, 2010, 121(19): 2123-2129.
5. Abdelghani M, Allali A, Kaur J, et al. Impact of prosthesis-iteration evolution and sizing practice on the incidence of prosthesis-patient mismatch after transcatheter aortic valve replacement. Catheter Cardiovasc Interv, 2019, 93(5): 971-979.
6. Shi J, Wei L, Chen Y, et al. Transcatheter aortic valve implantation with J-valve: 2-year outcomes from a multicenter study. Ann Thorac Surg, 2021, 111(5): 1530-1536.
7. Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation, 2021, 143(5): e72-e227.
8. Pibarot P, Weissman NJ, Stewart WJ, et al. Incidence and sequelae of prosthesis-patient mismatch in transcatheter versus surgical valve replacement in high-risk patients with severe aortic stenosis: a PARTNER trial cohort-a analysis. J Am Coll Cardiol, 2014, 64(13): 1323-1334.
9. Liao YB, Li YJ, Jun-Li L, et al. Incidence, predictors and outcome of prosthesis-patient mismatch after transcatheter aortic valve replacement: a systematic review and meta-analysis. Sci Rep, 2017, 7(1): 15014.
10. Fukui M, Garcia S, Lesser JR, et al. Prosthesis-patient mismatch defined by cardiac computed tomography versus echocardiography after transcatheter aortic valve replacement. J Cardiovasc Comput Tomogr, 2021, 15(5): 403-411.
11. Thyregod HG, Steinbrüchel DA, Ihlemann N, et al. No clinical effect of prosthesis-patient mismatch after transcatheter versus surgical aortic valve replacement in intermediate- and low-risk patients with severe aortic valve stenosis at mid-term follow-up: an analysis from the NOTION trial. Eur J Cardiothorac Surg, 2016, 50(4): 721-728.
12. He S, Fang Z. Incidence, predictors, and outcome of prosthesis-patient mismatch after transcatheter aortic valve replacement: a meta-analysis. Medicine (Baltimore), 2020, 99(24): e20717.
13. Okuno T, Khan F, Asami M, et al. Prosthesis-patient mismatch following transcatheter aortic valve replacement with supra-annular and intra-annular prostheses. JACC Cardiovasc Interv, 2019, 12(21): 2173-2182.
14. Voigtländer L, Kim WK, Mauri V, et al. Transcatheter aortic valve implantation in patients with a small aortic annulus: performance of supra-, intra- and infra-annular transcatheter heart valves. Clin Res Cardiol, 2021, 110(12): 1957-1966.
15. Regazzoli D, Chiarito M, Cannata F, et al. Transcatheter self-expandable valve implantation for aortic stenosis in small aortic annuli: the TAVI-SMALL registry. JACC Cardiovasc Interv, 2020, 13(2): 196-206.
16. Vallabhaneni S, Matka M, Modi V, et al. Prevalence and significance of patient prosthesis mismatch following edwards SAPIEN XT and SAPIEN 3 transcatheter aortic valve replacement. Cureus, 2021, 13(9): e18044.
17. Herrmann HC, Daneshvar SA, Fonarow GC, et al. Prosthesis-patient mismatch in patients undergoing transcatheter aortic valve replacement: from the STS/ACC TVT registry. J Am Coll Cardiol, 2018, 72(22): 2701-2711.
18. Dayan V, Vignolo G, Soca G, et al. Predictors and outcomes of prosthesis-patient mismatch after aortic valve replacement. JACC Cardiovasc Imaging, 2016, 9(8): 924-933.
19. Leone PP, Regazzoli D, Pagnesi M, et al. Predictors and clinical impact of prosthesis-patient mismatch after self-expandable TAVR in small annuli. JACC Cardiovasc Interv, 2021, 14(11): 1218-1228.
20. Miyasaka M, Tada N, Taguri M, et al. Incidence, predictors, and clinical impact of prosthesis-patient mismatch following transcatheter aortic valve replacement in Asian patients: the OCEAN-TAVI registry. JACC Cardiovasc Interv, 2018, 11(8): 771-780.
21. Kaminishi Y, Misawa Y, Kobayashi J, et al. Patient-prosthesis mismatch in patients with aortic valve replacement. Gen Thorac Cardiovasc Surg, 2013, 61(5): 274-279.
22. Abbas AE, Ternacle J, Pibarot P, et al. Impact of flow on prosthesis-patient mismatch following transcatheter and surgical aortic valve replacement. Circ Cardiovasc Imaging, 2021, 14(8): e012364.
23. Kameshima H, Izumo M, Suzuki T, et al. Impact of prosthesis-patient mismatch on hemodynamics during exercise in patients with aortic stenosis after transcatheter aortic valve implantation with a balloon-expandable valve. Front Cardiovasc Med, 2022, 8: 799285.
24. Ewe SH, Muratori M, Delgado V, et al. Hemodynamic and clinical impact of prosthesis-patient mismatch after transcatheter aortic valve implantation. J Am Coll Cardiol, 2011, 58(18): 1910-1918.
25. Cahill TJ, Terre JA, George I. Over 15 years: the advancement of transcatheter aortic valve replacement. Ann Cardiothorac Surg, 2020, 9(6): 442-451.

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