RV to PA conduits: impact of transcatheter pulmonary valve replacement in adults – a national register study
Key result
Surgical conduit replacement continues to outnumber TPVR, accounting for ~60% of reinterventions.
- n=536
Why the study?
What are the trends in the use of transcatheter pulmonary valve replacement versus surgical conduit replacement in adults with congenital heart disease?
Population
Adult patients with congenital heart disease requiring right ventricular outflow tract reconstruction with a…
Comparison
Transcatheter pulmonary valve replacement (TPVR) vs Surgical conduit replacement
Design
Cohort
Follow-up
2000-2014
Authors
Discussion
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Member takes
Implication
Surgical replacements predominate for conduit reintervention despite TPVR availability; leaves open optimal patient selection and access barriers in adult congenital heart disease.
Study Design
Type
Observational (n=536)
Multicenter
Yes
Structured PICO
What are the trends in the use of transcatheter pulmonary valve replacement versus surgical conduit replacement in adults with congenital heart disease?
P
Population
536 adult patients with congenital heart disease and right ventricular to pulmonary artery conduits in Sweden, evaluated between 2000 and 2014.
E
Exposure
Transcatheter pulmonary valve replacement (TPVR)
C
Comparator
Surgical conduit replacement
O
Outcome
Trends in new implantation, reoperation, and transcatheter pulmonary valve replacement (TPVR)
Despite the introduction of TPVR, surgical conduit replacement remains the most common method for conduit reintervention in adults with congenital heart disease in Sweden.
Cite This Study
Skoglund et al. (2017) conducted an observational in Congenital heart disease (n=536). Transcatheter pulmonary valve replacement (TPVR) vs. Surgical conduit replacement was evaluated on Conduit reinterventions (surgical replacement vs TPVR). Surgical conduit replacements remained the majority of reinterventions compared to transcatheter pulmonary valve replacement (60 vs 40 procedures) after the introduction of TPVR.