Author + information
- Received May 10, 2019
- Revision received June 16, 2019
- Accepted June 20, 2019
- Published online January 20, 2020.
- aDivision of Cardiology, A.O.U. “Policlinico-Vittorio Emanuele,” University of Catania, Catania, Italy
- bDepartment of Cardiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
- ↵∗Address for correspondence:
Dr. Davide Capodanno, Division of Cardiology, A.O.U. “Policlinico-Vittorio Emanuele,” University of Catania, Via Santa Sofia 78, Catania, Italy.
• Definitions of structural valve deterioration and bioprosthetic valve failure should balance simplicity and accuracy, while allowing for a fair comparison of procedures and devices.
• As the topic of durability becomes increasingly relevant, the EAPCI/ESC/EACTS definition is intended to provide harmonization in the reporting of long-term outcomes of bioprosthetic valves.
In the evolving scenario of transcatheter aortic valve replacement (TAVR), the topic of bioprosthetic valve durability is becoming increasingly important. Unfortunately, the definition of long-term durability of surgical and transcatheter bioprostheses has been inconsistent over time. Comparative studies of TAVR and surgical aortic valve replacement, or studies comparing TAVR devices, would benefit from the use of standardized definitions of valve durability. The definitions of structural valve deterioration and bioprosthetic valve failure developed by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) have been endorsed by both the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) and embraced by many investigators worldwide. In this viewpoint, the authors discuss the strengths and limitations of such approach, which is intended to balance the need for accuracy and simplicity in reporting of long-term durability.
Both authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received May 10, 2019.
- Revision received June 16, 2019.
- Accepted June 20, 2019.
- 2020 American College of Cardiology Foundation
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