Research Article

Incidence, Predictors, and Outcome of Paravalvular Leak after Transcatheter Aortic Valve Implantation

Table 1

Baseline characteristics of patients based on the severity of PVL.

Clinical characteristicsAll (n = 256)≥mild PVL (n = 75)<mild PVL (n = 181)p value

Age (year)74 ± 673.68 ± 5.8974.17 ± 6.190.56
Female gender111 (43.4%)29 (38.7%)82 (45.3%)0.33
Body mass index22.12 ± 3.4421.88 ± 3.3022.35 ± 3.590.33
STS SCORE8.01 ± 4.48.1 ± 4.017.93 ± 4.780.80
History of dyspnoea230 (89.8%)65 (86.7%)165 (91.2%)0.27
History of chest pain74 (28.9%)19 (25.3%)55 (30.4%)0.42
History of syncope41 (16.4%)13 (17.3%)28 (15.5%)0.71
Hypertension114 (44.5%)37 (49.3%)77 (42.5%)0.32
Diabetes mellitus46 (17.9%)15 (20%)31 (17.1%)0.59
Chronic obstructive pulmonary disease162 (63.2%)50 (66.7%)112 (61.9%)0.47
Coronary artery disease110 (42.9%)32 (42.7%)78 (43.1%)0.95
Previous myocardial infarction5 (1.9%)2 (2.7%)3 (1.7%)0.61
Peripheral vascular disease143 (55.8%)35 (46.7%)108 (59.7%)0.057
Prior stroke or transient ischemic attack34 (13.2%)8 (10.7%)26 (14.4%)0.43
Chronic kidney disease36 (14.0%)13 (17.3%)23 (12.7%)0.33
Atrial fibrillation37 (14.4%)9 (12%)28 (15.5%)0.47
NYHA0.88
 Class I1 (0.4%)01 (1.6%)
 Class II21 (8.2%)6 (8%)15 (8.3%)
 Class III113 (44.1%)35 (46.7%)78 (43.1%)
 Class IV121 (47.2%)34 (45.3%)87 (48.1%)
 NYHA III/IV234 (91.4%)69 (92%)165 (91.2%)0.82
Echocardiographic factors
 Left ventricular ejection fraction (%)54.7 ± 1552.93 ± 14.9856.48 ± 15.120.088
 Aortic valve peak velocity (m/s)5 ± 0.735.15 ± 0.754.94 ± 0.710.035
 Aortic valve mean pressure gradient (mm Hg)64.32 ± 19.366.56 ± 20.5762.08 ± 17.970.084
 Aortic regurgitation (moderate to severe)60 (23.4%)24 (26.3%)36 (19.9%)0.19
 Mitral regurgitation (moderate to severe)43 (16.8%)17 (19.5%)26 (16%)0.42

Data are presented as mean ± SD or percentages. NYHA: New York Heart Association; STS score: Society of Thoracic Surgeon score.