Research Article

Transcatheter Aortic Valve Replacement in Patients with Aortic Stenosis Having Coronary Cusp Fusion versus Mixed Cusp Fusion Nonraphe Bicuspid Aortic Valve

Table 2

Procedural characteristics.

CharacteristicTotal (N = 71)Mixed fusion (N = 44)Coronary fusion (N = 27) value

Transfemoral approach71 (100%)44 (100%)27 (100%)1.0
Local anesthesia9 (12.7%)6 (13.6%)3 (11.1%)0.52
Predilation66 (93.0%)41 (93.2%)25 (92.6%)1.0
Oversizing ratio (%)12.2 ± 11.312.5 ± 11.711.7 ± 10.70.79
Implantation depth (mm)6.5 ± 3.86.8 ± 3.65.9 ± 4.10.37
Transcatheter heart valve type0.83
Medtronic CoreValve16 (22.5%)11 (25%)5 (18.5%)0.57
Venus-A33 (46.5%)21 (47.7%)12 (44.4%)0.81
VitaFlow6 (8.5%)3 (6.8%)3 (11.1%)0.67
Lotus16 (22.5%)9 (20.5%)7 (25.9%)0.77
Mean valve diameter (mm)26.1 ± 2.225.9 ± 1.726.7 ± 2.90.152
Medtronic CoreValve/Venus-A0.005
 233 (4.2%)2 (4.5%)1 (3.7%)1.0
 2630 (42.3%)24 (54.5%)6 (22.2%)0.013
 2912 (16.9%)6 (13.6%)6 (22.2%)0.30
 31/324 (5.6%)04 (14.8%)0.011
VitaFlow0.40
 244 (5.6%)1 (2.3%)3 (11.1%)
 272 (2.8%)2 (4.5%)0
Lotus valve1.0
 237 (9.9%)4 (9.1%)3 (11.1%)
 259 (12.7%)5 (11.4%)4 (14.8%)
Need for a second valve11 (15.5%)7 (15.9%)4 (14.8%)1.0
Postdilation28 (39.4%)17 (38.6%)11 (40.7%)0.80

The patients were stratified according to the type of cusp fusion. Data are shown as mean ± standard deviation or frequency (percentage). Oversizing ratio calculated based on valve perimeter for self-expandable valves and based on valve area for Lotus valves. Implantation depth defined as the distance between the lowest point of the noncoronary sinus and the corresponding inflow part of the frame.