Clinical Study

Transcatheter Mitral Valve Implantation (TMVI) Using Edwards SAPIEN 3 Prostheses in Patients at Very High or Prohibitive Surgical Risk: A Single-Center Experience

Table 1

Patient demographics and comorbidities.

Patients treated (n = 7)

Female gender86%

Age (years, mean, SD)77 ± 8.1

Time since last mitral valve operation (month, mean, SD, n = 4)161 ± 24

Number of thoracotomies per patient (median, IQR)1 (1 to 1)

NYHA functional class prior to procedure
 NYHA class IV57% (4/7)
 NYHA class III43% (3/7)
 NYHA class II0% (0/7)
 NYHA class I0% (0/7)

Leading mitral valve dysfunction (native mitral valve, annuloplasty ring, or prosthesis)
 Severe mitral valve regurgitation, ≥grade III71% (5/7)
 Severe mitral valve stenosis, ≥grade III29% (2/7)

Prior aortic valve replacement
 TAVR0% (0/7)
 SAVR29% (2/7)
  Bioprosthetic14% (1/7)
  Mechanical14% (1/7)

Comorbidities
 Chronic renal impairment (creatinine > 1.5 mg/dl)57% (4/7)
 Coronary artery disease57% (4/7)
 Prior CABG43% (3/7)
 Severe pulmonary hypertension (PAsys > 50 mmHg)100% (7/7)
 Atrial fibrillation86% (6/7)
 Prior stroke29% (2/7)
 Prior permanent pacemaker or ICD implantation43% (3/7)
 Chronic lung disease71% (5/7)

Ejection fraction (mean)51 ± 13%

Log. EuroSCORE I (mean)39%