{
  "abstract": "Aims To compare the quantitative angiographic assessment of aortic regurgitation (AR) following transcatheter aortic valve implantation (TAVI) using ACURATE neo2 transcatheter heart valve (THV) between patients with bicuspid aortic valve (BAV) and tricuspid aortic valve stenosis.Methods Pooled date from the multicenter European, observational Early neo2 ( NCT04810195) & Neo2BAV (NCT06212050) registries was used . All analysis were performed by single imaging core laboratory independent from clinical outcomes. Dicom datasets of procedure angiograms were analyszed using commercilaly available software (CAAS-A-Valve 2.1.2, Pie Medical Imaging, the Netherlands). The software compared contrast videodensity between the reference region in the ascending aorta and LVOT as a region of interest. The result of this analysis is displayed in percentages which has been validated a surrogate of aortic regurgitation fraction (RF). In addition, the RF was classified based on established thresholds as: none/trace AR (RF ≤ 6%), mild AR as (6%< RF ≤ 17%), and moderate/severe AR (RF >17%).Results Two hundred forty-three analyzable aortograms; tricuspid group (n=168) and bicuspid group (n=75) were included in the final analysis. The incidence of AR were: non/trace (75% vs 65%, p=0.1627), mild AR (23% vs 32%, p=0.1645) and moderate/severe AR (2.4% vs 2.7%, p=0.8945), respectively for tricuspid and bicuspid groups. The median RF for tricspid vs bicuspid group was 3.0% (IQR 1.0–6.0) vs 4.0% (IQR 1.0–7.0), with no significant difference between the groups (p=0.2).Conclusion Significant AR was comparable between patients with bicuspid and tricuspid aortic stenosis. However, the mild PVL was numbercially higher in the bicuspid arm, yet, statistically non-significant. Further studies using larger samples are warranted to confirm our findings.",
  "authors": [
    {
      "affiliations": [
        "Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland",
        "Precision Cardiovascular Medicine and Innovation Institute (PCMI), Cardiovascular Re-search Institute Dublin (CVRI), Mater Private Network, Dublin, Ireland"
      ],
      "name": "EA Hasabo"
    },
    {
      "affiliations": [
        "Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, Galway, Ireland"
      ],
      "name": "D Mylotte"
    },
    {
      "affiliations": [
        "Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden"
      ],
      "name": "A Rück"
    },
    {
      "affiliations": [
        "Department of Cardiology and Cardiac Surgery, Kerckhoff Heart and Lung Centre, Bad Nauheim, Germany"
      ],
      "name": "WK Kim"
    },
    {
      "affiliations": [
        "Department of Cardiology, Heart Center Leipzig at University of Leipzig, Leipzig, Germany"
      ],
      "name": "M Abdel-Wahab"
    },
    {
      "affiliations": [
        "Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland",
        "Precision Cardiovascular Medicine and Innovation Institute (PCMI), Cardiovascular Re-search Institute Dublin (CVRI), Mater Private Network, Dublin, Ireland"
      ],
      "name": "C Ayhan"
    },
    {
      "affiliations": [
        "Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland",
        "Precision Cardiovascular Medicine and Innovation Institute (PCMI), Cardiovascular Re-search Institute Dublin (CVRI), Mater Private Network, Dublin, Ireland"
      ],
      "name": "D Neiroukh"
    },
    {
      "affiliations": [
        "Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland",
        "Precision Cardiovascular Medicine and Innovation Institute (PCMI), Cardiovascular Re-search Institute Dublin (CVRI), Mater Private Network, Dublin, Ireland"
      ],
      "name": "MS Yacoub"
    },
    {
      "affiliations": [
        "Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, Dublin, Ireland"
      ],
      "name": "PA Del Sole"
    },
    {
      "affiliations": [
        "Discipline of Cardiology, Galway University Hospital, SAOLTA Healthcare Group, Health Service Executive, Galway, Ireland"
      ],
      "name": "H Elzomor"
    },
    {
      "affiliations": [
        "Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland",
        "Precision Cardiovascular Medicine and Innovation Institute (PCMI), Cardiovascular Re-search Institute Dublin (CVRI), Mater Private Network, Dublin, Ireland"
      ],
      "name": "O Soliman"
    }
  ],
  "title": "31 Outcomes and aortic regurgitation graded by videodensitometry from early neo2 & Neo2BAV registries",
  "uid": "621c8143-4777-5754-866c-2c69237403a9"
}