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Effect of transcatheter aortic valve implantation on the immune response associated with surgical aortic valve replacement

The American Journal of Cardiology May 18, 2020

Kimura N, Nomura Y, Aomatsu A, et al. - Researchers evaluated immune response post-transcatheter aortic valve implantation (TAVI) vs post-surgical aortic valve replacement (SAVR) in this 2-part study. For cases of aortic stenosis managed with SAVR (128 patients; age ≥ 80 [mean 82] years) or transfemoral TAVI (102 patients; age ≥80 [mean 86] years), laboratory data collected prior to, immediately after, and 24 and 48 hours after these procedures were evaluated. At 3 time points, normalized levels of 71 cytokines were measured, and findings revealed a significant difference in 23 cytokines. Three hierarchical clusters of differentially expressed cytokines were defined as follows: cluster A (high rise post-SAVR and suppressed rise post-TAVI only immediately post-surgery [CCL2, CCL4, 2 others]), cluster B (high rise post-SAVR and suppressed increment post-TAVI at 2 time points [IL-1Ra, IL-6, IL-8, IL-10, 5 others]), and cluster C (various patterns [TRAIL, CCL11, 8 others]). Overall, findings demonstrated that SAVR and TAVI were followed by a robust inflammatory response and a comparatively attenuated response, respectively.

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