Early outcomes of percutaneous pulmonary valve implantation using the Edwards SAPIEN XT transcatheter heart valve system

Self Cite

Despite the increasing use of percutaenous valves, little is known about valve performance after external chest compression. We report a case of a compressed pulmonary Edwards Sapien® XT valve after resuscitation. With the patient on ECMO, successful redilatation was performed with unimpaired postprocedural valve function. We aim to increase the awareness for valve distortion after external chest compression with increasing numbers of transcatheter valvulations. We suggest that immediate re-evaluation of the implanted device via biplane fluoroscopy is mandatory after resuscitation in such cases.

Section: Discussionmentioning

confidence: 94%

“…We report a case of an 8 years old boy with double outlet right ventri- Valve distortion can be caused by long-term shear stress and/ or acute chest compression. One additional risk factor is the implantation in proximity to the sternum or in direct opposition to the thoracic aorta [7,13], a common case in PPVI.…”

Section: As E P R Es E N Ta Ti Onmentioning

confidence: 99%

Edwards Sapien XT® pulmonic valve compression after resuscitation and successful redilatation

Lehner

Kantzis

Haas

2018

Self Cite

“…Right ventricular outflow tract (RVOT) dysfunction is a common entity found in patients with congenital heart disease and it is defined as RV systolic pressure > 2/3 systemic systolic pressure and/or more‐than‐moderate pulmonary regurgitation. It is most commonly encountered secondary to tetralogy of Fallot but can also be due to truncus arteriosus, a Ross procedure, or less commonly, congenital pulmonary stenosis …”

mentioning

confidence: 99%

“…This necessity led to the invention of the Medtronic Melody valve (Medtronic Inc., Minneapolis, MN) and later the Edwards Sapien and then Sapien XT valves (Edwards Lifesciences Inc., Irvine, CA). Complications of TPVR include stent fracture (mainly of Melody valves implanted without prestenting), conduit rupture, arrhythmias, coronary compression (most often when the valve is placed within a prior bioprosthetic valve), and endocarditis …”

mentioning

confidence: 99%

“…It is most commonly encountered secondary to tetralogy of Fallot but can also be due to truncus arteriosus, a Ross procedure, or less commonly, congenital pulmonary stenosis. 1 Affected patients usually undergo surgical repair at a young age. Thereafter, the prosthetic conduit or valve fails with time, which necessitates a minimally invasive transcatheter pulmonary valve repair (TPVR), especially for symptomatic patients.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Delivery catheters: Do they truly make a difference in transcatheter pulmonary valve replacement?

Shatila

Krajcer

2019

Utility of the long DrySeal sheath in facilitating transcatheter pulmonary valve implantation with the Edwards Sapien 3 valve

Fukuda¹,

Tan²,

Sadeghi³

et al. 2020

Objective: To assess the utility of the 65-cm-long Gore DrySeal sheath when compared to the standard 36-cm-long Edwards expandable sheath (e-sheath) for transcatheter pulmonary valve implantation (TPVI) with the Edwards Sapien 3 valve. Methods: All patients who underwent TPVI with the Sapien 3 valve, excluding those performed via hybrid approach, at our center between September 2015 and November 2019 were retrospectively reviewed and compared between two groups. Results: A total of 94 patients were enrolled; 29 patients underwent TPVI with the Sapien valve using the DrySeal sheath and 65 underwent TPVI using the e-sheath. The height and body weight of patients implanted using the DrySeal sheath ranged from 137 to 193 cm and from 33 to 129 kg, respectively. Valve delivery time was significantly shorter in the DrySeal group (median time 4 min 33 s vs. 9 min 6 s, p = .002). There were no complications in the DrySeal group (0/27). Nine procedural complications occurred in the e-sheath group (9/65), five of which were potentially directly related to sheath choice, including tricuspid valve injury in four and embolization of the tip of the e-sheath during retrieval of a ruptured balloon in one patient. Conclusions: TPVI with the Sapien 3 valve using the 65-cm-long DrySeal sheath facilitates faster and safer valve implantation when compared to the e-sheath.