How to Image and Manage Prosthesis-Related Complications After Transcatheter Aortic Valve Replacement

Wunderlich, Nina; Honold, Jörg; Swaans, Martin J.; Siegel, Robert J.

doi:10.1007/s11886-021-01522-2

Cited by 1 publication

(2 citation statements)

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“…Wunderlich et al described the use of this strategy in 1.7 to 3.9%. 68 Patients requiring a rescue valve-in-valve implantation seem to have a higher 1-year mortality (HR 1.86). 8 Finally, but very rarely when the above strategies fail, conversion to open cardiac surgery is the last treatment option.…”

Section: Aortic Regurgitation ! II Degreesmentioning

confidence: 99%

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Valve-Related Complications in TAVI Leading to Emergent Cardiac Surgery

Conzelmann

Grotherr

et al. 2022

Thorac Cardiovasc Surg

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Transcatheter aortic valve implantation (TAVI) is now a standard procedure for the treatment of symptomatic aortic valve stenosis in many patients. In Germany, according to the annual reports from the German Institute for Quality Assurance and Transparency in Healthcare (Institut für Qualitätssicherung und Transparenz im Gesundheitswesen), the rate of serious intraprocedural complications, such as valve malpositioning or embolization, coronary obstruction, aortic dissection, annular rupture, pericardial tamponade, or severe aortic regurgitation requiring emergency cardiac surgery has decreased markedly in recent years from more than 5.5% in 2012 to 2.0% in 2019. However, with increased use, the total number of adverse events remains about 500 per year, about 100 of which require conversion to sternotomy. These, sometimes, fatal events can occur at any time and are still challenging. Therefore, the interdisciplinary TAVI heart team should be prepared and aware of possible rescue strategies.

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Section: Aortic Regurgitation ! II Degreesmentioning

confidence: 99%

“…Wunderlich et al described the use of this strategy in 1.7 to 3.9%. 68 Patients requiring a rescue valve-in-valve implantation seem to have a higher 1-year mortality (HR 1.86). 8…”

Section: Aortic Regurgitation ≥ II Degreesmentioning

confidence: 99%