Incidence, Predictor and Clinical Outcomes of Multiple Resheathing With Self-Expanding Valves During Transcatheter Aortic Valve Replacement

Bernardi, F; Rodés‐Cabau, Josep; Tirado‐Conte, Gabriela; Santos, Ignacio Amat; Plachtzik, Claudia; Cura, Fernando; Sztejfman, Matías; Mangione, Fernanda Marinho; Tumeleiro, Rogerio; Esteves, Vinícius; Mello, Eduardo Pessoa de; Chauvet, Alejandro Alcocer; Fuchs, Felipe; Sarmento‐Leite, Rogério; Martins, Estêvão Carvalho de Campos; Nombela‐Franco, Luis; Delgado-Arana, Jose Raúl; Bocksch, Wolfgang; Lamelas, Pablo; Giuliani, Carlos; Cristóvão, Salvador André Bavaresco; Campanha-Borges, Diego Carter; Brito, Fábio Sândoli de; Abizaid, Alexandre; Ribeiro, Henrique Barbosa

doi:10.1016/s0735-1097(21)02282-8

Cited by 2 publications

(9 citation statements)

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“…3 Of these, 9.3% had multiple resheathing with a significantly lower device success rate of 80 versus 89.9%, mainly for two reasons: device embolization and second prosthesis. 3 Furthermore, multiple resheathing was associated with a higher 1-year mortality of 18.8 versus 10.5%. 3 Recently, the team of the TRAVEL registry investigated a cohort of 29,636 TAVI procedures in which 273 (0.9%) valve embolizations or migrations occurred.…”

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 97%

“…3 Furthermore, multiple resheathing was associated with a higher 1-year mortality of 18.8 versus 10.5%. 3 Recently, the team of the TRAVEL registry investigated a cohort of 29,636 TAVI procedures in which 273 (0.9%) valve embolizations or migrations occurred. 4 In 217 cases, the valve dislocated upward (aorta) and in 56 cases, it moved downward (LV).…”

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 97%

“…1 Relevant studies including large collectives present embolization rates between 0.3 and 2.0%. [3][4][5][6][7] Embolization-sometimes called "pop out"-of a TAVI prosthesis from the aortic annulus into the ascending aorta or the left ventricle (LV) is a rare but dreaded complication. There are several reasons for an embolization of a transcatheter heart valve (THV), such as valve malpositioning in the annulus, especially when a wrong implantation height was chosen, or when a high implantation is anticipated in order to avoid conduction disturbances requiring permanent pacemaker implantation.…”

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 99%

“…Depending on the position of the prosthesis, it may be possible to implant a supplementary THV immediately as a valve-in-valve procedure (►Fig. 3).…”

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

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: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 97%

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 97%

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 99%

“…Depending on the position of the prosthesis, it may be possible to implant a supplementary THV immediately as a valve-in-valve procedure (►Fig. 3).…”

Section: Valve Malposition: Embolization Migration and Ectopic Valve ...mentioning

confidence: 99%

See 2 more Smart Citations

Valve-Related Complications in TAVI Leading to Emergent Cardiac Surgery

Conzelmann

Grotherr

et al. 2022

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…7 Resheath/recapture was defined as partial retrieval of the delivered valve/complete retrieval with the intention to recross the valve. 8 INF was defined as persisting wrinkling along the stent frame resulting in an all-over invagination of the inflow and outflow tract (in contrast to only malexpansion, i.e., distortion of only the inflow tract). The fluoroscopic sign of a dense radiopaque "vertical line" is the key diagnostic sign of an INF mechanism and is further underlined by a reduced diameter of the unsheathed part of the transcatheter heart valve.…”

Section: Definitions and Image Acquirementmentioning

confidence: 99%