Procedural and clinical outcomes of the valve‐in‐valve technique for severe aortic insufficiency after balloon‐expandable transcatheter aortic valve replacement

Abstract

The valve-in-valve technique is an appropriate bailout measure for patients with acute valvular AI after balloon-expandable TAVR.

Efficacy and Safety of Postdilatation to Reduce Paravalvular Regurgitation During Balloon-Expandable Transcatheter Aortic Valve Replacement

“…The greater expansion seen at the IF compared with the mid-portion of the stent may also change the morphology of the stent and change the pattern of PVR. The additional stent expansion seen is consistent with the observations from Giri et al 25 from 5 patients, where a second THV was implanted within the first THV. The low number of patients with angiographic evaluation of stent expansion, however, precludes from more detailed analysis.…”

Paravalvular Aortic Leak After Transcatheter Aortic Valve Replacement

“…55 Limited outcomes data for valve-in-valve with the Edwards-Sapiens valve are available from a smaller series of 5 patients with severe PVL showing similar results. 56 Data from larger series with longer follow-up are necessary to justify the use of valvein-valve in patients with less than severe PVL.…”

Transcatheter Aortic Valve Replacement for Bioprosthetic Aortic Valve Failure

“…Even more speculative is a concept of a THV-first strategy, with the knowledge that this can be repeated once or twice until such time as surgical valve replacement is necessary. [50][51][52][53][54][55] It will be some time before we can fully appreciate the durability and clinical consequences of this promising new option for patients with failing bioprosthetic valves.…”