Transapical Transcatheter Valve-in-Valve Implantation for Deteriorated Mitral Valve Bioprostheses

Transfemoral Implantation of Transcatheter Heart Valves After Deterioration of Mitral Bioprosthesis or Previous Ring Annuloplasty

“…However, these routes were abandoned after unfavorable outcomes due to difficulties in achieving a coaxial alignment of the THV and the mitral prosthesis. Thereafter, the team successfully performed all MVIVI via a transapical approach (10), which has been adopted as the default route by most other centers performing THV implantation in the mitral position(9,(11)(12)(13). Nevertheless, our results, associated with reports from other groups(8,22), suggest that THV implantation in the mitral position may be alternatively performed using the transseptal approach.…”

“…Recently, THV implantation has also been reported for treatment of failed mitral BP or RA, mainly through the transapical approach (7)(8)(9)(10)(11)(12)(13)(14)(15). T H V i m p l a n t a t i o n p r o c e d u r e s. The technique for THV implantation in mitral position through a transfemoral approach has been described previously (8,16,17 a "J" curve at the end was placed in the apex of the left ventricle ( Figure 1A).…”

An Update on Transcatheter Aortic Valve Replacement

“…53 The next largest series of 7 TA valve-in-valve implantations for failing mitral bioprosthesis using the 26-or 29-mm SAPIEN valve was reported by Wilbring et al 54 After a mean follow-up of 93 Ϯ 29 days, only one patient had died secondary to a fatal pneumonia.…”

Valve-in-Valve Therapy for Failed Surgical Bioprosthetic Valves

“…Several centers since have acquired experience in this procedure, and preliminary data from the International Valve in Valve Registry seem promising ( Table 4). 14, [26][27][28][29] Tricuspid Valve in Valve Tricuspid VIV can be performed via a direct right atrial puncture through the fourth intercostal space, via the transjugular route or via transfemoral access. [30][31][32][33][34][35] Both the ESV and Melody valves have been used in this position and there have been approximately 30 cases worldwide, including a case series of 15 patients implanted with the Melody valve.…”