Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure

Aortic valve-in-valve (ViV) procedure is a valid treatment option for patients affected by bioprosthetic heart valve (BHV) degeneration. However, ViV implantation is technically more challenging compared to native trans-catheter aortic valve replacement (TAVR). A deep knowledge of the mechanism and...

Descripción completa

Detalles Bibliográficos
Autores principales: Buono, Andrea, Maffeo, Diego, Troise, Giovanni, Donatelli, Francesco, Tespili, Maurizio, Ielasi, Alfonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8778204/
https://www.ncbi.nlm.nih.gov/pubmed/35054038
http://dx.doi.org/10.3390/jcm11020344
_version_ 1784637262125858816
author Buono, Andrea
Maffeo, Diego
Troise, Giovanni
Donatelli, Francesco
Tespili, Maurizio
Ielasi, Alfonso
author_facet Buono, Andrea
Maffeo, Diego
Troise, Giovanni
Donatelli, Francesco
Tespili, Maurizio
Ielasi, Alfonso
author_sort Buono, Andrea
collection PubMed
description Aortic valve-in-valve (ViV) procedure is a valid treatment option for patients affected by bioprosthetic heart valve (BHV) degeneration. However, ViV implantation is technically more challenging compared to native trans-catheter aortic valve replacement (TAVR). A deep knowledge of the mechanism and features of the failed BHV is pivotal to plan an adequate procedure. Multimodal imaging is fundamental in the diagnostic and pre-procedural phases. The main challenges associated with ViV TAVR consist of a higher risk of coronary obstruction, severe post-procedural patient-prosthesis mismatch, and a difficult coronary re-access. In this review, we describe the principles of ViV TAVR.
format Online
Article
Text
id pubmed-8778204
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-87782042022-01-22 Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure Buono, Andrea Maffeo, Diego Troise, Giovanni Donatelli, Francesco Tespili, Maurizio Ielasi, Alfonso J Clin Med Review Aortic valve-in-valve (ViV) procedure is a valid treatment option for patients affected by bioprosthetic heart valve (BHV) degeneration. However, ViV implantation is technically more challenging compared to native trans-catheter aortic valve replacement (TAVR). A deep knowledge of the mechanism and features of the failed BHV is pivotal to plan an adequate procedure. Multimodal imaging is fundamental in the diagnostic and pre-procedural phases. The main challenges associated with ViV TAVR consist of a higher risk of coronary obstruction, severe post-procedural patient-prosthesis mismatch, and a difficult coronary re-access. In this review, we describe the principles of ViV TAVR. MDPI 2022-01-11 /pmc/articles/PMC8778204/ /pubmed/35054038 http://dx.doi.org/10.3390/jcm11020344 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Buono, Andrea
Maffeo, Diego
Troise, Giovanni
Donatelli, Francesco
Tespili, Maurizio
Ielasi, Alfonso
Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure
title Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure
title_full Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure
title_fullStr Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure
title_full_unstemmed Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure
title_short Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure
title_sort trans-catheter valve-in-valve implantation for the treatment of aortic bioprosthetic valve failure
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8778204/
https://www.ncbi.nlm.nih.gov/pubmed/35054038
http://dx.doi.org/10.3390/jcm11020344
work_keys_str_mv AT buonoandrea transcathetervalveinvalveimplantationforthetreatmentofaorticbioprostheticvalvefailure
AT maffeodiego transcathetervalveinvalveimplantationforthetreatmentofaorticbioprostheticvalvefailure
AT troisegiovanni transcathetervalveinvalveimplantationforthetreatmentofaorticbioprostheticvalvefailure
AT donatellifrancesco transcathetervalveinvalveimplantationforthetreatmentofaorticbioprostheticvalvefailure
AT tespilimaurizio transcathetervalveinvalveimplantationforthetreatmentofaorticbioprostheticvalvefailure
AT ielasialfonso transcathetervalveinvalveimplantationforthetreatmentofaorticbioprostheticvalvefailure

Ejemplares similares