Transcatheter valve-in-valve implantation for degenerated bioprosthetic aortic and mitral valves.

Details

Serval ID
serval:BIB_1E62BDEA69D4
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Transcatheter valve-in-valve implantation for degenerated bioprosthetic aortic and mitral valves.
Journal
Expert review of medical devices
Author(s)
Gallo M., Dvir D., Demertzis S., Pedrazzini G., Berdajs D., Ferrari E.
ISSN
1745-2422 (Electronic)
ISSN-L
1743-4440
Publication state
Published
Issued date
08/2016
Peer-reviewed
Oui
Volume
13
Number
8
Pages
749-758
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Redo surgery still is the treatment of choice for degenerated bioprosthesis. However, as far as elderly patients with concomitant comorbidities are concerned, the standard reoperation carries additional operative risks and, therefore, minimally invasive procedures must be prioritized.
During the last ten years, transcatheter procedures in native valves have become a standard technique in several centers with excellent procedural and mid-term results. Similarly, implantation of transcatheter stent-valves within degenerated aortic and mitral bioprosthesis, the 'valve-in-valve' procedure (V-in-V), represents a valid alternative to redo surgery in patients with high-risk surgical profiles. New challenges for V-in-V are the transcatheter stent-valve deployment in hostile targets (stented bioprosthesis with externally mounted leaflets, stentless valves, small bioprostheses), and avoid complications as delayed atrial embolization of mitral implantation and V-in-V thrombosis. Moreover a continuous ameliorated design of the devices on the market and new transcatheter stent-valves are recently developed in order to improve the outcome and safety of V-in-V treatment. Expert commentary: We reviewed the clinical outcomes and the procedural details of published transcatheter aortic and mitral valve-in-valve series focusing, in particular, on data from the Valve-in-Valve International Data registry (VIVID), and we provide a practical guide for valve sizing and stent-valve positioning.

Keywords
Aortic Valve/surgery, Bioprosthesis, Cardiac Catheterization/methods, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation/methods, Humans, Mitral Valve/surgery, Prosthesis Failure
Pubmed
Create date
07/07/2016 13:50
Last modification date
20/08/2019 12:54
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