Valve-in-valve transcatheter aortic valve implantation: The issues behind crossing a bioprosthesis

被引：2

作者：

Vella, Ciro ^{[1
]}

Romano, Vittorio ^{[1
]}

Di Maio, Silvana ^{[2
]}

Ancona, Marco B. ^{[1
]}

Castriota, Fausto ^{[3
]}

Vassileva, Angelina ^{[4
]}

Ferri, Luca ^{[1
]}

Bellini, Barbara ^{[1
]}

Moroni, Francesco ^{[1
]}

Russo, Filippo ^{[1
]}

Ghizzoni, Giulia ^{[1
]}

Gentile, Domitilla ^{[1
]}

Palmisano, Anna ^{[5
]}

Agricola, Eustachio ^{[2
,6
]}

Esposito, Antonio ^{[5
,6
]}

Chieffo, Alaide ^{[1
,6
]}

Montorfano, Matteo ^{[1
,6
]}

机构：

[1] IRCCS San Raffaele Sci Inst, Intervent Cardiol Unit, 60 Via Olgettina, I-20132 Milan, Italy

[2] IRCCS San Raffaele Sci Inst, Cardiovasc Imaging Unit, Milan, Italy

[3] Maria Cecilia Hosp, Intervent Cardiol Unit, Cotignola, Italy

[4] Papa Giovanni XXIII Hosp, Cardiol Div, Bergamo, Italy

[5] IRCCS San Raffaele Sci Inst, Expt Imaging Ctr, Clin & Expt Radiol Unit, Milan, Italy

[6] Univ Vita Salute San Raffaele, Milan, Italy

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2024年 / 62卷

关键词：

TAVI; ViV TAVI; Aortic valve recrossing; Structural valve deterioration; REPLACEMENT; TAVR;

D O I：

10.1016/j.carrev.2023.12.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Valve-in-valve transcatheter aortic valve implantation (ViV TAVI) is rapidly arising as a safe and effective alternative to redo-surgery in the treatment of bioprostheses deterioration. While scientific community is currently focusing its attention on the most common limitations related to this procedure, such as the risk of coronary obstruction and patient-prosthesis mismatch, data regarding the first step of a ViV TAVI, the crossing of a degenerated bioprosthesis, are still lacking. The aim of this review is to analyze the available information about bioprosthesis crossing, to show the inherent challenges encountered by interventional cardiologists during valve crossing and to describe the current strategies to perform a correct crossing.

引用

页码：85 / 94

页数：10

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