A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure

被引：10

作者：

Bapat, Vinayak N. ^{[1
,2
]}

Fukui, Miho ^{[1
]}

Zaid, Syed ^{[3
]}

Okada, Atsushi ^{[1
]}

Jilaihawi, Hasan ^{[4
]}

Rogers, Toby ^{[5
]}

Khalique, Omar ^{[6
]}

Cavalcante, Joao L. ^{[1
,2
]}

Landes, Uri ^{[7
]}

Sathananthan, Janarthanan ^{[8
]}

Tarantini, Giuseppe ^{[9
]}

Tang, Gilbert H. L. ^{[10
]}

Blackman, Daniel J. ^{[11
]}

De Backer, Ole ^{[12
]}

Mack, Michael J. ^{[13
]}

Leon, Martin B. ^{[14
,15
]}

机构：

[1] Minneapolis Heart Inst Fdn, Valve Sci Ctr, Minneapolis, MN USA

[2] Abbott NW Hosp, Minneapolis Heart Inst, 800 East 28th St,Suite 300, Minneapolis, MN 55407 USA

[3] Baylor Coll Med, Michael E DeBakey Vet Affairs Med Ctr, Houston, TX USA

[4] Cedars Sinai Med Ctr, Smidt Heart Inst, Los Angeles, CA USA

[5] MedStar Washington Hosp Ctr, Washington, DC USA

[6] St Francis Hosp, Div Cardiovasc Imaging, New York, NY USA

[7] Tel Aviv Univ, Edith Wolfson Med Ctr, Cardiol Dept, Holon, Israel

[8] St Pauls Hosp, Vancouver, BC, Canada

[9] Univ Padua, Dept Cardiac Thorac & Vasc Sci & Publ Hlth, Padua, Italy

[10] Mt Sinai Hosp, New York, NY USA

[11] Leeds Teaching Hosp, Leeds, England

[12] Copenhagen Univ Hosp, Heart Ctr, Copenhagen, Denmark

[13] Baylor Scott & White Hlth, Dallas, TX USA

[14] Columbia Univ, New York Presbyterian Hosp, Irving Med Ctr, New York, NY USA

[15] Cardiovasc Res Fdn, New York, NY USA

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2024年 / 17卷 / 14期

关键词：

computed tomography; reintervention; TAVR; REPLACEMENT;

D O I：

10.1016/j.jcin.2024.04.047

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve replacement (TAVR) has become more common than surgical aortic valve replacement since 2016, with over 200,000 procedures globally each year. As patients increasingly outlive their TAVR devices, managing these cases is a growing concern. Treatment options include surgical removal of the old TAVR device (transcatheter aortic valve [TAV] explant) or implantation of a new transcatheter aortic valve (redo TAV). Redo TAV is complex because of the unique designs of TAV devices; compatibility issues; and the need for individualized planning based on factors such as implant depth, shape, and coronary artery relationships. This review serves as a comprehensive guide for redo TAV, detailing the design characteristics of TAV devices, device compatibility, standardized terminology, and a structured approach for computed tomography analysis. It aims to facilitate decision making, risk identification, and achieving optimal outcomes in redo TAV procedures. (JACC Cardiovasc Interv 2024;17:1631-1651) (c) 2024 by the American College of Cardiology Foundation.

引用

页码：1631 / 1651

页数：21

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