Aortic Valve-in-Valve Procedures: Challenges and Future Directions

被引:0
|
作者
Cao, Davide [1 ,2 ]
Albani, Stefano [1 ,3 ]
Gall, Emmanuel [1 ,4 ,5 ,6 ]
Hovasse, Thomas [1 ]
Unterseeh, Thierry [1 ]
Seknadji, Patrick [1 ]
Champagne, Stephane [1 ]
Garot, Philippe [1 ]
Sayah, Neila [1 ]
Akodad, Mariama [1 ]
机构
[1] Inst Cardiovasc Paris Sud, Ramsay Gen Sante, 6 Ave Noyer Lambert, F-91300 Massy, France
[2] Humanitas Univ, Dept Biomed Sci, I-20072 Pieve Emanuele, Italy
[3] U Parini Hosp, Div Cardiol, I-11100 Aosta, Italy
[4] Univ Paris Cite, Univ Hosp Lariboisiere, Assistance Publ Hop Paris, AP HP,Dept Cardiol, F-75010 Paris, France
[5] Univ Hosp Lariboisiere, Inserm MASCOT UMRS 942, F-75010 Paris, France
[6] Univ Hosp Lariboisiere, AP HP, MIRACLai Lab, Multimodal Imaging Res & Artificial Intelligence, F-75010 Paris, France
关键词
coronary obstruction; valve-in-valve; TAVR; LEAFLET SPLITTING DEVICE; CORONARY OBSTRUCTION; CLINICAL-OUTCOMES; TRANSCATHETER; IMPLANTATION; REPLACEMENT; INSIGHTS; BASILICA; IMPACT; TAVR;
D O I
10.3390/jcm13164723
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aortic valve-in-valve (ViV) procedures are increasingly performed for the treatment of surgical bioprosthetic valve failure in patients at intermediate to high surgical risk. Although ViV procedures offer indisputable benefits in terms of procedural time, in-hospital length of stay, and avoidance of surgical complications, they also present unique challenges. Growing awareness of the technical difficulties and potential threats associated with ViV procedures mandates careful preprocedural planning. This review article offers an overview of the current state-of-the-art ViV procedures, with focus on patient and device selection, procedural planning, potential complications, and long-term outcomes. Finally, it discusses current research efforts and future directions aimed at improving ViV procedural success and patient outcomes.
引用
收藏
页数:16
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