"Valve-in-Valve" for the Treatment of Paravalvular Leaks Following Transcatheter Aortic Valve Implantation

被引：38

作者：

Rodes-Cabau, Josep ^{[1
]}

Dumont, Eric ^{[1
]}

Doyle, Daniel ^{[1
]}

机构：

[1] Laval Hosp, Quebec Heart & Lung Inst, Dept Cardiol, Quebec City, PQ G1V 4G5, Canada

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2009年 / 74卷 / 07期

关键词：

aortic stenosis; transcatheter aortic valve implantation; paravalvular leak; FEASIBILITY; REGURGITATION; REPLACEMENT; PROSTHESIS; STENOSIS;

D O I：

10.1002/ccd.22168

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve implantation (TAVI) is commonly associated with some degree of aortic regurgitation (AR) secondary to the presence of paravalvular leaks. We present the case of an 86-year-old woman diagnosed with severe aortic stenosis who underwent TAVI with a 23-mm Edwards-SAPIEN valve. The procedure complicated with a severe paravalvular leak following TAVI that was unresponsive to balloon postdilation. This complication was successfully managed with the implantation of a second valve of the same diameter within the first one ("valve-in-valve") resulting in trivial residual AR and the absence of significant transvalvular gradient at the end of the procedure. (C) 2009 Wiley-Liss, Inc.

引用

页码：1116 / 1119

页数：4

共 12 条

[1] Severe Valvular Regurgitation and Late Prosthesis Embolization After Percutaneous Aortic Valve Implantation [J].

Clavel, Marie-Annick ;

Dumont, Eric ;

Pibarot, Philippe ;

Doyle, Daniel ;

De Larochelliere, Robert ;

Villeneuve, Jacques ;

Bergeron, Sebastien ;

Couture, Christian ;

Rodes-Cabau, Josep .

ANNALS OF THORACIC SURGERY, 2009, 87 (02) :618-621

[2] Comparison of the Hemodynamic Performance of Percutaneous and Surgical Bioprostheses for the Treatment of Severe Aortic Stenosis [J].

Clavel, Marie-Annick ;

Webb, John G. ;

Pibarot, Philippe ;

Altwegg, Lukas ;

Dumont, Eric ;

Thompson, Chris ;

De Larochelliere, Robert ;

Doyle, Daniel ;

Masson, Jean-Bernard ;

Bergeron, Sebastien ;

Bertrand, Olivier F. ;

Rodes-Cabau, Josep .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 53 (20) :1883-1891

[3] Treatment of calcific aortic stenosis with the percutaneous heart valve - Mid-term follow-up from the initial feasibility studies: The French experience [J].

Cribier, A ;

Eltchaninoff, H ;

Tron, C ;

Bauer, F ;

Agatiello, C ;

Nercolini, D ;

Tapiero, S ;

Litzler, PY ;

Bessou, JP ;

Babaliaros, V .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 47 (06) :1214-1223

[4] Percutaneous aortic valve replacement for severe aortic stenosis in high-rick patients using the second- and current third-generation self-expanding CoreValve prosthesis - Device success and 30-day clinical outcome [J].

Grube, Eberhard ;

Schuler, Gerhard ;

Buellesfeld, Lutz ;

Gerckens, Ulrich ;

Linke, Axel ;

Wenaweser, Peter ;

Sauren, Barthel ;

Mohr, Friedrich-Wilhelm ;

Walther, Thomas ;

Zickmann, Bernfried ;

Iversen, Stein ;

Felderhoff, Thomas ;

Cartier, Raymond ;

Bonan, Raoul .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 50 (01) :69-76

[5] Percutaneous Valve-in-Valve Procedure for Severe Paravalvular Regurgitation in Aortic Bioprosthesis [J].

Ng, Arnold C. T. ;

van der Kley, Frank ;

Delgado, Victoria ;

Shanks, Miriam ;

van Bommel, Rutger J. ;

de Weger, Arend ;

Tavilla, Giuseppe ;

Holman, Eduard R. ;

Schuijf, Joanne D. ;

de Veire, Nico R. van ;

Schalij, Martin J. ;

Bax, Jeroen J. .

JACC-CARDIOVASCULAR IMAGING, 2009, 2 (04) :522-523

[6] Feasibility and Initial Results of Percutaneous Aortic Valve Implantation Including Selection of the Transfemoral or Transapical Approach in Patients With Severe Aortic Stenosis [J].

Rodes-Cabau, Josep ;

Dumont, Eric ;

De LaRochelliere, Robert ;

Doyle, Daniel ;

Lemieux, Jerome ;

Bergeron, Sebastien ;

Clavel, Marie-Annick ;

Villeneuve, Jacques ;

Raby, Kathleen ;

Bertrand, Olivier F. ;

Pibarot, Philippe .

AMERICAN JOURNAL OF CARDIOLOGY, 2008, 102 (09) :1240-1246

[7] First percutaneous transcatheter aortic valve-in-valve implant with three year follow-up [J].

Ruiz, Carlos E. ;

Laborde, Jean C. ;

Condado, Jose F. ;

Chiam, Paul T. L. ;

Condado, Jose A. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2008, 72 (02) :143-148

[8] United States feasibility study of transcatheter insertion of a stented aortic valve by the left ventricular apex [J].

Svensson, Lars G. ;

Dewey, Todd ;

Kapadia, Samir ;

Roselli, Eric E. ;

Stewart, Alan ;

Williams, Matt ;

Anderson, William N. ;

Brown, David ;

Leon, Marty ;

Lytle, Bruce ;

Moses, Jeffrey ;

Mack, Michael ;

Tuzcu, Murat ;

Smith, Craig .

ANNALS OF THORACIC SURGERY, 2008, 86 (01) :46-55

[9] The Valve-in-Valve Technique: Transcatheter Treatment of Aortic Bioprothesis Malposition [J].

Ussia, Gian Paolo ;

Mule, Massimiliano ;

Tamburino, Corrado .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2009, 73 (05) :713-716

[10] Transapical minimally invasive aortic valve implantation - Multicenter experience [J].

Walther, Thomas ;

Simon, Paul ;

Dewey, Todd ;

Wimmer-Greinecker, Gerhard ;

Falk, Volkmar ;

Kasimir, Marie T. ;

Doss, Mirko ;

Borger, Michael A. ;

Schuler, Gerhard ;

Glogar, Dietmar ;

Fehske, Wolfgang ;

Wolner, Ernst ;

Mohr, Friedrich W. ;

Mack, Michael .

CIRCULATION, 2007, 116 (11) :I240-I245

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