Valve-in-Valve TAVR: State-of-the-Art Review

被引：50

作者：

Edelman, J. James ^{[1
]}

Khan, Jaffar M. ^{[2
,3
]}

Rogers, Toby ^{[2
,3
]}

Shults, Christian ^{[1
]}

Satler, Lowell F. ^{[2
]}

Ben-Dor, I. Itsik ^{[2
]}

Waksman, Ron ^{[2
]}

Thourani, Vinod H. ^{[1
]}

机构：

[1] Georgetown Univ, Sch Med, Dept Cardiac Surg, MedStar Heart & Vasc Inst, Washington, DC USA

[2] MedStar Washington Hosp Ctr, Sect Intervent Cardiol, Washington, DC USA

[3] NHLBI, Cardiovasc Branch, Div Intramural Res, NIH, Bldg 10, Bethesda, MD 20892 USA

来源：

INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY | 2019年 / 14卷 / 04期

关键词：

transcatheter aortic valve replacement; valve-in-valve; aortic valve; bioprosthesis; TRANSCATHETER AORTIC-VALVE; PROSTHESIS-PATIENT MISMATCH; SUBCLINICAL LEAFLET THROMBOSIS; LONG-TERM DURABILITY; CORONARY OBSTRUCTION; CLINICAL-OUTCOMES; SURGICAL BIOPROSTHESES; PORCINE BIOPROSTHESIS; REPLACEMENT; IMPLANTATION;

D O I：

10.1177/1556984519858020

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

An increasing number of surgically implanted bioprostheses will require re-intervention for structural valve deterioration. Valve-in-valve transcatheter aortic valve replacement (ViV TAVR) has become an alternative to reoperative surgery, currently approved for high-risk and inoperable patients. Challenges to the technique include higher rates of prosthesis-patient mismatch and coronary obstruction, compared to native valve TAVR. Herein, we review results of ViV TAVR and novel techniques to overcome the aforementioned challenges.

引用

页码：299 / 310

页数：12

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