Transcatheter Aortic Valve Replacement in Failed Transcatheter Bioprosthetic Valves

Giuseppe Tarantini; Janarthanan Sathananthan; Tommaso Fabris; Uri Landes; Vinayak N Bapat; Jaffar M Khan; Luca Nai Fovino; Syed Zaid; Nicolas M Van Mieghem; Azeem Latib; Ron Waksman; Ole De Backer; Toby Rogers; Lars Søndergaard; Gilbert H L Tang

doi:10.1016/j.jcin.2022.07.035

Transcatheter Aortic Valve Replacement in Failed Transcatheter Bioprosthetic Valves

JACC Cardiovasc Interv. 2022 Sep 26;15(18):1777-1793. doi: 10.1016/j.jcin.2022.07.035.

Authors

Affiliations

¹ Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Italy. Electronic address: [email protected].
² Centre for Cardiovascular Innovation-Centre d'Innovation Cardiovasculaire, St. Paul's and Vancouver General Hospital, University of British Columbia, Vancouver, Canada. Electronic address: https://twitter.com/J_Sathananthan.
³ Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy. Electronic address: https://twitter.com/tommaso_fabris.
⁴ Centres for Heart Valve and Cardiovascular Innovation, St. Paul's and Vancouver General Hospital, Vancouver, British Columbia, Canada; Rabin Medical Center, Tel Aviv University, Tel Aviv, Israel. Electronic address: https://twitter.com/LandesUri.
⁵ Minneapolis Heart Institute, Minneapolis, Minnesota, USA. Electronic address: https://twitter.com/bapat_savrtavr.
⁶ National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
⁷ Centres for Heart Valve and Cardiovascular Innovation, St. Paul's and Vancouver General Hospital, Vancouver, British Columbia, Canada. Electronic address: https://twitter.com/naifovino.
⁸ Houston Methdodist DeBakey Heart and Vascular Center, Houston, Texas, USA.
⁹ Department of Interventional Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands. Electronic address: https://twitter.com/drnvanmieghem.
¹⁰ Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA. Electronic address: https://twitter.com/azeemlatib.
¹¹ Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA. Electronic address: https://twitter.com/ron_waksman.
¹² The Heart Center, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
¹³ Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, USA; Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
¹⁴ Department of Cardiology, Rigshospitalet, Copenhagen, Denmark.
¹⁵ Department of Cardiovascular Surgery, Mount Sinai Health System, New York, New York, USA. Electronic address: [email protected].

PMID: 36137681
DOI: 10.1016/j.jcin.2022.07.035

Abstract

Transcatheter aortic valve replacement (TAVR) is increasingly being performed in younger and lower surgical risk patients. Given the longer life expectancy of these patients, the bioprosthetic valve will eventually fail, and aortic valve reintervention may be necessary. Although currently rare, redo-TAVR will likely increase in the future as younger patients are expected to outlive their transcatheter bioprosthesis. This review provides a contemporary overview of the indications, procedural planning, implantation technique, and outcomes of TAVR in failed transcatheter bioprosthetic aortic valves.

Keywords: redo-TAVR; transcatheter heart valve; valve in valve.

Publication types

Review

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Stenosis* / diagnostic imaging
Aortic Valve Stenosis* / etiology
Aortic Valve Stenosis* / surgery
Bioprosthesis*
Heart Valve Prosthesis Implantation* / adverse effects
Heart Valve Prosthesis Implantation* / methods
Heart Valve Prosthesis*
Humans
Prosthesis Design
Prosthesis Failure
Transcatheter Aortic Valve Replacement* / adverse effects
Transcatheter Aortic Valve Replacement* / methods
Treatment Outcome