Valve-in-Valve Transcatheter Aortic Valve Implantation for Degenerated Bioprosthetic Heart Valves

Valve-in-Valve Transcatheter Aortic Valve Implantation for Degenerated Bioprosthetic Heart Valves Holger Eggebrecht, Ulrich Schäfer, Hendrik Treede, Peter Boekstegers, Jörg Babin-Ebell, Markus Ferrari, Helge Möllmann, Helmut Baumgartner, Thierry Carrel, Philipp Kahlert, Philipp Lange, Thomas Walther...

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Published in:JACC. Cardiovascular interventions 2011-11, Vol.4 (11), p.1218-1227
Main Authors: Eggebrecht, Holger, MD, Schäfer, Ulrich, MD, Treede, Hendrik, MD, Boekstegers, Peter, MD, Babin-Ebell, Jörg, MD, Ferrari, Markus, MD, Möllmann, Helge, MD, Baumgartner, Helmut, MD, Carrel, Thierry, MD, Kahlert, Philipp, MD, Lange, Philipp, MD, Walther, Thomas, MD, Erbel, Raimund, MD, Mehta, Rajendra H., MD, MS, Thielmann, Matthias, MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Analysis of Variance
aortic stenosis
Aortic Valve - physiopathology
Aortic Valve - surgery
Bioprosthesis
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Catheterization - mortality
Cardiovascular
Female
Germany
Heart Valve Diseases - mortality
Heart Valve Diseases - physiopathology
Heart Valve Diseases - surgery
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Heart Valve Prosthesis Implantation - mortality
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Prosthesis Design
Prosthesis Failure
Registries
Retrospective Studies
Risk Assessment
Risk Factors
surgery
Switzerland
TAVI
Treatment Outcome
valve-in-valve
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Summary:Valve-in-Valve Transcatheter Aortic Valve Implantation for Degenerated Bioprosthetic Heart Valves Holger Eggebrecht, Ulrich Schäfer, Hendrik Treede, Peter Boekstegers, Jörg Babin-Ebell, Markus Ferrari, Helge Möllmann, Helmut Baumgartner, Thierry Carrel, Philipp Kahlert, Philipp Lange, Thomas Walther, Raimund Erbel, Rajendra H. Mehta, Matthias Thielmann Multicenter data from 47 patients aged 64 to 97 years undergoing transfemoral (n = 25) or transapical (n = 22) valve-in-valve (viv) transcatheter aortic valve implantation (TAVI) for degenerated surgically implanted bioprosthetic heart valves were analyzed. Procedural success was obtained in all patients. Vascular access complications occurred in 6 (13%). Five (11%) patients required new pacemaker implantation. Valvular function was excellent with respect to valve competence, but increased transvalvular gradients ≥20 mm Hg were noted in 44%. Mortality at 30 days was 17% (1 procedural and 7 post-procedural deaths). Valve-in-valve TAVI can be performed with high technical success rates, acceptable post-procedural valvular function, and excellent functional improvement.
ISSN:1936-8798
1876-7605
DOI:10.1016/j.jcin.2011.07.015