Challenges and Future Directions in Redo Aortic Valve Reintervention After Transcatheter Aortic Valve Replacement Failure

被引：1

作者：

Zaid, Syed ^{[1
]}

Bapat, Vinayak N. ^{[2
]}

Sathananthan, Janarthanan ^{[3
,4
]}

Landes, Uri ^{[5
]}

De Backer, Ole ^{[6
]}

Tarantini, Giuseppe ^{[7
]}

Grubb, Kendra J. ^{[8
]}

Kaneko, Tsuyoshi ^{[9
]}

Khalique, Omar K. ^{[10
,11
]}

Jilaihawi, Hasan ^{[12
]}

Fukui, Miho ^{[2
]}

Madhavan, Mahesh ^{[13
]}

Cangut, Busra ^{[14
]}

Harrington, Katherine ^{[15
]}

Thourani, Vinod H. ^{[16
]}

Makkar, Raj R. ^{[12
]}

Leon, Martin B. ^{[13
]}

Mack, Michael J. ^{[15
]}

Tang, Gilbert H. L. ^{[14
,17
]}

机构：

[1] Baylor Coll Med, Michael E DeBakey VA Med Ctr, Div Cardiol, Houston, TX USA

[2] Abbott NW Hosp, Minneapolis Heart Inst, Cardiothorac Surg, Minneapolis, MN USA

[3] Univ British Columbia, St Pauls Hosp, Ctr Heart Valve Innovat, Vancouver, BC, Canada

[4] Univ British Columbia, St Pauls Hosp, Div Cardiol, Vancouver, BC, Canada

[5] Tel Aviv Univ, Edith Wolfson Med Ctr, Dept Cardiol, Holon, Israel

[6] Univ Copenhagen, Heart Ctr, Dept Cardiol, Rigshosp, Copenhagen, Denmark

[7] Univ Padua, Div Cardiol, Padua, Italy

[8] Emory Univ, Div Cardiothorac Surg, Atlanta, GA USA

[9] Washington Univ, Sch Med, Div Cardiothorac Surg, St Louis, MO USA

[10] St Francis Hosp & Heart Ctr, DeMatteis Cardiovasc Inst, Roslyn, NY USA

[11] St Francis Hosp & Heart Ctr, Div Cardiac Imaging, Roslyn, NY USA

[12] Cedars Sinai Med Ctr, Smidt Heart Inst, Div Cardiol, Los Angeles, CA USA

[13] Columbia Univ, NewYork Presbyterian Hosp, Div Cardiol, Irving Med Ctr, New York, NY USA

[14] Mt Sinai Hosp, Dept Cardiovasc Surg, New York, NY USA

[15] Baylor Scott & White Heart Hosp, Dept Cardiothorac Surg, Plano, TX USA

[16] Piedmont Heart Inst, Marcus Heart Valve Ctr, Dept Cardiovasc Surg, Atlanta, GA USA

[17] Mt Sinai Hlth Syst, Dept Cardiovasc Surg, 1190 Fifth Ave, GP2W, Box 1028, New York, NY 10029 USA

来源：

CIRCULATION-CARDIOVASCULAR INTERVENTIONS | 2023年 / 16卷 / 11期

关键词：

aortic valve stenosis; bioprosthesis; transcatheter aortic valve replacement; PROSTHESIS-PATIENT MISMATCH; SURGICAL EXPLANTATION; MIDTERM OUTCOMES; TAVR; PREDICTORS; LEAFLET; IMPACT;

D O I：

10.1161/CIRCINTERVENTIONS.123.012966

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve replacement (TAVR) is increasingly being performed in younger and lower surgical risk patients. Reintervention for failed transcatheter heart valves will likely increase in the future as younger patients are expected to outlive the initial bioprosthesis. While redo-TAVR has emerged as an attractive and less invasive alternative to surgical explantation (TAVR-explant) to treat transcatheter heart valve failure, it may not be feasible in all patients due to the risk of coronary obstruction and impaired coronary access. Conversely, TAVR-explant can be offered to most patients who are surgical candidates, but the reported outcomes have shown high mortality and morbidity. This review provides the latest evidence, current challenges, and future directions on redo-TAVR and TAVR-explant for transcatheter heart valve failure, to guide aortic valve reintervention and facilitate patients' lifetime management of aortic stenosis.

引用

页数：14

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