Computer-assisted valve in valve in a deteriorated Mosaic valve using a library of bioprostheses.
TAVI
angiographic/fluoroscopic
aortic valve disease
computer-assisted procedures
endovascular
imaging
imaging electron beam CT/multidetector CT
percutaneaous interventions
structural heart disease intervention
structural valve deterioration
surgery
transcatheter valve implantation
valve in valve
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 05 2021
01 05 2021
Historique:
revised:
21
09
2020
received:
29
07
2020
accepted:
08
11
2020
pubmed:
20
11
2020
medline:
12
10
2021
entrez:
19
11
2020
Statut:
ppublish
Résumé
Valve-in-valve (ViV) procedures have emerged from an off-label procedure to a safe and efficient alternative to redo aortic valve replacement in the treatment of symptomatic structural valve deterioration (SVD). During ViV procedures, optimal placement of the transcatheter heart valve (THV) inside the degenerated bioprosthesis is of paramount importance regarding complications such as device embolization, coronary obstruction, periprosthetic regurgitation, residual gradients, and mitral valve injury, but also for the attainment of optimal hemodynamics. In the case of the Mosaic (Medtronic, Minneapolis, MN) valve, the limited radiopaque landmarks represent a challenge to a reproducible, optimal implantation. Such implantation may require multiple contrast injections and transesophageal echocardiogram (TEE) guidance. We herein describe a computer-assisted ViV procedure inside a deteriorated Mosaic valve, achieving reproducible optimal placement using a preacquired library of bioprostheses 3D models. Our approach suggests an evolving paradigm in ViV procedures, from safe and efficient toward optimal therapy for symptomatic SVD.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E893-E896Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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