Journal
CLINICAL RESEARCH IN CARDIOLOGY
Volume 103, Issue 6, Pages 417-429Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s00392-013-0653-3
Keywords
Transcatheter heart valve; Vale in valve; Bioprosthesis; TAVI
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Funding
- National Heart Foundation of New Zealand
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Transcatheter aortic valve implantation has established itself as an alternative treatment for patients with valvular disease. In the current context of increasing bioprosthetic valve implants and an ageing population with growing comorbidities, a less invasive approach to the treatment of bioprosthetic dysfunction would be an appealing alternative to the standard of care. Transcatheter valve-in-valve implantation could be an alternative for patients who are deemed to be a high surgical risk. The valve-in-valve procedure is a minimally invasive percutaneous procedure where a valve can be implanted directly within a failing bioprosthetic valve. This technique can be applied to dysfunctional aortic bioprosthetic valves and can also be used in the pulmonary and atrioventricular valve bioprosthesis. We review the current literature to assess whether this technique may be the new standard for degenerated bioposthesis.
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