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- Title
Transcatheter aortic valve implantation for failed surgical and transcatheter prostheses. Expert opinion of the Association of Percutaneous Cardiovascular Interventions of the Polish Cardiac Society.
- Authors
Huczek, Zenon; Protasiewicz, Marcin; Dąbrowski, Maciej; Parma, Radosław; Hudziak, Damian; Olszówka, Piotr; Targoński, Radosław; Grodecki, Kajetan; Frank, Marek; Scisło, Piotr; Kralisz, Paweł; Trębacz, Jarosław; Sacha, Jerzy; Wilczek, Krzysztof; Walczak, Andrzej; Smolka, Grzegorz; Kleczyński, Paweł; Milewski, Krzysztof; Hawranek, Michał; Kochman, Janusz
- Abstract
Over 15 years of clinical experience and multiple large-scale observational studies followed by guidelines show good safety and efficacy of valve-in-valve transcatheter aortic valve implantation TAVI (ViV-TAVI), which reduces the need for re-do surgical aortic valve replacement (SAVR) in high-risk patients. The number of procedures in Poland, estimated as ca. 2% of all TAVIs in 2020, is expected to rise. This article aims to review specific challenges of the ViV-TAVI procedure including proper pre-procedural planning to achieve best possible hemodynamic results and mitigate coronary occlusion risk. It also provides a preliminary review and guidelines on repeat TAVI (re-do TAVI) in patients presenting with a failed transcatheter aortic bioprosthesis.
- Subjects
CARDIAC surgery; BIOPROSTHESIS; HEART valve prosthesis implantation; SURGICAL complications; ANTICOAGULANTS; TREATMENT failure; MEDICAL protocols; TREATMENT effectiveness; VASCULAR grafts; PROSTHETIC heart valves; HEMODYNAMICS; CORONARY arteries; HEART diseases
- Publication
Polish Heart Journal / Kardiologia Polska, 2023, Vol 81, Issue 6, p646
- ISSN
0022-9032
- Publication type
Article
- DOI
10.33963/KP.a2023.0131