Reference
Leon MB, Smith CR, Mack M et al (2010) Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med 363:1597–1607
Smith CR, Leon MB, Mack MJ et al (2011) Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med 364:2187–2198
Abdel-Wahab M, Zahn R, Horack M et al (2011) Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry. Heart 97:899–906
Ussia GP, Barbanti M, Ramondo A et al (2011) The valve-in-valve technique for treatment of aortic bioprosthesis malposition an analysis of incidence and 1-year clinical outcomes from the Italian CoreValve registry. J Am Coll Cardiol 57:1062–1068
Piazza N, Schultz C, de Jaegere PP, Serruys PW (2009) Implantation of two self-expanding aortic bioprosthetic valves during the same procedure-insights into valve-in-valve implantation (“Russian doll concept”). Catheter Cardiovasc Interv 73:530–539
Ussia GP, Mule M, Tamburino C (2009) The valve-in-valve technique: transcatheter treatment of aortic bioprothesis malposition. Catheter Cardiovasc Interv 73:713–716
Zahn R, Schiele R, Kilkowski C, Zeymer U (2010) Severe aortic regurgitation after percutaneous transcatheter aortic valve implantation: on the importance to clarify the underlying pathophysiology. Clin Res Cardiol 99:193–197
Vavuranakis M, Vrachatis D, Stefanadis C (2010) CoreValve aortic bioprosthesis: repositioning techniques. JACC Cardiovasc Interv 3:565–566
Majunke N, Doss M, Steinberg DH et al (2010) How should I treat a misplaced self-expanding aortic bioprosthetic valve? EuroIntervention 6:537–542
Zahn R, Schiele R, Kilkowski C et al (2011) Correction of aortic regurgitation after transcatheter aortic valve implantation of the Medtronic CoreValveTM prosthesis due to a too-low implantation, using transcatheter repositioning. J Heart Valve Dis 20:64–69
Ruiz CE, Laborde JC, Condado JF, Chiam PT, Condado JA (2008) First percutaneous transcatheter aortic valve-in-valve implant with three year follow-up. Catheter Cardiovasc Interv 72:143–148
Kempfert J, Rastan AJ, Schuler G et al (2011) A second prosthesis as a procedural rescue option in trans-apical aortic valve implantation. Eur J Cardiothorac Surg 40:56–60
Conflict of interest
Holger Eggebrecht is a trainer for transcatheter aortic valve implantation (TAVI) for Medtronic/CoreValve and clinical proctor for Edwards Lifesciences. Mirko Doss is a clinical proctor for Edwards Lifesciences.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
392_2012_434_MOESM1_ESM.avi
Movie 1. Angiography after valve implantation showing a too-low position of the prosthesis into the left ventricular outflow tract, resulting in severe paravalvular regurgitation. (AVI 9126 kb)
392_2012_434_MOESM2_ESM.avi
Movie 2. Upwards pulling of the prosthesis by a loop snare attached to one of the frame loops resulting in an optimal position with diminished regurgitation. After release of tension, the valve migrates back into the too-low position (AVI 4458 kb)
Movie 4. Stepwise implantation of the second (valve-in-valve) Medtronic/CoreValve prosthesis at a higher position. (WMV 7950 kb)
Rights and permissions
About this article
Cite this article
Eggebrecht, H., Doss, M., Schmermund, A. et al. Interventional options for severe aortic regurgitation after transcatheter aortic valve implantation: balloons, snares, valve-in-valve. Clin Res Cardiol 101, 503–507 (2012). https://doi.org/10.1007/s00392-012-0434-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00392-012-0434-4