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Transcatheter Valve-in-Valve Therapies: Patient Selection, Prosthesis Assessment and Selection, Results, and Future Directions

  • Valvular Heart Disease (V Nkomo, Section Editor)
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Abstract

The development of transcatheter valve implantations (TAVI) has induced profound changes in the treatment of valvular heart disease over the past decade. At the same time, due to excellent clinical results, bioprostheses continuously outperformed mechanical prostheses. The increasing number of elderly patients has led to numerous patients presenting with deteriorated bioprostheses needing reoperation. In selected high-risk patients or patients with unreasonable surgical risk, valve-in-valve TAVI has advanced to a viable alternative to conventional redo surgery. High procedural success, good hemodynamics and acceptable clinical results were reported up until now. Valve-in-valve TAVI seems to be safe and effective in treatment of deteriorated valve prostheses in high-risk patients. The valve-in-valve concept presents the next step toward an individual treatment strategy for patients at prohibitive risk for conventional surgery. Present studies were reviewed with special concern to patient selection, prosthesis assessment, device selection, clinical outcome and technical challenging aspects as well.

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Authors and Affiliations

  1. Department of Cardiac Surgery, University Heart Center Dresden, Fetscherstrasse 76, 01307, Dresden, Germany

    Manuel Wilbring, Konstantin Alexiou, Sems-Malte Tugtekin, Klaus Matschke & Utz Kappert

  2. Department of Cardiac Surgery, University Heart Center Hamburg, Hamburg, Germany

    Bjoern Sill

  3. Department of Cardiology, University Heart Center Dresden, Dresden, Germany

    Gregor Simonis

Authors
  1. Manuel Wilbring
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  2. Konstantin Alexiou
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  3. Sems-Malte Tugtekin
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  4. Bjoern Sill
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  5. Gregor Simonis
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  6. Klaus Matschke
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  7. Utz Kappert
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Correspondence to Manuel Wilbring.

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This article is part of the Topical Collection on Valvular Heart Disease

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Wilbring, M., Alexiou, K., Tugtekin, SM. et al. Transcatheter Valve-in-Valve Therapies: Patient Selection, Prosthesis Assessment and Selection, Results, and Future Directions. Curr Cardiol Rep 15, 341 (2013). https://doi.org/10.1007/s11886-012-0341-3

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  • DOI: https://doi.org/10.1007/s11886-012-0341-3

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