Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails
Transcatheter aortic valve replacement (TAVR) is the standard of care for patients with symptomatic severe aortic stenosis at high or prohibitive surgical risk. The 2020 valvular heart disease guidelines from the American College of Cardiology and American Heart Association now include TAVR as a cla...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-03-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2021.18 |
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| _version_ | 1849220281315360768 |
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| author | Nils Perrin Anita W Asgar |
| author_facet | Nils Perrin Anita W Asgar |
| author_sort | Nils Perrin |
| collection | DOAJ |
| description | Transcatheter aortic valve replacement (TAVR) is the standard of care for patients with symptomatic severe aortic stenosis at high or prohibitive surgical risk. The 2020 valvular heart disease guidelines from the American College of Cardiology and American Heart Association now include TAVR as a class I indication for patients aged 65–80 years and not at high or prohibitive risk. The longer life expectancy of this patient population raises the issue of TAVR valve durability and the management of bioprosthetic valve failure of TAVR valves. In this review, the authors discuss bioprosthetic valve dysfunction and summarize existing data regarding redo-TAVR and surgery for failed TAVR. Finally, they propose an approach to evaluate patients with failed TAVR and plan for a second TAVR procedure as indicated. |
| format | Article |
| id | doaj-art-a4f2eaadd7c84a1ab38f8d0fe9ec1710 |
| institution | Kabale University |
| issn | 1758-3896 1758-390X |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj-art-a4f2eaadd7c84a1ab38f8d0fe9ec17102024-12-14T16:03:31ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2022-03-011610.15420/usc.2021.18Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement FailsNils Perrin0Anita W Asgar1Department of Cardiology, Montreal Heart Institute, Montreal, Canada; Geneva University Hospitals, Geneva, SwitzerlandDepartment of Cardiology, Montreal Heart Institute, Montreal, CanadaTranscatheter aortic valve replacement (TAVR) is the standard of care for patients with symptomatic severe aortic stenosis at high or prohibitive surgical risk. The 2020 valvular heart disease guidelines from the American College of Cardiology and American Heart Association now include TAVR as a class I indication for patients aged 65–80 years and not at high or prohibitive risk. The longer life expectancy of this patient population raises the issue of TAVR valve durability and the management of bioprosthetic valve failure of TAVR valves. In this review, the authors discuss bioprosthetic valve dysfunction and summarize existing data regarding redo-TAVR and surgery for failed TAVR. Finally, they propose an approach to evaluate patients with failed TAVR and plan for a second TAVR procedure as indicated.https://www.uscjournal.com/articleindex/usc.2021.18 |
| spellingShingle | Nils Perrin Anita W Asgar Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails US Cardiology Review |
| title | Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails |
| title_full | Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails |
| title_fullStr | Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails |
| title_full_unstemmed | Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails |
| title_short | Redo-Transcatheter Aortic Valve Replacement: Strategies When the First Transcatheter Aortic Valve Replacement Fails |
| title_sort | redo transcatheter aortic valve replacement strategies when the first transcatheter aortic valve replacement fails |
| url | https://www.uscjournal.com/articleindex/usc.2021.18 |
| work_keys_str_mv | AT nilsperrin redotranscatheteraorticvalvereplacementstrategieswhenthefirsttranscatheteraorticvalvereplacementfails AT anitawasgar redotranscatheteraorticvalvereplacementstrategieswhenthefirsttranscatheteraorticvalvereplacementfails |