“…For almost a decade, transcatheter valve‐in‐valve implantation (ViV‐TAVI) has been an important off‐label application for the rapidly growing field of transcathether aortic valve implantation (TAVI) . In 2015, following several observational data analyses—ViV‐TAVI gained definitive recognition as a feasible and beneficial procedure in patients with failed surgically implanted bioprosthetic valves and was approved by the Food and Drug Administration as an extended indication for the two most popular, self‐ and balloon‐expandable, systems . Rapid worldwide growth in the number of TAVI procedures is accompanied by the natural transition to lower risk populations and, collaterally, patients with severe aortic stenosis treated surgically are becoming younger.…”
Despite technical challenges and a lower device success, ViV-TAVI in stentless aortic bioprostheses achieves similar safety, efficacy, and functional improvement as in stented or degenerated native valves.
“…For almost a decade, transcatheter valve‐in‐valve implantation (ViV‐TAVI) has been an important off‐label application for the rapidly growing field of transcathether aortic valve implantation (TAVI) . In 2015, following several observational data analyses—ViV‐TAVI gained definitive recognition as a feasible and beneficial procedure in patients with failed surgically implanted bioprosthetic valves and was approved by the Food and Drug Administration as an extended indication for the two most popular, self‐ and balloon‐expandable, systems . Rapid worldwide growth in the number of TAVI procedures is accompanied by the natural transition to lower risk populations and, collaterally, patients with severe aortic stenosis treated surgically are becoming younger.…”
Despite technical challenges and a lower device success, ViV-TAVI in stentless aortic bioprostheses achieves similar safety, efficacy, and functional improvement as in stented or degenerated native valves.
“…Метод "клапан-в-клапан" представляется оптимальным для лечения структурной дегенерации биопротеза ТК у больных высокого риска. Опыт данных операций в мировой практике невелик [12]. С 2008г существует международный многоцентровой регистр TVIV, в который к 2015г были включены 156 пациентов с дисфункцией протезированного ТК.…”
Aim. In the issue we report first in Russia experience of transcatheter “valve-invalve” implantation (TVIV) for treatment of severe tricuspid stenosis due to the structural deterioration of surgical tricuspid bioprosthesis.Material and methods. TVIV was performed in 4 high-risk redo patients (1 to 3 previous sternotomies) of various ages across (18-68 years) with structural deterioration of surgical tricuspid bioprosthesis.Results. Technical success was achieved in 100% cases. Diastolic gradients on tricuspid valve markedly decreased in all patients. Peak transtricuspidal gradient decreased from 20,4 to 10 mmHg in average. Clinical improvement as assessed by 6-minute walk test after TVIV was observed in 3 patients with congestive heart failure. In 1 patient with asymptomatic right ventricle dysfunction TVIV resulted in the enhancement of echocardiographic parameters.Conclusion. TVIV is a mininvasive alternative to conventional surgical tricuspid valve redo replacement. Based on available data including own experience TVIV should be considered an effective and safe treatment option for failed TV bioprostheses in high-risk patients of different age. Further studies are needed to assess long-term results of the method.
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