Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis
Transcatheter aortic valve replacement (TAVR) to treat degeneration of bioprosthetic heart valves (BHVs), called as valve-in-valve (ViV), is becoming a key feature since the number of BHVs requiring intervention is increasing and many patients are at high risk for a redo cardiac surgery. However, a...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/4368887 |
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| author | Rodrigo Petersen Saadi Ana Paula Tagliari Carisi Anne Polanczyck João Carlos Ferreira Leal Eduardo Keller Saadi |
| author_facet | Rodrigo Petersen Saadi Ana Paula Tagliari Carisi Anne Polanczyck João Carlos Ferreira Leal Eduardo Keller Saadi |
| author_sort | Rodrigo Petersen Saadi |
| collection | DOAJ |
| description | Transcatheter aortic valve replacement (TAVR) to treat degeneration of bioprosthetic heart valves (BHVs), called as valve-in-valve (ViV), is becoming a key feature since the number of BHVs requiring intervention is increasing and many patients are at high risk for a redo cardiac surgery. However, a TAVR inside a small previous cardiac valve may lead to prosthesis-patient mismatch (PPM) and not be as effective as we hoped for. An effective option to decrease the chance of PPM is to fracture the previous heart valve implanted using a high-pressure balloon. By performing a valve fracture, the inner valve ring of small BHVs can be opened up by a single fracture line, allowing subsequent implantation of a properly sized transcatheter heart valve, without increasing substantially the procedure risk. In this article, we provide a step-by-step procedure on how to safely and properly fracture a BHV and report a case of a TAVR in a degenerated rapid deployment valve. |
| format | Article |
| id | doaj-art-5e4d789be98842fdafcdf22dff743eb5 |
| institution | Kabale University |
| issn | 1540-8183 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-5e4d789be98842fdafcdf22dff743eb52025-08-20T03:34:33ZengWileyJournal of Interventional Cardiology1540-81832022-01-01202210.1155/2022/4368887Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment ProsthesisRodrigo Petersen Saadi0Ana Paula Tagliari1Carisi Anne Polanczyck2João Carlos Ferreira Leal3Eduardo Keller Saadi4Post Graduate Program in Cardiology and Cardiovascular SciencePost Graduate Program in Cardiology and Cardiovascular ScienceGraduate Program in CardiologyBrazilian Society of Cardiovascular SurgeryCariovascular SurgeryTranscatheter aortic valve replacement (TAVR) to treat degeneration of bioprosthetic heart valves (BHVs), called as valve-in-valve (ViV), is becoming a key feature since the number of BHVs requiring intervention is increasing and many patients are at high risk for a redo cardiac surgery. However, a TAVR inside a small previous cardiac valve may lead to prosthesis-patient mismatch (PPM) and not be as effective as we hoped for. An effective option to decrease the chance of PPM is to fracture the previous heart valve implanted using a high-pressure balloon. By performing a valve fracture, the inner valve ring of small BHVs can be opened up by a single fracture line, allowing subsequent implantation of a properly sized transcatheter heart valve, without increasing substantially the procedure risk. In this article, we provide a step-by-step procedure on how to safely and properly fracture a BHV and report a case of a TAVR in a degenerated rapid deployment valve.http://dx.doi.org/10.1155/2022/4368887 |
| spellingShingle | Rodrigo Petersen Saadi Ana Paula Tagliari Carisi Anne Polanczyck João Carlos Ferreira Leal Eduardo Keller Saadi Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis Journal of Interventional Cardiology |
| title | Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis |
| title_full | Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis |
| title_fullStr | Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis |
| title_full_unstemmed | Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis |
| title_short | Balloon Fracturing Valve-in-Valve: How to Do It and a Case Report of TAVR in a Rapid Deployment Prosthesis |
| title_sort | balloon fracturing valve in valve how to do it and a case report of tavr in a rapid deployment prosthesis |
| url | http://dx.doi.org/10.1155/2022/4368887 |
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