Challenging Anatomies for TAVR-Bicuspid and Beyond

Overview

Journal Front Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2021 Apr 30

PMID 33928138

Citations 5

Authors

Mohammed Saad

Hatim Seoudy

Derk Frank

Affiliations

Soon will be listed here.

Abstract

Transcatheter aortic valve replacement has emerged as the standard treatment for the majority of patients with symptomatic aortic stenosis. As transcatheter aortic valve replacement expands to patients across all risk groups, optimal patient selection strategies and device implantation techniques become increasingly important. A significant number of patients referred for transcatheter aortic valve replacement present with challenging anatomies and clinical indications that had been historically considered a contraindication for transcatheter aortic valve replacement. This article aims to highlight and discuss some of the potential obstacles that are encountered in clinical practice with a particular emphasis on bicuspid aortic valve disease.

Citing Articles

Bioprosthetic Aortic Valve Degeneration After TAVR and SAVR: Incidence, Diagnosis, Predictors, and Management.

Bismee N, Javadi N, Khedr A, Omar F, Awad K, Abbas M J Cardiovasc Dev Dis. 2024; 11(12).

PMID: 39728274 PMC: 11676755. DOI: 10.3390/jcdd11120384.

Building and Optimizing the Interdisciplinary Heart Team.

Lee C, Tully A, Fang J, Sugeng L, Elmariah S, Grubb K J Soc Cardiovasc Angiogr Interv. 2024; 2(6Part A):101067.

PMID: 39129880 PMC: 11308725. DOI: 10.1016/j.jscai.2023.101067.

A Comprehensive Review of Management Strategies for Bicuspid Aortic Valve (BAV): Exploring Epidemiology, Aetiology, Aortopathy, and Interventions in Light of Recent Guidelines.

Bulut H, Arjomandi Rad A, Syrengela A, Ttofi I, Djordjevic J, Kaur R J Cardiovasc Dev Dis. 2023; 10(9).

PMID: 37754827 PMC: 10531880. DOI: 10.3390/jcdd10090398.

Clinical outcomes of bicuspid versus tricuspid aortic valve stenosis after transcatheter aortic valve replacement with self-expandable valves.

Jin Q, Chen S, Yang X, Li M, Li W, Zhang X BMC Cardiovasc Disord. 2022; 22(1):540.

PMID: 36503424 PMC: 9743542. DOI: 10.1186/s12872-022-02943-9.

Patients With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement: A Systematic Review and Meta-Analysis.

Zhang Y, Xiong T, Li Y, Yao Y, He J, Yang H Front Cardiovasc Med. 2022; 9:794850.

PMID: 35369357 PMC: 8965870. DOI: 10.3389/fcvm.2022.794850.

References

Edwards J . The congenital bicuspid aortic valve. Circulation. 1961; 23:485-8. DOI: 10.1161/01.cir.23.4.485. View

Mylotte D, Lefevre T, Sondergaard L, Watanabe Y, Modine T, Dvir D . Transcatheter aortic valve replacement in bicuspid aortic valve disease. J Am Coll Cardiol. 2014; 64(22):2330-9. DOI: 10.1016/j.jacc.2014.09.039. View

Seiffert M, Diemert P, Koschyk D, Schirmer J, Conradi L, Schnabel R . Transapical implantation of a second-generation transcatheter heart valve in patients with noncalcified aortic regurgitation. JACC Cardiovasc Interv. 2013; 6(6):590-7. DOI: 10.1016/j.jcin.2013.01.138. View

Vahidkhah K, Javani S, Abbasi M, Azadani P, Tandar A, Dvir D . Blood Stasis on Transcatheter Valve Leaflets and Implications for Valve-in-Valve Leaflet Thrombosis. Ann Thorac Surg. 2017; 104(3):751-759. DOI: 10.1016/j.athoracsur.2017.02.052. View

Ayad R, Grayburn P, Ko J, Filardo G, Roberts W . Accuracy of two-dimensional echocardiography in determining aortic valve structure in patients >50 years of age having aortic valve replacement for aortic stenosis. Am J Cardiol. 2011; 108(11):1589-99. DOI: 10.1016/j.amjcard.2011.09.006. View

Siu S, Silversides C . Bicuspid aortic valve disease. J Am Coll Cardiol. 2010; 55(25):2789-800. DOI: 10.1016/j.jacc.2009.12.068. View

Yoon S, Bleiziffer S, De Backer O, Delgado V, Arai T, Ziegelmueller J . Outcomes in Transcatheter Aortic Valve Replacement for Bicuspid Versus Tricuspid Aortic Valve Stenosis. J Am Coll Cardiol. 2017; 69(21):2579-2589. DOI: 10.1016/j.jacc.2017.03.017. View

Hayashida K, Bouvier E, Lefevre T, Chevalier B, Hovasse T, Romano M . Transcatheter aortic valve implantation for patients with severe bicuspid aortic valve stenosis. Circ Cardiovasc Interv. 2013; 6(3):284-91. DOI: 10.1161/CIRCINTERVENTIONS.112.000084. View

Sa M, Van den Eynde J, Simonato M, Cavalcanti L, Doulamis I, Weixler V . Valve-in-Valve Transcatheter Aortic Valve Replacement Versus Redo Surgical Aortic Valve Replacement: An Updated Meta-Analysis. JACC Cardiovasc Interv. 2021; 14(2):211-220. DOI: 10.1016/j.jcin.2020.10.020. View

10.

Seto A, Abu-Fadel M, Sparling J, Zacharias S, Daly T, Harrison A . Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial). JACC Cardiovasc Interv. 2010; 3(7):751-8. DOI: 10.1016/j.jcin.2010.04.015. View

11.

Kari F, Liang D, Kvitting J, Stephens E, Mitchell R, Fischbein M . Tirone David valve-sparing aortic root replacement and cusp repair for bicuspid aortic valve disease. J Thorac Cardiovasc Surg. 2012; 145(3 Suppl):S35-40.e1-2. DOI: 10.1016/j.jtcvs.2012.11.043. View

12.

Blanke P, Soon J, Dvir D, Park J, Naoum C, Kueh S . Computed tomography assessment for transcatheter aortic valve in valve implantation: The vancouver approach to predict anatomical risk for coronary obstruction and other considerations. J Cardiovasc Comput Tomogr. 2016; 10(6):491-499. DOI: 10.1016/j.jcct.2016.09.004. View

13.

Veulemans V, Maier O, Bosbach G, Polzin A, Piayda K, Afzal S . Novel insights on outcome in horizontal aorta with self-expandable new-generation transcatheter aortic valve replacement devices. Catheter Cardiovasc Interv. 2020; 96(7):1511-1519. DOI: 10.1002/ccd.28961. View

14.

Jabbour R, Tanaka A, Finkelstein A, Mack M, Tamburino C, van Mieghem N . Delayed Coronary Obstruction After Transcatheter Aortic Valve Replacement. J Am Coll Cardiol. 2018; 71(14):1513-1524. DOI: 10.1016/j.jacc.2018.01.066. View

15.

Chakravarty T, Sondergaard L, Friedman J, De Backer O, Berman D, Kofoed K . Subclinical leaflet thrombosis in surgical and transcatheter bioprosthetic aortic valves: an observational study. Lancet. 2017; 389(10087):2383-2392. DOI: 10.1016/S0140-6736(17)30757-2. View

16.

Fishbein G, Fishbein M . Pathology of the Aortic Valve: Aortic Valve Stenosis/Aortic Regurgitation. Curr Cardiol Rep. 2019; 21(8):81. DOI: 10.1007/s11886-019-1162-4. View

17.

Al-Abcha A, Saleh Y, Boumegouas M, Prasad R, Herzallah K, Baloch Z . Meta-Analysis of Valve-in-Valve Transcatheter Aortic Valve Implantation Versus Redo-surgical Aortic Valve Replacement in Failed Bioprosthetic Aortic Valve. Am J Cardiol. 2021; 146:74-81. DOI: 10.1016/j.amjcard.2021.01.028. View

18.

Deharo P, Bisson A, Herbert J, Lacour T, Saint Etienne C, Porto A . Transcatheter Valve-in-Valve Aortic Valve Replacement as an Alternative to Surgical Re-Replacement. J Am Coll Cardiol. 2020; 76(5):489-499. DOI: 10.1016/j.jacc.2020.06.010. View

19.

Leon M, Smith C, Mack M, Makkar R, Svensson L, Kodali S . Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2016; 374(17):1609-20. DOI: 10.1056/NEJMoa1514616. View

20.

Makkar R, Yoon S, Leon M, Chakravarty T, Rinaldi M, Shah P . Association Between Transcatheter Aortic Valve Replacement for Bicuspid vs Tricuspid Aortic Stenosis and Mortality or Stroke. JAMA. 2019; 321(22):2193-2202. PMC: 6563564. DOI: 10.1001/jama.2019.7108. View