Aortic Valve-in-Valve Procedures: Challenges and Future Directions

Overview

Journal J Clin Med

Specialty General Medicine

Date 2024 Aug 29

PMID 39200865

Authors

Davide Cao

Stefano Albani

Emmanuel Gall

Thomas Hovasse

Thierry Unterseeh

Patrick Seknadji

Stephane Champagne

Philippe Garot

Neila Sayah

Mariama Akodad

Affiliations

Soon will be listed here.

Abstract

Aortic valve-in-valve (ViV) procedures are increasingly performed for the treatment of surgical bioprosthetic valve failure in patients at intermediate to high surgical risk. Although ViV procedures offer indisputable benefits in terms of procedural time, in-hospital length of stay, and avoidance of surgical complications, they also present unique challenges. Growing awareness of the technical difficulties and potential threats associated with ViV procedures mandates careful preprocedural planning. This review article offers an overview of the current state-of-the-art ViV procedures, with focus on patient and device selection, procedural planning, potential complications, and long-term outcomes. Finally, it discusses current research efforts and future directions aimed at improving ViV procedural success and patient outcomes.

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