Transcatheter access route options for treatment of degenerated mitral valve prosthesis with a balloon‐expandable biological valve. Issue 6 (9th August 2013)

• Record Type: Journal Article
• Authors: Schaefer, Ulrich; Frerker, Christian; Bader, Ralf; Schmoeckel, Michael; Busse, Cord; Kuck, Karl‐Heinz
• Is Part Of: Catheterization and cardiovascular interventions. Volume 82:Issue 6(2013:Nov. 15)
• Page Start: 999
• Page End: 1003
• Publication Date: 2013-08-09
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.24679
• Languages: English
• ISSNs: 1522-1946

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ccd24679-sec-0001" sec-type="section"> <title>Objectives</title> <p>There is an ongoing discussion if valve‐in‐valve implantations into failing mitral xenografts should be performed only via a transapical approach.</p> </sec> <sec id="ccd24679-sec-0002" sec-type="section"> <title>Background</title> <p>In selected high‐risk patients, transcatheter valve implantation is an emerging therapy for degenerated mitral xenografts in need of repeated valve replacement.</p> </sec> <sec id="ccd24679-sec-0003" sec-type="section"> <title>Methods</title> <p>Here we describe three different strategies to treat a failing mitral biological prosthesis (Carpentier Edwards S.A.V) by implantation of a SAPIEN‐XT valve, which was performed in three different patients. As access site, a transjugular/transseptal approach, a transfemoral/transseptal approach, and a transapical approach were chosen.</p> </sec> <sec id="ccd24679-sec-0004" sec-type="section"> <title>Results</title> <p>With all three approaches, valve‐in‐valve implantation was successfully achieved. The acute hemodynamic effects were excellent and according to VARC there was no adverse event recorded during a 6 months follow‐up.</p> </sec> <sec id="ccd24679-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Feasibility of all three approaches is demonstrated and might be taken into consideration for treatment in various patients. © 2012 Wiley Periodicals, Inc.</p> </sec> </abstract>