Key result
Simultaneous double transcatheter valve-in-valve implantation appears feasible for treating failing bioprostheses in 2 elderly patients.
Why the study?
Simultaneous transcatheter replacement of two valves (double ViV) is not yet standard and is primarily documented through case reports.
Is simultaneous double transcatheter heart valve implantation feasible in elderly patients with failing bioprostheses?
Case Report (n=2)
Is simultaneous double transcatheter heart valve implantation feasible in elderly patients with failing bioprostheses?
Simultaneous double valve-in-valve transcatheter implantation may be a feasible, less invasive strategy for elderly patients with multiple failing bioprostheses.
Answers are grounded in this paper and cite their sources.
May support feasibility in select elderly patients; leaves open safety and efficacy versus staged procedures.
The 2021 ESC/EACTS guidelines recommend percutaneous approaches for failing bioprostheses. These methods are less invasive, resulting in shorter recovery times and fewer complications. Valve-in-valve (ViV) procedures offer a promising solution, although simultaneous transcatheter replacement of two valves (double ViV) still needs to be standard and primarily documented through case reports. This case series presents the initial outcomes of two patients who underwent simultaneous double transcatheter heart valve implantation, exploring the feasibility of this approach in the elderly. As the demand for bioprosthetic valves grows, innovative strategies like double ViV may provide valuable solutions to address valve degeneration and enhance patient outcomes.
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Abdi et al. (2025) conducted a case report in Failing bioprostheses (n=2). Simultaneous double transcatheter valve-in-valve (ViV) implantation was evaluated on Feasibility and initial outcomes. Simultaneous double transcatheter valve-in-valve implantation was explored in a case series of 2 elderly patients, highlighting its feasibility for treating failing bioprostheses.
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