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July 18, 2026Structural HeartOpen Access

Valve Migration After EVOQUE in Annuloplasty Band Rescued With SAPIEN-in-EVOQUE Strategy

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Key result

Percutaneous SAPIEN-in-EVOQUE implantation with dual EN Snare stabilization rescues a migrated EVOQUE tricuspid valve, avoiding surgery.

Population

Patients with prior tricuspid annuloplasty experiencing EVOQUE valve migration

Comparison

Percutaneous SAPIEN-in-EVOQUE rescue implantation with Dual EN Snare stabilization

Design

Case report

Authors

BLBrian LeeValley Health SystemMRMuhammed Ali RahimRutgers, The State University of New JerseyMSMaya SpecterValley Health System

Discussion

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Member takes

Overview

May enable percutaneous bailout for migrated tricuspid valves; hypothesis-generating pending larger prospective validation.

Key Points

  • To evaluate a rescue strategy for migrated EVOQUE valves using SAPIEN implantation.
  • Utilized dual EN Snare stabilization for valve-in-valve rescue
  • Performed percutaneous implantation of SAPIEN valve in EVOQUE
  • Investigated incomplete leaflet capture as a potential cause of migration
  • Successful rescue of migrated EVOQUE valve using SAPIEN with no need for surgical intervention
  • Demonstrated feasibility of percutaneous approach in prior annuloplasty patients

Structured PICO

P
Population
Patient(s) with prior tricuspid annuloplasty experiencing valve migration after EVOQUE transcatheter tricuspid valve replacement (TTVR)
I
Intervention
Percutaneous valve-in-valve rescue with SAPIEN-in-EVOQUE implantation using Dual EN Snare stabilization
O
Outcome
Successful percutaneous valve-in-valve rescue avoiding surgical intervention

A migrated EVOQUE transcatheter tricuspid valve can be successfully rescued percutaneously using a SAPIEN-in-EVOQUE valve-in-valve strategy with snare stabilization, avoiding the need for surgery.

Cite This Study

Lee et al. (2026) studied this question. Percutaneous SAPIEN-in-EVOQUE implantation with dual EN Snare stabilization successfully rescued a migrated EVOQUE tricuspid valve in a prior annuloplasty patient, avoiding surgery.

synapsesocial.com/papers/6a5b38f68167787360d24dffhttps://doi.org/10.1016/j.shj.2026.101094
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transcatheter Tricuspid Valve Replacement After Failed Transcatheter Annuloplasty and Edge-to-Edge Repair2025 · 2 citations
  2. 2Transcatheter Tricuspid Valve Embolization2026
  3. 3Successful Rescue Transaortic Valve Replacement Using Edwards Sapien 3 Following Failed Evolut R Implantation in a Degenerated Surgical Bioprosthesis: A Case Report2024
  4. 4Transcatheter Tricuspid Valve Replacement With EVOQUE and Mitral Valve Repair With PASCAL in One Procedure2025
  5. 5Surgical Bailout and Retrieval of Maldeployed Transcatheter Tricuspid Valve2026