June 9, 2009Catheterization and Cardiovascular Interventions
“Valve‐in‐valve” for the treatment of paravalvular leaks following transcatheter aortic valve implantation
Key result
Implantation of a second valve within the first one successfully managed a severe paravalvular leak following TAVI, resulting in trivial residual aortic regurgitation.
Why the study?
Does valve-in-valve implantation improve severe paravalvular leak following TAVI?
Population
86-year-old woman with severe aortic stenosis complicated by severe paravalvular leak following TAVI with a…
Design
Case_report
Follow-up
at the end of the procedure
Authors
Discussion
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Member takes
Implication
May support valve-in-valve as bailout for refractory paravalvular leak post-TAVI; leaves open durability and generalizability.
Study Design
Type
Case Report (n=1)
Structured PICO
Does valve-in-valve implantation improve severe paravalvular leak following TAVI?
P
Population
An 86-year-old woman with severe aortic stenosis who developed a severe paravalvular leak following TAVI that was unresponsive to balloon postdilation.
I
Intervention
Implantation of a second valve of the same diameter within the first one ('valve-in-valve')
O
Outcome
Residual aortic regurgitation and transvalvular gradient at the end of the proceduresurrogate
Valve-in-valve implantation is a viable bailout strategy for severe paravalvular leak following TAVI that is unresponsive to balloon postdilation.
Cite This Study
Rodés‐Cabau et al. (2009) conducted a case report in Severe aortic stenosis complicated by severe paravalvular leak following TAVI (n=1). Implantation of a second valve within the first one ("valve-in-valve") was evaluated on Residual aortic regurgitation and transvalvular gradient at the end of the procedure. Implantation of a second valve within the first one successfully managed a severe paravalvular leak following TAVI, resulting in trivial residual aortic regurgitation.