A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure

Vinayak N. Bapat; Miho Fukui; Syed Zaid; Atsushi Okada; Hasan Jilaihawi; Toby Rogers; Omar Khalique; João L. Cavalcante; Uri Landes; Janarthanan Sathananthan; Giuseppe Tarantini; Gilbert H.L. Tang; Daniel J. Blackman; Ole De Backer; Michael J. Mack; Martin B. Leon

doi:10.1016/j.jcin.2024.04.047

A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure

Vinayak N. Bapat^*, Miho Fukui, Syed Zaid, Atsushi Okada, Hasan Jilaihawi, Toby Rogers, Omar Khalique, João L. Cavalcante, Uri Landes, Janarthanan Sathananthan, Giuseppe Tarantini, Gilbert H.L. Tang, Daniel J. Blackman, Ole De Backer, Michael J. Mack, Martin B. Leon

^*Corresponding author for this work

Cardiology

Research output: Contribution to journal › Review article › peer-review

7 Scopus citations

Abstract

Transcatheter aortic valve replacement (TAVR) has become more common than surgical aortic valve replacement since 2016, with over 200,000 procedures globally each year. As patients increasingly outlive their TAVR devices, managing these cases is a growing concern. Treatment options include surgical removal of the old TAVR device (transcatheter aortic valve [TAV] explant) or implantation of a new transcatheter aortic valve (redo TAV). Redo TAV is complex because of the unique designs of TAV devices; compatibility issues; and the need for individualized planning based on factors such as implant depth, shape, and coronary artery relationships. This review serves as a comprehensive guide for redo TAV, detailing the design characteristics of TAV devices, device compatibility, standardized terminology, and a structured approach for computed tomography analysis. It aims to facilitate decision making, risk identification, and achieving optimal outcomes in redo TAV procedures.

Original language	English
Pages (from-to)	1631-1651
Number of pages	21
Journal	JACC: Cardiovascular Interventions
Volume	17
Issue number	14
DOIs	https://doi.org/10.1016/j.jcin.2024.04.047
State	Published - 22 Jul 2024

Keywords

TAVR
computed tomography
reintervention

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10.1016/j.jcin.2024.04.047

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Bapat, V. N., Fukui, M., Zaid, S., Okada, A., Jilaihawi, H., Rogers, T., Khalique, O., Cavalcante, J. L., Landes, U., Sathananthan, J., Tarantini, G., Tang, G. H. L., Blackman, D. J., De Backer, O., Mack, M. J., & Leon, M. B. (2024). A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure. JACC: Cardiovascular Interventions, 17(14), 1631-1651. https://doi.org/10.1016/j.jcin.2024.04.047

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title = "A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure",

abstract = "Transcatheter aortic valve replacement (TAVR) has become more common than surgical aortic valve replacement since 2016, with over 200,000 procedures globally each year. As patients increasingly outlive their TAVR devices, managing these cases is a growing concern. Treatment options include surgical removal of the old TAVR device (transcatheter aortic valve [TAV] explant) or implantation of a new transcatheter aortic valve (redo TAV). Redo TAV is complex because of the unique designs of TAV devices; compatibility issues; and the need for individualized planning based on factors such as implant depth, shape, and coronary artery relationships. This review serves as a comprehensive guide for redo TAV, detailing the design characteristics of TAV devices, device compatibility, standardized terminology, and a structured approach for computed tomography analysis. It aims to facilitate decision making, risk identification, and achieving optimal outcomes in redo TAV procedures.",

keywords = "TAVR, computed tomography, reintervention",

author = "Bapat, {Vinayak N.} and Miho Fukui and Syed Zaid and Atsushi Okada and Hasan Jilaihawi and Toby Rogers and Omar Khalique and Cavalcante, {Jo{\~a}o L.} and Uri Landes and Janarthanan Sathananthan and Giuseppe Tarantini and Tang, {Gilbert H.L.} and Blackman, {Daniel J.} and {De Backer}, Ole and Mack, {Michael J.} and Leon, {Martin B.}",

note = "Publisher Copyright: {\textcopyright} 2024 American College of Cardiology Foundation",

year = "2024",

month = jul,

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doi = "10.1016/j.jcin.2024.04.047",

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Bapat, VN, Fukui, M, Zaid, S, Okada, A, Jilaihawi, H, Rogers, T, Khalique, O, Cavalcante, JL, Landes, U, Sathananthan, J, Tarantini, G, Tang, GHL, Blackman, DJ, De Backer, O, Mack, MJ & Leon, MB 2024, 'A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure', JACC: Cardiovascular Interventions, vol. 17, no. 14, pp. 1631-1651. https://doi.org/10.1016/j.jcin.2024.04.047

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AU - Okada, Atsushi

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AU - Sathananthan, Janarthanan

AU - Tarantini, Giuseppe

AU - Tang, Gilbert H.L.

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AU - Mack, Michael J.

AU - Leon, Martin B.

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A Guide to Transcatheter Aortic Valve Design and Systematic Planning for a Redo-TAV (TAV-in-TAV) Procedure

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Keywords

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