Transcatheter aortic valve implantation using the «valve in valve» technique in a patient with deformation of a previously implanted prosthesis
https://doi.org/10.24884/0042-4625-2025-184-3-78-83
Abstract
Transcatheter aortic valve implantation is one of the most modern and promising techniques of surgical interventions in the arsenal of X-ray endovascular surgeon. Despite all the advantages of this technique, there are a number of complications associated with it; one of them is deformation of the prosthesis with subsequent impairment of its function. The choice of the tactics of further treatment of patients with deformation of the implanted prosthesis is a complex and multifactorial task. The surgery of choice in this complication is repeated transcatheter aortic valve implantation using the «valve in valve» technique.
About the Authors
A. K. Bazunov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Bazunov Alexey K., X-ray Endovascular Surgeon of the Department of X-ray Surgical Methods of Diagnosis and Treatment № 1, Research Institute of Surgery and Emergency Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
A. V. Biryukov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Biryukov Alexey V., Cand. of Sci. (Med), Head of the Department of Department of X-ray Surgical Methods of Diagnosis and Treatment № 1, Research Institute of Surgery and Emergency medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
A. Yu. Pelipas’
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Pelipas’ Alexey Yu., X-ray Endovascular Surgeon of the Department of X-ray Surgical Methods of Diagnosis and Treatment № 1, Research Institute of Surgery and Emergency Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
G. G. Khubulava
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Khubulava Gennadii G., Academician of the RAS, Dr. of Sci. (Med), Professor, Head of the Department of Faculty Surgery with Courses of Laparoscopic and Cardiovascular Surgery with Clinic
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
K. G. Shevchuk
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Shevchuk Kirill G., Student
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
A. A. Kojdan
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Kojdan Anna A., Associate Professor of the Department of Faculty Surgery with Courses of Laparoscopic and Cardiovascular Surgery with Clinic
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
References
1. Joseph J., Naqvi S. Y., Giri J., Goldberg S. Aortic Stenosis: Pathophysiology, Diagnosis, and Therapy. Am J Med. 2017;130(3):253– 263. https://doi.org/10.1016/j.amjmed.2016.10.005. PMID: 27810479.
2. Haas T., Fries D., Tanaka K. A. et al. Usefulness of standard plasma coagulation tests in the management of perioperative coagulopathic bleeding: Is there any evidence? British Journal of Anaesthesia. 2015;114(2):217–224.
3. Blankenberg S., Seiffert M., Vonthein R. et al. Transcatheter or Surgical Treatment of Aortic-Valve Stenosis. N Engl J Med. 2024;390(17):1572– 1583. https://doi.org/10.1056/NEJMoa2400685. PMID: 38588025.
4. Reddy R. K., Howard J. P., Mack M. J. et al. Transcatheter vs Surgical Aortic Valve Replacement in Lower-Risk Patients: An Updated Meta-Analysis of Randomized Controlled Trials. J Am Coll Cardiol. 2025;85(9):926–940. https://doi.org/10.1016/j.jacc.2024.12.031. PMID: 40044297.
5. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Russian Journal of Cardiology. 2022;27(7):5160. (In Russ.). https://doi.org/10.15829/1560-4071-2022-5160.
6. Salgado R., El Addouli H., Budde R. P. Transcatheter Aortic Valve Implantation: The Evolving Role of the Radiologist in 2021. Fortschr Röntgenstr. 2021;193:1411–1425. https://doi.org/10.1055/a-1645-1873. PMID: 34814198.
7. Terkelsen C. J., Thim T., Freeman P. et al. Randomized comparison of TAVI valves: The Compare-TAVI trial. Am Heart J. 2024:274:84–94. https://doi.org/10.1016/j.ahj.2024.05.003. PMID: 38729550
8. Fukui M., Bapat V. N., Garcia S. et al. Deformation of Transcatheter Aortic Valve Prostheses: Implications for Hypoattenuating Leaflet Thickening and Clinical Outcomes. Circulation. 2022;146(6):480–493. https://doi.org/10.1161/CIRCULATIONAHA.121.058339. PMID: 35862182.
9. Gallo M., Fovino L. N., Blitzer D. et al. Transcatheter aortic valve replacement for structural degeneration of previously implanted transcatheter valves (TAVR-in-TAVR): a systematic review. Eur J Cardiothorac Surg. 2022;61(5):967–976. https://doi.org/10.1093/ejcts/ezab443. PMID: 34662376.
10. Macherey S., Meertens M., Mauri V. et al. Meta-Analysis of Stroke and Mortality Rates in Patients Undergoing Valve-in-Valve Transcatheter Aortic Valve Replacement. J Am Heart Assoc. 2021;10(6):e019512. https://doi.org/10.1161/JAHA.120.019512. PMID: 33682426; PMCID: PMC8174195.
11. Nalluri N., Atti V., Munir A. B. et al. Valve in valve transcatheter aortic valve implantation (ViV-TAVI) versus redo-Surgical aortic valve replacement (redo-SAVR): A systematic review and meta-analysis. J Interv Cardiol. 2018;31(5):661–671. https://doi.org/10.1111/joic.12520. PMID: 29781182.
12. Ihlberg L., Nissen H., Nielsen N. E. et al. Early clinical outcome of aortic transcatheter valve-in-valve implantation in the Nordic countries. J Thorac Cardiovasc Surg. 2013;146(5):1047–54; discussion 1054. https://doi.org/10.1016/j.jtcvs.2013.06.045. PMID: 23998786.
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For citations:
Bazunov A.K., Biryukov A.V., Pelipas’ A.Yu., Khubulava G.G., Shevchuk K.G., Kojdan A.A. Transcatheter aortic valve implantation using the «valve in valve» technique in a patient with deformation of a previously implanted prosthesis. Grekov's Bulletin of Surgery. 2025;184(3):78-83. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-3-78-83
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