Implantation of Two Self-Expanding Aortic Bioprosthetic Valves During the Same Procedure-Insights into Valve-in-Valve Implantation ("Russian Doll Concept")

Nick Piazza, Carl Schultz, Peter de Jaegere, PWJC (Patrick) Serruys

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Transcatheter aortic value implantation has gained acceptance as a treatment for elderly patients considered high risk for surgical aortic valve replacement. There are still, however, many unresolved clinical and technical issues. The occurrence of transcatheter aortic valve-in-valve implantation has been reported anecdotally. Aside from a single case report, there is little literature on this topic. This study was conducted to evaluate the procedural, imaging, and clinical outcomes of patients who underwent transcatheter valve-in-valve implantation with two self-expanding aortic valve bioprostheses during the same procedure. We discuss also the potential valve of on-line quantitative angiography for assessing the depth of valve implantation and the need to implant a second valve. (C) 2008 Wiley-Liss, Inc.
Original languageUndefined/Unknown
Pages (from-to)530-539
Number of pages10
JournalCatheterization and Cardiovascular Interventions
Issue number4
Publication statusPublished - 2009

Research programs

  • EMC COEUR-09

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