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Gepubliceerd in: Netherlands Heart Journal 9/2022

Open Access 27-04-2022 | Heart Beat

Percutaneous valve in all four positions

Auteurs: H. M. Aarts, A. O. Kraaijeveld, P. R. Stella, M. Voskuil

Gepubliceerd in: Netherlands Heart Journal | Uitgave 9/2022

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We present four cases of successful percutaneous valve replacements, each in a different anatomical position. The percutaneous approach was the preferred treatment in these four patients due to extensive comorbidities. Approaches ranged from valve-in-native to valve-in-valve and valve-in-homograft for aortic, mitral and tricuspid, and pulmonary valve respectively (Fig. 1a–d). The Edwards Sapien 3 valve was used off-label in all cases except for the aortic valve replacement. Angiographic imaging showed no insufficiency in all valves.
Transcatheter aortic valve replacement has proven to be a good alternative treatment modality for surgical valve replacement [1]. Research on percutaneous valve implantation in pulmonic, mitral and tricuspid position is promising [24]. Developments in this field will be beneficial, particularly for patients who are unfavourable candidates for open-heart surgery. Future studies should focus on feasibility and, in particular, on the long-term outcome of percutaneous treatment of valvular heart disease.

Conflict of interest

H.M. Aarts, A.O. Kraaijeveld, P.R. Stella and M. Voskuil declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Literatuur
1.
go back to reference Siontis GC, Praz F, Pilgrim T, et al. Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of severe aortic stenosis: a meta-analysis of randomized trials. Eur Heart J. 2016;37:3503–12. CrossRef Siontis GC, Praz F, Pilgrim T, et al. Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of severe aortic stenosis: a meta-analysis of randomized trials. Eur Heart J. 2016;37:3503–12. CrossRef
2.
go back to reference Kenny D, Rhodes JF, Fleming GA, et al. 3‑year outcomes of the edwards SAPIEN transcatheter heart valve for conduit failure in the pulmonary position from the COMPASSION multicenter clinical trial. JACC Cardiovasc Interv. 2018;11:1920–9. CrossRef Kenny D, Rhodes JF, Fleming GA, et al. 3‑year outcomes of the edwards SAPIEN transcatheter heart valve for conduit failure in the pulmonary position from the COMPASSION multicenter clinical trial. JACC Cardiovasc Interv. 2018;11:1920–9. CrossRef
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go back to reference Webb JG, Murdoch DJ, Boone RH, et al. Percutaneous transcatheter mitral valve replacement: first-in-human experience with a new transseptal system. J Am Coll Cardiol. 2019;73:1239–46. CrossRef Webb JG, Murdoch DJ, Boone RH, et al. Percutaneous transcatheter mitral valve replacement: first-in-human experience with a new transseptal system. J Am Coll Cardiol. 2019;73:1239–46. CrossRef
4.
go back to reference Wilbring M, Alexiou K, Tugtekin SM, et al. Pushing the limits—further evolutions of transcatheter valve procedures in the mitral position, including valve-in-valve, valve-in-ring, and valve-in-native-ring. J Thorac Cardiovasc Surg. 2014;147:210–9. CrossRef Wilbring M, Alexiou K, Tugtekin SM, et al. Pushing the limits—further evolutions of transcatheter valve procedures in the mitral position, including valve-in-valve, valve-in-ring, and valve-in-native-ring. J Thorac Cardiovasc Surg. 2014;147:210–9. CrossRef
Metagegevens
Titel
Percutaneous valve in all four positions
Auteurs
H. M. Aarts
A. O. Kraaijeveld
P. R. Stella
M. Voskuil
Publicatiedatum
27-04-2022
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 9/2022
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-022-01691-x

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