| Transcatheter Valve-in-Valve Therapies: Patient Selection, Prosthesis Assessment and Selection, Results, and Future Directions. | |
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MedLine Citation:
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PMID: 23338723 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The development of transcatheter valve implantations (TAVI) has induced profound changes in the treatment of valvular heart disease over the past decade. At the same time, due to excellent clinical results, bioprostheses continuously outperformed mechanical prostheses. The increasing number of elderly patients has led to numerous patients presenting with deteriorated bioprostheses needing reoperation. In selected high-risk patients or patients with unreasonable surgical risk, valve-in-valve TAVI has advanced to a viable alternative to conventional redo surgery. High procedural success, good hemodynamics and acceptable clinical results were reported up until now. Valve-in-valve TAVI seems to be safe and effective in treatment of deteriorated valve prostheses in high-risk patients. The valve-in-valve concept presents the next step toward an individual treatment strategy for patients at prohibitive risk for conventional surgery. Present studies were reviewed with special concern to patient selection, prosthesis assessment, device selection, clinical outcome and technical challenging aspects as well. |
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Authors:
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Manuel Wilbring; Konstantin Alexiou; Sems-Malte Tugtekin; Bjoern Sill; Gregor Simonis; Klaus Matschke; Utz Kappert |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Current cardiology reports Volume: 15 ISSN: 1534-3170 ISO Abbreviation: Curr Cardiol Rep Publication Date: 2013 Mar |
Date Detail:
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Created Date: 2013-01-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888969 Medline TA: Curr Cardiol Rep Country: United States |
Other Details:
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Languages: eng Pagination: 341 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, University Heart Center Dresden, Fetscherstrasse 76, 01307, Dresden, Germany, manuel.wilbring@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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