Surgical Technique And Clinical Implications Of Transcatheter Aortic Valve Bioprosthesis Explantation

Athanasios Tsiouris; Adam N Protos; Jay G Shake; Ashok Kumar Coimbatore Jeyakumar

doi:10.48729/pjctvs.377

Surgical Technique And Clinical Implications Of Transcatheter Aortic Valve Bioprosthesis Explantation

Port J Card Thorac Vasc Surg. 2024 May 13;31(1):12-16. doi: 10.48729/pjctvs.377.

Authors

Athanasios Tsiouris¹, Adam N Protos², Jay G Shake, Ashok Kumar Coimbatore Jeyakumar¹

Affiliations

¹ University of Mississippi Medical Center, Division of Cardiac Surgery, Jackson, USA.
² University of Mississippi Medical Center.

PMID: 38743522
DOI: 10.48729/pjctvs.377

Abstract

There has been a worldwide rapid adoption of transcatheter aortic valve replacement (TAVR) as an alternative to surgical aortic valve replacement (SAVR) for patients with severe aortic stenosis. Currently, more TAVR explants with SAVRs are performed than TAVR-in TAV. TAVR explantation is a technically hazardous procedure mainly due to significant aortic neo-endothelialization which incorporates the TAVR valve. Surgical techniques for TAVR explantation are not well established and surgeon experience at present is limited. In this manuscript, we describe our technique for surgical explantation of transcatheter aortic bioprosthesis. Familiarity with the procedure and its clinical implications is essential for all cardiac surgeons.

MeSH terms

Aortic Valve / pathology
Aortic Valve / surgery
Aortic Valve Stenosis* / surgery
Bioprosthesis* / adverse effects
Device Removal* / methods
Heart Valve Prosthesis* / adverse effects
Humans
Transcatheter Aortic Valve Replacement* / adverse effects
Transcatheter Aortic Valve Replacement* / instrumentation
Transcatheter Aortic Valve Replacement* / methods