ArticleJACC. Case reports2025
Salvaging Percutaneously a Suboptimal TAVR Deployment with Repositioning In the Thoracic Aorta: A Novel Snare-Mediated Approach to Prosthesis Malposition.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
10 authors.
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Abstract
objectiveTo highlight a novel and strategic approach to managing a malpositioned transcatheter aortic valve replacement valve using a double-snare-assisted reimplantation strategy. KEY PROCEDURAL STEPS: Key procedural steps include maintaining guidewire access through the valve, using a True Flow balloon to enhance control over valve maneuverability and repositioning, applying a crisscross double-snare technique allowing the valve to fold inward and minimize aortic trauma, carefully repositioning the valve to a desirable location in the aorta, maintaining control of the mobilized valve with a snare, and finally, properly implanting a new valve. POTENTIAL PITFALLS: Potential risks and complications of the procedure include aortic trauma, stroke, valve entanglement, and undesirable valve embolization as well as the possible need for conversion to open heart surgery. TAKE-HOME MESSAGES: The double-snare-assisted repositioning technique may offer a feasible percutaneous approach for managing malpositioned transcatheter aortic valve replacement valves. Given the increasing frequency of high-risk valve-in-valve procedures, clinicians should aim to enhance their expertise in managing these challenging complications.
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