The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

Bioprosthetic valve fracture: haemodynamically effective but safe and clinically necessary?

EuroIntervention 2021;17:785-786. DOI: 10.4244/EIJV17I10A135

1. Quebec Heart & Lung Institute, Laval University, Quebec City, QC, Canada; 2. Hospital Clínic of Barcelona, Barcelona, Spain
Valve-in-valve transcatheter aortic valve implantation (VIV-TAVI) has become the preferred treatment for the majority of patients with surgical aortic bioprosthesis dysfunction. While VIV-TAVI is associated with significant clinical improvements in the majority of patients, a high rate of suboptimal haemodynamic results defined as a residual gradient ≥20 mmHg has been reported, particularly among patients with small stented surgical valves. Bioprosthetic valve fracture (BVF), which consists of fracturing the ring of the surgical valve using a high-pressure non-compliant balloon, has emerged as a technique for improving valve haemodynamics following VIV-TAVI1. However, data on BVF have been limited to small series with ...

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