{
    "abstract": "With recent guidelines expanding transcatheter aortic valve replacement (TAVR) to younger patients, indications for redo-TAVR will also likely increase. When compared with TAVR, redo-TAVR is a rare and novel procedure. Current clinical data derived from registries suggest excellent safety, with low rates of 30-day and 1-year mortality following redo-TAVR. Proper understanding of data from bench studies regarding optimal valve configurations, of patient anatomy and of the technical properties of transcatheter heart valves (THV) is essential for patient selection and procedural success. Lifetime management of redo-TAVR should start before the index procedure, as the choice of the index THV has a major impact on the feasibility of redo-TAVR. Procedural optimization by adequate valve sizing, commissural alignment and adequate implant depth of both index and redo-THV are critical determinants of optimal hemodynamics for maximized valve longevity, as well as lifelong coronary access.",
    "authors": [
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "Ruxandra I",
            "initials": "RI",
            "lastname": "Sava"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "Philippe",
            "initials": "P",
            "lastname": "Garot"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "Hakim",
            "initials": "H",
            "lastname": "Benamer"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.\nDepartment of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), Universit\u00e9 Paris-Cit\u00e9, 75013 Paris, France.",
            "firstname": "Emmanuel",
            "initials": "E",
            "lastname": "Gall"
        },
        {
            "affiliation": "Department of Cardiology, University Hospital of Lariboisiere, (Assistance Publique des H\u00f4pitaux de Paris, AP-HP), Universit\u00e9 Paris-Cit\u00e9, 75013 Paris, France.",
            "firstname": "Th\u00e9o",
            "initials": "T",
            "lastname": "Pezel"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "Morad",
            "initials": "M",
            "lastname": "Djebbar"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "Neila",
            "initials": "N",
            "lastname": "Sayah"
        },
        {
            "affiliation": "Department of Cardiology, Lausanne University Hospital and University of Lausanne, 1005 Lausanne, Switzerland.",
            "firstname": "David",
            "initials": "D",
            "lastname": "Meier"
        },
        {
            "affiliation": "Department of Cardiology, Lausanne University Hospital and University of Lausanne, 1005 Lausanne, Switzerland.",
            "firstname": "Georgios",
            "initials": "G",
            "lastname": "Tzimas"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "J\u00e9r\u00f4me",
            "initials": "J",
            "lastname": "Garot"
        },
        {
            "affiliation": "Montpellier University Hospital, 34295 Montpelier, France.",
            "firstname": "Florence",
            "initials": "F",
            "lastname": "Leclercq"
        },
        {
            "affiliation": "Institut Cardiovasculaire Paris Sud, H\u00f4pital Priv\u00e9 Jacques Cartier, Ramsay Sant\u00e9, 91300 Massy, France.",
            "firstname": "Mariama",
            "initials": "M",
            "lastname": "Akodad"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.3390/jcm14082770\n10.1002/ccd.27714\n10.1136/heartjnl-2020-318334\n10.1016/j.jcin.2022.05.016\n10.1016/j.jcin.2021.12.021\n10.4244/EIJ-D-22-00769\n10.1007/s13239-022-00627-1\n10.4244/EIJ-D-20-00697\n10.4244/EIJ-D-23-00308\n10.1016/j.jcin.2022.05.005\n10.4244/EIJ-D-23-00783\n10.1016/j.jtcvs.2018.05.042\n10.4244/EIJ-D-18-00947\n10.1016/j.jcin.2016.05.030\n10.1007/s10439-016-1738-8\n10.1098/rsif.2015.0737\n10.1016/j.jcin.2024.04.011\n10.1016/j.jcin.2020.06.016\n10.1016/j.jcin.2020.09.022\n10.1016/j.jcin.2020.01.202\n10.1016/j.jacc.2018.01.057\n10.1161/CIRCINTERVENTIONS.118.007263\n10.1007/s10439-014-1051-3\n10.1016/j.jbiomech.2016.12.031\n10.1016/j.jcin.2022.06.016\n10.1016/j.jcin.2019.02.029\n10.1161/CIRCULATIONAHA.112.104505\n10.1093/eurheartj/ehx455\n10.4244/EIJ-D-21-01091\n10.4244/EIJ-D-22-01125\n10.1161/CIRCINTERVENTIONS.123.013238\n10.1161/CIRCINTERVENTIONS.123.013766\n10.4244/EIJ-D-24-00702\n10.4244/EIJ-D-24-00367\n10.1016/j.jcin.2018.05.043\n10.1016/j.jcin.2022.04.006\n10.1093/EHJCI/JEW025\n10.1016/j.jacc.2018.10.083\n10.1016/j.jcin.2021.06.033\n10.1016/j.jcin.2020.12.002\n10.1016/j.jcin.2021.05.037\n10.3390/jcm12062136\n10.1016/j.jcin.2021.03.059\n10.1016/J.JCIN.2022.08.006\n10.1016/j.jaccas.2023.101804\n10.1016/j.jacc.2020.02.051\n10.1016/j.jcin.2023.01.376\n10.1016/S0140-6736(23)01636-7\n10.1016/j.jacc.2020.09.595\n10.1111/eci.14241\n10.4244/EIJV10SUA7",
    "journal": "Journal of clinical medicine",
    "keywords": [
        "CT predictors",
        "TAV-in-TAV",
        "coronary access",
        "coronary alignment"
    ],
    "methods": null,
    "publication_date": "2025-04-26",
    "pubmed_id": "40283600\n30079597\n33563630\n35926921\n35210043\n36621917\n35505271\n33495142\n37519190\n35926919\n38506739\n29961588\n30479308\n27491613\n27734178\n26674192\n38866457\n33153567\n33213747\n32192693\n29566822\n30354640\n24912765\n28118978\n35842399\n31122349\n23052028\n29020413\n35321859\n37067193\n37988439\n38502723\n39552485\n39552483\n30121280\n35680192\n27143783\n30732707\n34538602\n33640386\n34353607\n36983139\n34112468\n36480984\n37077758\n32327098\n37100556\n37660719\n33213729\n38767226\n25256331",
    "results": null,
    "title": "Redo-Transcatheter Aortic Valve Replacement Procedural Optimization and Patient Selection: From Bench to Clinical Practice.",
    "xml": "<Element 'PubmedArticle' at 0x788504823c40>"
}