Related Experiment Video
Updated: Jul 6, 2026
07:41
Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
Published on: July 20, 2022
1.8K
Complications From Transcatheter Pulmonary Valve Replacement With Self-Expanding Prestent
R Allen Ligon1, Stephen J Nageotte2, Ahmed Kheiwa3
1Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA; Children's Healthcare of Atlanta Cardiology, Atlanta, Georgia, USA.
JACC. Case Reports
|March 21, 2025
Summary
Self-expanding valve platforms offer versatile options for transcatheter pulmonary valve replacement. This study details four cases requiring reintervention after implanting an Alterra Adaptive Prestent followed by a SAPIEN S3 valve.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Transcatheter pulmonary valve replacement (TPVR) is evolving with self-expanding platforms.
- These platforms are suitable for patients with large native or patched right ventricular outflow tracts (RVOT).
Observation:
- The study focuses on the use of the Alterra Adaptive Prestent as a first-stage procedure.
- A SAPIEN S3 valve was subsequently implanted in four patients following the prestent implantation.
Findings:
- Four cases necessitated acute reintervention after the combined Alterra Adaptive Prestent and SAPIEN S3 implantation.
- This highlights potential challenges or complications associated with this two-stage approach.
Implications:
- Further investigation is needed to understand the reasons for acute reinterventions in this specific TPVR strategy.
- Optimizing patient selection and procedural techniques may be crucial for improving outcomes with this valve platform.
Keywords:
Alterra Adaptive PrestentPapyrus coronary stentSapien S3intravascular ultrasoundpulmonary artery perforationpulmonic valvevalve replacementMore Related Videos
Related Concept Videos
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:27Mitral Stenosis IV: Nursing Management
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...