What are the treatment options for aortic regurgitation (AR) due to transcatheter aortic valve replacement (TAVR)?

Updated: Nov 19, 2018
  • Author: Stanley S Wang, JD, MD, MPH; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

Management of AR that is the result of TAVR, typically following its use for aortic stenosis, depends on the severity and hemodynamic impact of the AR. Once a determination is made that the patient is likely to benefit from intervention, potential corrective measures (each of which carries unique risks include the following: [6]

  • Balloon postdilation - In cases of valve malapposition or underexpansion

  • Snare technique - Use of a snare catheter to reposition a deeply implanted valve

  • Interventional closure - Use of a vascular plug to seal a localized AR jet

  • Valve-in-valve implantation - Deployment of a second prosthetic valve


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