{"id":333,"date":"2020-09-24T17:42:41","date_gmt":"2020-09-24T17:42:41","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=333"},"modified":"2025-05-13T20:52:21","modified_gmt":"2025-05-13T20:52:21","slug":"transcatheter-valve-in-valve-procedure","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/transcatheter-valve-in-valve-procedure\/","title":{"rendered":"Transcatheter &#8220;Valve-in-Valve&#8221; Procedures:  What Should Patients Know?"},"content":{"rendered":"<p>In a perfect world, patients who undergo heart valve surgery will never need another operation.\u00a0 Unfortunately, this is not a perfect world.<\/p>\n<p>The reality is that heart valve re-operations may be a vital part of the lifelong treatment of valvular disease as both mechanical and tissue valve replacements can fail.\u00a0 \u00a0For this reason, I wanted to answer your questions about the latest advances specific to the use of &#8220;Valve-in-Valve&#8221; therapies for heart valve replacement re-operations.\u00a0 As you may know, these next-generation transcatheter devices have already helped several patients in our community including Paul Powers and Jesse McBride.<\/p>\n<p>In our new &#8220;Surgeon Q&amp;A&#8221; video below, I was lucky to interview <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-S.+Chris-Malaisrie-Chicago-Illinois.php\">Dr. Chris Malaisrie<\/a> about Valve-in-Valve procedures.\u00a0 Dr. Malaisrie is a leading cardiac surgeon at <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/northwestern-memorial-valve-program\">Northwestern Medicine<\/a> that specializes in the use and research of transcatheter devices.\u00a0 In our community, Dr. Malaisrie is a long-time supporter who has successfully treated many patients including Janis Kielbasa, Nicolas Busch and Ronald Rock.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/QQPp9WVhwr8?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings from Dr. Malaisrie<\/h2>\n<p>There were so many great points about Valve-in-Valve procedures shared by Dr. Malaisrie in this video. Here are some key learnings that I jotted down:<\/p>\n<ul>\n<li>On a personal note&#8230; Dr. Malaisrie has specialized in heart valve disease given the evolution of therapies that include new, minimally-invasive technologies that can be &#8220;life-restoring&#8221; for patients struggling with valvular defects.\u00a0 Innovation is a core part of Dr. Malaisrie&#8217;s practice that integrates many advances including smaller incisions, auto-knotting techniques, sutureless valves and transcatheter devices.<\/li>\n<li>Less-invasive therapies have created benefits for patients including accelerated recovery, lower exercise restrictions and shorter hospital stays.<\/li>\n<li>Transcatheter therapies &#8211; including transcatheter aortic valve replacement (TAVR) &#8211; have transformed Dr. Malaisrie&#8217;s approach to treating valve disease.\u00a0 Specifically, Dr. Malaisrie believes that Transcatheter Valve-in-Valve devices are an excellent therapy for patients with failing tissue heart valve replacements.<\/li>\n<li>Valve-in-Valve therapies can be used for failing aortic, mitral, tricuspid and pulmonary valves and is the preferred treatment choice for Dr. Malaisrie.\u00a0 The most common Valve-in-Valve-therapy performed by Dr. Malaisrie is an aortic Valve-in-Valve procedure.<\/li>\n<li>The Valve-in-Valve therapy is not an open heart surgery and does not require an incision to the patient&#8217;s chest or ribs.\u00a0 \u00a0During a Valve-in-Valve procedure, patients do not need to be on the heart-lung machine and patients are not required to be under general anesthesia.<\/li>\n<li>Not all patients are candidates for a Valve-in-Valve procedures. Patients who have a previously implanted mechanical valve, infected valve, and\/or leakage around the failing valve are not candidates for a Valve-in-Valve procedure.<\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2017\/06\/15\/valve-in-valve-fda-approval\/\">Valve-in-Valve procedures are currently FDA approved<\/a> for failing tissue valves in high-risk patients.\u00a0 Several clinical trials are underway for lower-risk patients.\u00a0 Dr. Malaisrie and the team at Northwestern Medicine are currently working on those research studies.<\/li>\n<li>Dr. Malaisrie advises patients with failing tissues valves to consult their cardiologist and previous cardiac surgeon to get the appropriate tests (e.g. echocardiogram) performed to determine if a Valve-in-Valve procedure may be appropriate for them.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Thanks Dr. Malaisrie &amp; Northwestern Medicine!<\/h2>\n<p>On behalf of our patient community, I would like to extend a tremendous &#8220;Thank You!&#8221; to <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-S.+Chris-Malaisrie-Chicago-Illinois.php\">Dr. Malaisrie<\/a> and the entire team at Northwestern Medicine for their ongoing pursuit of healthy heart valves using transformative technologies including Valve-in-Valve therapies.<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2016\/03\/18\/valve-in-valve-jesse-mcbride\/\">From Bedrest to a &#8220;Valve-in-Valve&#8221; Procedure, This Is Jesse&#8217;s Story<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2017\/02\/05\/transcatheter-mitral-valve-in-valve\/\">10 Years &amp; 3 Heart Surgeries Later, Paul Celebrates His Mitral &#8220;Valve-in-Valve&#8221; Replacement<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/aortic-valve-replacement-sizing-tavr\/\">Aortic Valve Replacement Sizing: Why It Matters<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the hearing impaired members of our community, I have provided a written transcript of my interview with Dr. Malaisrie below.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"class_list":["post-333","page","type-page","status-publish","hentry","category-medical-technology"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=333"}],"version-history":[{"count":29,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/333\/revisions"}],"predecessor-version":[{"id":5729,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/333\/revisions\/5729"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}