{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:19:21Z","timestamp":1771222761283,"version":"3.50.1"},"reference-count":5,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    An 84\u2010year\u2010old man with multiple comorbidities including severe aortic stenosis, heart failure with a reduced ejection fraction, severe peripheral artery disease with prior bilateral iliac artery stents, and trifascicular block presented for evaluation for aortic valve replacement. He was deemed high risk for surgical valve replacement. Preprocedural computed tomography angiography (CTA) for transcatheter aortic valve replacement (TAVR) planning demonstrated an annular area of 295\u2009mm\n                    <jats:sup>2<\/jats:sup>\n                    and perimeter of 62\u2009mm. There was significant slice misregistration on CT; thus, we performed multiple re\u2010measurements in different phases of the cardiac cycle. The patient sized for either a 23\u2009mm Evolut FX+ (16% oversizing) or a 26\u2009mm Evolut FX+ (30% oversizing). The left and right coronary artery heights were 17 and 19\u2009mm, respectively. Transfemoral access was not possible due to severely calcified stenotic lesions with a maximal diameter of 4.6 and 3.8\u2009mm in the right and left common iliac artery, respectively. He underwent dual\u2010chamber permanent pacemaker implantation 5 weeks before scheduled TAVR. With a multidisciplinary heart valve team, the patient underwent left transcarotid TAVR with a 26\u2009mm Evolut FX+ valve with resultant moderate\u2010severe paravalvular leak on transesophageal echocardiography (TEE) that did not improve despite multiple post\u2010dilations with 22\u2010 and 24\u2010mm balloons at the inflow of the valve. At this point, we re\u2010evaluated the preprocedural CT, utilizing the noncardiac gated series which showed less slice misregistration. The annular area measured 504\u2009mm\n                    <jats:sup>2<\/jats:sup>\n                    with a perimeter of 80\u2009mm, thus sizing for a 26\u2009mm Sapien 3 Ultra (3% oversizing). The next day, the patient underwent successful left transcarotid valve\u2010in\u2010valve TAVR with a 26\u2009mm Sapien 3 Ultra valve deployed with the outflow positioned at node 6 of the Evolut valve. The valve was post\u2010dilated with a 25\u2009mm balloon, resulting in no paravalvular leak on TEE. This case highlights a safe and effective strategy to correct significant PVL post\u2010TAVR with a larger 26\u2009mm Sapien 3 Ultra valve inside a 26\u2009mm Evolut FX+ valve.\n                  <\/jats:p>","DOI":"10.1002\/ccd.70212","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T06:55:27Z","timestamp":1758696927000},"page":"3326-3330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Redo\u2010Transcatheter Aortic Valve Replacement With a 26\u2009mm Sapien Valve in a 26\u2009mm Evolut Valve to Correct Significant Paravalvular Leak via Transcarotid Access"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2446-4996","authenticated-orcid":false,"given":"Charlene L.","family":"Rohm","sequence":"first","affiliation":[{"name":"Division of Interventional Cardiology Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Eagle","sequence":"additional","affiliation":[{"name":"Division of Cardiac Anesthesiology Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Eid","sequence":"additional","affiliation":[{"name":"Division of Cardiac Anesthesiology Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Lowenstern","sequence":"additional","affiliation":[{"name":"Division of Interventional Cardiology Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I5A85"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30162"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.01.047"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2024.1374078"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.12.021"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70212","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T05:54:52Z","timestamp":1771221292000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,23]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccd.70212"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70212","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,23]]},"assertion":[{"value":"2025-06-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}