{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T22:00:29Z","timestamp":1775858429470,"version":"3.50.1"},"reference-count":54,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Valve-in-Valve (VIV) transcatheter aortic valve replacement (TAVR) is a potential solution for malfunctioning surgical aortic valve prostheses, though limited data exist for its use in Perceval valves. Methods: searches were performed on PubMed and Scopus up to 31 July 2023, focusing on case reports and series addressing VIV replacement for degenerated Perceval bioprostheses. Results: Our analysis included 57 patients from 27 case reports and 6 case series. Most patients (68.4%) were women, with a mean age of 76 \u00b1 4.4 years and a mean STS score of 6.1 \u00b1 4.3%. Follow-up averaged 9.8 \u00b1 8.9 months, the mean gradient reduction was 15 \u00b1 5.9 mmHg at discharge and 13 \u00b1 4.2 mmHg at follow-up. Complications occurred in 15.7% of patients, including atrioventricular block III in four patients (7%), major bleeding or vascular complications in two patients (3.5%), an annular rupture in two patients (3.5%), and mortality in two patients (3.5%). No coronary obstruction was reported. Balloon-expanding valves were used in 61.4% of patients, predominantly the Sapien model. In the self-expanding group (38.6%), no valve migration occurred, with a permanent pacemaker implantation rate of 9%, compared to 5.7% for balloon-expanding valves. Conclusions: VIV-TAVR using both balloon-expanding and self-expanding technologies is feasible after the implantation of Perceval valves; however, it should be performed by experienced operators with experience both in TAVR and VIV procedures.<\/jats:p>","DOI":"10.3390\/jcm13175164","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T10:54:11Z","timestamp":1725015251000},"page":"5164","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of Valve-in-Valve (VIV) Transcatheter Aortic Valve Replacement (TAVR) after Surgical Aortic Valve Replacement with Sutureless Surgical Aortic Valve Prostheses Perceval\u2122: A Systematic Review of Published Cases"],"prefix":"10.3390","volume":"13","author":[{"given":"Tamer","family":"Owais","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Augsburg, 86156 Augsburg, Germany"},{"name":"Department of Cardiothoracic Surgery, Cairo University, Giza 12163, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Bisht","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Regiomed Klinikum Coburg, 96450 Coburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa Hossam","family":"El Din Moawad","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy, Faculty of Pharmacy, Alexandria 21513, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"El-Garhy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Vascular Center, 36199 Rotenburg an der Fulda, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sina","family":"Stock","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Augsburg, 86156 Augsburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evaldas","family":"Girdauskas","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Augsburg, 86156 Augsburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kuntze","sequence":"additional","affiliation":[{"name":"Heart Center, Zentralklinik Bad Berka, 99437 Bad Berka, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Amer","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, 42103 Wuppertal, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Lauten","sequence":"additional","affiliation":[{"name":"Heart Center, Zentralklinik Bad Berka, 99437 Bad Berka, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1016\/j.jacc.2014.02.537","article-title":"2014 AHA\/ACC guideline for the management of patients with valvular heart disease: Executive summary: A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines","volume":"63","author":"Nishimura","year":"2014","journal-title":"J. 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