{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:11:18Z","timestamp":1790640678207,"version":"4.1.0"},"reference-count":129,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Transcatheter aortic valve implantation (TAVI) has become the leading technique for aortic valve replacement in symptomatic patients with severe aortic stenosis with conventional surgical aortic valve replacement (SAVR) now limited to patients younger than 65\u201375 years due to a combination of unsuitable anatomies (calcified raphae in bicuspid valves, coexistent aneurysm of the ascending aorta) and concerns on the absence of long-term data on TAVI durability. This incredible rise is linked to technological evolutions combined with increased operator experience, which led to procedural refinements and, accordingly, to better outcomes. The article describes the main and newest technical improvements, allowing an extension of the indications (valve-in-valve procedures, intravascular lithotripsy for severely calcified iliac vessels), and a reduction of complications (stroke, pacemaker implantation, aortic regurgitation).<\/jats:p>","DOI":"10.3390\/medicina57070711","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T10:13:42Z","timestamp":1626257622000},"page":"711","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Advancements in Transcatheter Aortic Valve Implantation: A Focused Update"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4226-1084","authenticated-orcid":false,"given":"Niccol\u00f2","family":"Ciardetti","sequence":"first","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Ciatti","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8144-0117","authenticated-orcid":false,"given":"Giulia","family":"Nardi","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca Maria","family":"Di Muro","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Demola","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Sottili","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miroslava","family":"Stolcova","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Ristalli","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Mattesini","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Meucci","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Di Mario","sequence":"additional","affiliation":[{"name":"Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Room 124, Careggi University Hospital, Largo Brambilla 3, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1769","DOI":"10.1056\/NEJMe1903316","article-title":"Informed Shared Decisions for Patients with Aortic Stenosis","volume":"380","author":"Otto","year":"2019","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3143","DOI":"10.1093\/eurheartj\/ehz275","article-title":"Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of symptomatic severe aortic stenosis: An updated meta-analysis","volume":"40","author":"Siontis","year":"2019","journal-title":"Eur. Heart J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2492","DOI":"10.1016\/j.jacc.2020.09.595","article-title":"STS-ACC TVT Registry of Transcatheter Aortic Valve Replacement","volume":"76","author":"Carroll","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_4","first-page":"1803","article-title":"Patient-Specific Computer Simulation in TAVR with the Self-Expanding Evolut R Valve","volume":"13","author":"Bosmans","year":"2020","journal-title":"Cardiovasc. Interv."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.amjcard.2020.06.032","article-title":"Meta-analysis Comparing Transradial versus Transfemoral Secondary Access in Transcatheter Aortic Valve Implantation","volume":"131","author":"Jhand","year":"2020","journal-title":"Am. J. Cardiol."},{"key":"ref_6","first-page":"594","article-title":"Prior Balloon Valvuloplasty versus Direct Transcatheter Aortic Valve Replacement: Results from the DIRECTAVI Trial","volume":"13","author":"Leclercq","year":"2020","journal-title":"Cardiovasc. Interv."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1161\/CIRCULATIONAHA.120.046451","article-title":"General Versus Local Anesthesia with Conscious Sedation in Transcatheter Aortic Valve Implantation: The Randomized SOLVE-TAVI Trial","volume":"142","author":"Thiele","year":"2020","journal-title":"Circulation"},{"key":"ref_8","first-page":"502","article-title":"A Prospective Registry of Intravascular Lithotripsy-Enabled Vascular Access for Transfemoral Transcatheter Aortic Valve Replacement","volume":"12","author":"Goodwin","year":"2019","journal-title":"Cardiovasc. Interv."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1016\/j.jcin.2018.03.018","article-title":"\u201cCusp-Overlap\u201d View Simplifies Fluoroscopy-Guided Implantation of Self-Expanding Valve in Transcatheter Aortic Valve Replacement","volume":"11","author":"Tang","year":"2018","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2391","DOI":"10.1016\/j.jacc.2020.08.050","article-title":"2020 ACC Expert Consensus Decision Pathway on Management of Conduction Disturbances in Patients Undergoing Transcatheter Aortic Valve Replacement: A Report of the American College of Cardiology Solution Set Oversight Committee","volume":"76","author":"Lilly","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_11","first-page":"616","article-title":"2017 ESC\/EACTS Guidelines for the management of valvular heart disease","volume":"52","author":"Baumgartner","year":"2017","journal-title":"Eur. Heart J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.jacc.2020.11.035","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease: Executive summary a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"77","author":"Otto","year":"2021","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jacc.2020.11.049","article-title":"When Excluded from Randomized Clinical Trials: To \u201cOR\u201d or \u201c\u2018TAVR\u201d?","volume":"77","author":"Velagapudi","year":"2021","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"3006","DOI":"10.1161\/01.CIR.0000047200.36165.B8","article-title":"Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: First human case description","volume":"106","author":"Cribier","year":"2002","journal-title":"Circulation"},{"key":"ref_15","first-page":"2320","article-title":"Direct Comparison of Feasibility and Safety of Transfemoral versus Transaortic versus Transapical Transcatheter Aortic Valve Replacement","volume":"9","author":"Arai","year":"2016","journal-title":"Cardiovasc. Interv."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.amjcard.2017.01.028","article-title":"Trends in Vascular Complications in High-Risk Patients Following Transcatheter Aortic Valve Replacement in the United States","volume":"119","author":"Ando","year":"2017","journal-title":"Am. J. Cardiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/j.jcin.2013.04.003","article-title":"Management of vascular access in transcatheter aortic valve replacement: Part 1: Basic anatomy, imaging, sheaths, wires, and access routes","volume":"6","author":"Toggweiler","year":"2013","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2736","DOI":"10.1161\/CIRCULATIONAHA.110.009449","article-title":"Standardized bleeding definitions for cardiovascular clinical trials: A consensus report from the bleeding academic research consortium","volume":"123","author":"Mehran","year":"2011","journal-title":"Circulation"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2544","DOI":"10.1161\/CIRCULATIONAHA.107.698977","article-title":"Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery","volume":"116","author":"Murphy","year":"2007","journal-title":"Circulation"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1016\/j.jcin.2017.04.034","article-title":"Frequency, Timing, and Impact of Access-Site and Non\u2013Access-Site Bleeding on Mortality among Patients Undergoing Transcatheter Aortic Valve Replacement","volume":"10","author":"Piccolo","year":"2017","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.ahj.2012.07.003","article-title":"Adverse impact of bleeding and transfusion on the outcome post-transcatheter aortic valve implantation: Insights from the Pooled-RotterdAm-Milano-Toulouse in Collaboration Plus (PRAGMATIC Plus) initiative","volume":"164","author":"Tchetche","year":"2012","journal-title":"Am. Heart J."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e014916","DOI":"10.1161\/JAHA.119.014916","article-title":"Ultrasound guidance to reduce vascular and bleeding complications of percutaneous transfemoral transcatheter aortic valve replacement: A propensity score\u2013matched comparison","volume":"9","author":"Vincent","year":"2020","journal-title":"J. Am. Heart Assoc."},{"key":"ref_23","first-page":"1379","article-title":"Micropuncture technique for femoral access is associated with lower vascular complications compared to standard needle","volume":"97","author":"Sharma","year":"2020","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1159\/000362536","article-title":"Femoral micropuncture or routine introducer study (FEMORIS)","volume":"129","author":"Ambrose","year":"2014","journal-title":"Cardiology"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.cjca.2017.03.025","article-title":"Use of Two-Dimensional Ultrasonographically Guided Access to Reduce Access-Related Complications for Transcatheter Aortic Valve Replacement","volume":"33","author":"Zivkovic","year":"2017","journal-title":"Can. J. Cardiol."},{"key":"ref_26","first-page":"18","article-title":"Comparison of Radial Access, Guided Femoral Access, and Non-Guided Femoral Access among Women Undergoing Percutaneous Coronary Intervention","volume":"30","author":"Koshy","year":"2018","journal-title":"J. Invasive Cardiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.jcin.2010.04.015","article-title":"Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access with Ultrasound Trial)","volume":"3","author":"Seto","year":"2010","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_28","first-page":"311","article-title":"Adoption of routine ultrasound guidance for femoral arterial access for cardiac catheterization","volume":"28","author":"Soverow","year":"2016","journal-title":"J. Invasive Cardiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1016\/j.jtcvs.2008.12.013","article-title":"Prevalence of significant peripheral artery disease in patients evaluated for percutaneous aortic valve insertion: Preprocedural assessment with multidetector computed tomography","volume":"137","author":"Kurra","year":"2009","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1016\/0735-1097(95)00101-9","article-title":"Rapid arterial hemostasis and decreased access site complications after cardiac catheterization and angioplasty: Results of a randomized trial of a novel hemostatic device","volume":"25","author":"Kussmaul","year":"1995","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"22","DOI":"10.14797\/mdcj-8-2-22","article-title":"Transcatheter aortic valve replacement (TAVR): Access planning and strategies","volume":"8","author":"Ramlawi","year":"2012","journal-title":"Methodist DeBakey Cardiovasc. J."},{"key":"ref_32","first-page":"271","article-title":"Strategies for improved shock wave lithotripsy","volume":"57","author":"McAteer","year":"2005","journal-title":"Minerva Urol. Nefrol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1148\/radiology.178.2.1987600","article-title":"Gallstone lithotripsy: Relevant physical principles and technical issues","volume":"178","author":"Davros","year":"1991","journal-title":"Radiology"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1161\/CIRCULATIONAHA.118.036531","article-title":"Feasibility of shockwave coronary intravascular lithotripsy for the treatment of calcified coronary stenoses first description","volume":"139","author":"Brinton","year":"2019","journal-title":"Circulation"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e008434","DOI":"10.1161\/CIRCINTERVENTIONS.119.008434","article-title":"Safety and Effectiveness of Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Stenoses: The Disrupt CAD II Study","volume":"12","author":"Ali","year":"2019","journal-title":"Circ. Cardiovasc. Interv."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2635","DOI":"10.1016\/j.jacc.2020.09.603","article-title":"Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Artery Disease","volume":"76","author":"Hill","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1177\/1526602820914598","article-title":"Intravascular Lithotripsy for Treatment of Calcified Lower Extremity Arterial Stenosis: Initial Analysis of the Disrupt PAD III Study","volume":"27","author":"Adams","year":"2020","journal-title":"J. Endovasc. Ther."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s11886-019-1245-2","article-title":"Role of Lithotripsy for Small Calcified Iliacs in the Era of Big Devices","volume":"21","author":"Ristalli","year":"2019","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jcmg.2017.05.012","article-title":"Optical Coherence Tomography Characterization of Coronary Lithoplasty for Treatment of Calcified Lesions: First Description","volume":"10","author":"Ali","year":"2017","journal-title":"JACC Cardiovasc. Imaging"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"2655","DOI":"10.1093\/eurheartj\/ehy021","article-title":"Lithotripsy-assisted transfemoral aortic valve implantation","volume":"39","author":"Chiriatti","year":"2018","journal-title":"Eur. Heart J."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e002981","DOI":"10.1161\/CIRCINTERVENTIONS.115.002981","article-title":"Insights into Timing, Risk Factors, and Outcomes of Stroke and Transient Ischemic Attack after Transcatheter Aortic Valve Replacement in the PARTNER Trial (Placement of Aortic Transcatheter Valves)","volume":"9","author":"Kapadia","year":"2016","journal-title":"Circ. Cardiovasc. Interv."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"3041","DOI":"10.1161\/CIRCULATIONAHA.112.110981","article-title":"Timing, predictive factors, and prognostic value of cerebrovascular events in a large cohort of patients undergoing transcatheter aortic valve implantation","volume":"126","author":"Webb","year":"2012","journal-title":"Circulation"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1111\/joic.12573","article-title":"Cerebral embolic protection systems for transcatheter aortic valve replacement","volume":"31","author":"Gasior","year":"2018","journal-title":"J. Interv. Cardiol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"S3604","DOI":"10.21037\/jtd.2018.09.62","article-title":"Cerebral embolic protection devices during transcatheter aortic valve implantation: Clinical versus silent embolism","volume":"10","author":"Armijo","year":"2018","journal-title":"J. Thorac. Dis."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients","volume":"380","author":"Mack","year":"2019","journal-title":"N. Engl. J. Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1056\/NEJMoa1816885","article-title":"Transcatheter Aortic-Valve Replacement with a Self-Expanding Valve in Low-Risk Patients","volume":"380","author":"Popma","year":"2019","journal-title":"N. Engl. J. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1696","DOI":"10.1056\/NEJMoa1915152","article-title":"Anticoagulation with or without Clopidogrel after Transcatheter Aortic-Valve Implantation","volume":"382","author":"Nijenhuis","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.1001\/jama.2019.7108","article-title":"Association between transcatheter aortic valve replacement for bicuspid vs tricuspid aortic stenosis and mortality or stroke","volume":"321","author":"Makkar","year":"2019","journal-title":"J. Am. Med. Assoc."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1161\/CIRCULATIONAHA.109.855866","article-title":"Silent and apparent cerebral ischemia after percutaneous transfemoral aortic valve implantation: A diffusion-weighted magnetic resonance imaging study","volume":"121","author":"Kahlert","year":"2010","journal-title":"Circulation"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1056\/NEJMoa1910555","article-title":"Five-Year Outcomes of Transcatheter or Surgical Aortic-Valve Replacement","volume":"382","author":"Makkar","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/j.jcin.2019.01.219","article-title":"Outcomes Following Subclavian and Axillary Artery Access for Transcatheter Aortic Valve Replacement: Society of the Thoracic Surgeons\/American College of Cardiology TVT Registry Report","volume":"12","author":"Dahle","year":"2019","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1093\/eurheartj\/ehaa036","article-title":"Comparison of newer generation self-expandable vs. balloon-expandable valves in transcatheter aortic valve implantation: The randomized SOLVE-TAVI trial","volume":"41","author":"Thiele","year":"2020","journal-title":"Eur. Heart J."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1016\/j.jcin.2011.08.012","article-title":"A high-risk period for cerebrovascular events exists after transcatheter aortic valve implantation","volume":"4","author":"Tay","year":"2011","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1056\/NEJMoa1911425","article-title":"A Controlled Trial of Rivaroxaban after Transcatheter Aortic-Valve Replacement","volume":"382","author":"Dangas","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"150","DOI":"10.3389\/fcvm.2018.00150","article-title":"The Role of Cerebral Embolic Protection Devices during Transcatheter Aortic Valve Replacement","volume":"5","author":"Demir","year":"2018","journal-title":"Front. Cardiovasc. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1002\/ccd.27323","article-title":"Complete filter-based cerebral embolic protection with transcatheter aortic valve replacement","volume":"91","author":"Kroon","year":"2018","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"499","DOI":"10.4244\/EIJV12I4A84","article-title":"Filter-based cerebral embolic protection with transcatheter aortic valve implantation: The randomised MISTRAL-C trial","volume":"12","author":"Ahmad","year":"2016","journal-title":"EuroIntervention"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1001\/jama.2016.10302","article-title":"Effect of a cerebral protection device on brain lesions following transcatheter aortic valve implantation in patients with severe aortic stenosis: The CLEAN-TAVI randomized clinical trial","volume":"316","author":"Haussig","year":"2016","journal-title":"J. Am. Med. Assoc."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jacc.2016.10.023","article-title":"Protection against Cerebral Embolism during Transcatheter Aortic Valve Replacement","volume":"69","author":"Kapadia","year":"2017","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/j.athoracsur.2015.03.119","article-title":"Intraaortic Protection from Embolization in Patients Undergoing Transaortic Transcatheter Aortic Valve Implantation","volume":"100","author":"Wendt","year":"2015","journal-title":"Ann. Thorac. Surg."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4244\/EIJY15M04_01","article-title":"Safety and performance of a novel embolic deflection device in patients undergoing transcatheter aortic valve replacement: Results from the DEFLECT I study","volume":"11","author":"Baumbach","year":"2015","journal-title":"EuroIntervention"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.1016\/j.jcin.2014.12.198","article-title":"CRT-809 TriGuardTM HD Embolic Deflection Device for Cerebral Protection during Transcatheter Aortic Valve Replacement: Results: Of the Deflect II Trial","volume":"8","author":"Samim","year":"2015","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"2070","DOI":"10.1093\/eurheartj\/ehv191","article-title":"A prospective randomized evaluation of the TriGuardTM HDH embolic DEFLECTion device during transcatheter aortic valve implantation: Results from the DEFLECT III trial","volume":"36","author":"Lansky","year":"2015","journal-title":"Eur. Heart J."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"e004244","DOI":"10.1161\/CIRCINTERVENTIONS.116.004244","article-title":"Independent Modular Filter for Embolic Protection in Carotid Stenting","volume":"10","author":"Scheinert","year":"2017","journal-title":"Circ. Cardiovasc. Interv."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1016\/j.jcin.2014.04.019","article-title":"Feasibility and exploratory efficacy evaluation of the embrella embolic deflector system for the prevention of cerebral emboli in patients undergoing transcatheter aortic valve replacement: The PROTAVI-C pilot study","volume":"7","author":"Kahlert","year":"2014","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1007\/s11886-020-01335-9","article-title":"Cerebral Protection Devices during Transcatheter Interventions: Indications, Benefits, and Limitations","volume":"22","author":"Haussig","year":"2020","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.jcin.2019.11.017","article-title":"First-in-Man Study Evaluating the Emblok Embolic Protection System during Transcatheter Aortic Valve Replacement","volume":"13","author":"Latib","year":"2020","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"B196","DOI":"10.1016\/j.jacc.2020.09.487","article-title":"TCT CONNECT-458 Clinical Performance of a Total Embolic Protection Device: Results of the Emboliner SafePass 2 Study","volume":"76","author":"Pasupati","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"452","DOI":"10.21037\/acs-2020-av-23","article-title":"The incidence and impact of cardiac conduction disturbances after transcatheter aortic valve replacement","volume":"9","author":"Chen","year":"2020","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1056\/NEJMoa1103510","article-title":"Transcatheter versus surgical aortic-valve replacement in high-risk patients","volume":"364","author":"Smith","year":"2011","journal-title":"N. Engl. J. Med."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1056\/NEJMoa1400590","article-title":"Transcatheter Aortic-Valve Replacement with a Self-Expanding Prosthesis","volume":"370","author":"Adams","year":"2014","journal-title":"N. Engl. J. Med."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1007\/s00380-018-1236-z","article-title":"Predictors of permanent pacemaker implantation after transcatheter aortic valve implantation for aortic stenosis using Medtronic new generation self-expanding CoreValve Evolut, R","volume":"34","author":"Kaneko","year":"2019","journal-title":"Heart Vessels"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.15420\/icr.2020.07","article-title":"Intraventricular conduction disturbances after transcatheter aortic valve implantation","volume":"15","author":"Lin","year":"2020","journal-title":"Interv. Cardiol. Rev."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1016\/j.jcin.2019.03.025","article-title":"Long-Term Outcomes in Patients with New-Onset Persistent Left Bundle Branch Block Following TAVR","volume":"12","author":"Chamandi","year":"2019","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1161\/CIRCULATIONAHA.112.001099","article-title":"Clinical impact of persistent left bundle-branch block after transcatheter aortic valve implantation with CoreValve revalving system","volume":"127","author":"Testa","year":"2013","journal-title":"Circulation"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.jcin.2013.08.015","article-title":"Impact of new-onset persistent left bundle branch block on late clinical outcomes in patients undergoing transcatheter aortic valve implantation with a balloon-expandable valve","volume":"7","author":"Urena","year":"2014","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.amjcard.2013.04.026","article-title":"Comparison of incidence and predictors of left bundle branch block after transcatheter aortic valve implantation using the corevalve versus the edwards valve","volume":"112","author":"Franzoni","year":"2013","journal-title":"Am. J. Cardiol."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.1093\/eurheartj\/ehz924","article-title":"Clinical impact of conduction disturbances in transcatheter aortic valve replacement recipients: A systematic review and meta-analysis","volume":"41","author":"Faroux","year":"2020","journal-title":"Eur. Heart J."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1111\/j.1540-8159.2010.02870.x","article-title":"Incidence and predictors of permanent pacemaker requirement after transcatheter aortic valve implantation with a self-expanding bioprosthesis","volume":"33","author":"Ferreira","year":"2010","journal-title":"Pacing Clin. Electrophysiol."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"2003","DOI":"10.1093\/eurheartj\/ehx785","article-title":"Pacemaker implantation rate after transcatheter aortic valve implantation with early and new-generation devices: A systematic review","volume":"39","author":"Delgado","year":"2018","journal-title":"Eur. Heart J."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"2631","DOI":"10.1016\/j.jcin.2020.07.013","article-title":"Transcatheter Aortic Valve Replacement with Balloon-Expandable Valves: Comparison of SAPIEN 3 Ultra versus SAPIEN 3","volume":"13","author":"Rheude","year":"2020","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.ijcard.2020.02.070","article-title":"Comparison of the self-expanding Evolut-PRO transcatheter aortic valve to its predecessor Evolut-R in the real world multicenter ATLAS registry","volume":"310","author":"Kalogeras","year":"2020","journal-title":"Int. J. Cardiol."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"1796","DOI":"10.1016\/j.jcin.2019.05.056","article-title":"Minimizing Permanent Pacemaker Following Repositionable Self-Expanding Transcatheter Aortic Valve Replacement","volume":"12","author":"Jilaihawi","year":"2019","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jcin.2020.09.063","article-title":"Incidence, Predictors, and Implications of Permanent Pacemaker Requirement After Transcatheter Aortic Valve Replacement","volume":"14","author":"Sammour","year":"2021","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1161\/CIRCULATIONAHA.117.028352","article-title":"Conduction disturbances after transcatheter aortic valve replacement: Current status and future perspectives","volume":"136","author":"Auffret","year":"2017","journal-title":"Circulation"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1016\/j.amjcard.2020.01.008","article-title":"Novel Anatomic Predictors of New Persistent Left Bundle Branch Block after Evolut Transcatheter Aortic Valve Implantation","volume":"125","author":"Zaid","year":"2020","journal-title":"Am. J. Cardiol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jacc.2014.04.033","article-title":"Predictors of permanent pacemaker implantation in patients with severe aortic stenosis undergoing TAVR: A meta-analysis","volume":"64","author":"Siontis","year":"2014","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jcin.2014.07.022","article-title":"Predictors and clinical outcomes of permanent pacemaker implantation after transcatheter aortic valve replacement: The PARTNER (Placement of AoRtic TraNscathetER Valves) trial and registry","volume":"8","author":"Nazif","year":"2015","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1016\/j.jcin.2015.05.010","article-title":"Inverse Relationship between Membranous Septal Length and the Risk of Atrioventricular Block in Patients Undergoing Transcatheter Aortic Valve Implantation","volume":"8","author":"Hamdan","year":"2015","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"1808","DOI":"10.1016\/j.jcin.2019.06.039","article-title":"Optimizing Valve Implantation Depth to Win the Battle against Conduction Disturbances Post-TAVR","volume":"12","year":"2019","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_91","first-page":"3","article-title":"Procedural Optimization to Minimize Interaction with the Left Ventricular Conduction System during Self-Expanding TAVR","volume":"15","author":"Gada","year":"2021","journal-title":"Card. Interv. Today"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"8249497","DOI":"10.1155\/2020\/8249497","article-title":"Incidence, Predictors, and Outcome of Paravalvular Leak after Transcatheter Aortic Valve Implantation","volume":"2020","author":"Hagar","year":"2020","journal-title":"J. Interv. Cardiol."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jcct.2017.04.009","article-title":"Practical determination of aortic valve calcium volume score on contrast-enhanced computed tomography prior to transcatheter aortic valve replacement and impact on paravalvular regurgitation: Elucidating optimal threshold cutoffs","volume":"11","author":"Bettinger","year":"2017","journal-title":"J. Cardiovasc. Comput. Tomogr."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"1906814","DOI":"10.1155\/2019\/1906814","article-title":"Early Real-World Experience with CoreValve Evolut PRO and R Systems for Transcatheter Aortic Valve Replacement","volume":"2019","author":"Rao","year":"2019","journal-title":"J. Interv. Cardiol."},{"key":"ref_95","first-page":"E982","article-title":"Hemodynamic comparison of transcatheter aortic valve replacement with the SAPIEN 3 Ultra versus SAPIEN 3: The HomoSAPIEN registry","volume":"97","author":"Moriyama","year":"2020","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_96","first-page":"3893","article-title":"Safety and efficacy of self-expandable Evolut R vs. balloon-expandable Sapien 3 valves for transcatheter aortic valve implantation: A systematic review and meta-analysis","volume":"18","author":"He","year":"2019","journal-title":"Exp. Ther. Med."},{"key":"ref_97","first-page":"700","article-title":"Comparison of third generation balloon-expandable Edwards Sapien 3 versus self-expandable Evolut R in transcatheter aortic valve implantation: A meta-analysis","volume":"9","author":"Li","year":"2020","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1016\/j.jcin.2014.02.010","article-title":"Erroneous measurement of the aortic annular diameter using 2-dimensional echocardiography resulting in inappropriate corevalve size selection: A retrospective comparison with multislice computed tomography","volume":"7","author":"Mylotte","year":"2014","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1016\/j.jtcvs.2013.05.047","article-title":"Dynamic characterization of aortic annulus geometry and morphology with multimodality imaging: Predictive value for aortic regurgitation after transcatheter aortic valve replacement","volume":"147","author":"Masri","year":"2014","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.jcin.2019.07.048","article-title":"Navigating the \u201cOptimal Implantation Depth\u201d with a Self-Expandable TAVR Device in Daily Clinical Practice","volume":"13","author":"Piayda","year":"2020","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1093\/eurheartj\/ehp537","article-title":"Prosthesis-patient mismatch after transcatheter aortic valve implantation with the Medtronic-Corevalve bioprosthesis","volume":"31","author":"Jilaihawi","year":"2010","journal-title":"Eur. Heart J."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1002\/ccd.23003","article-title":"Predictors of moderate-to-severe paravalvular aortic regurgitation immediately after CoreValve implantation and the impact of postdilatation","volume":"78","author":"Takagi","year":"2011","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1016\/j.jacc.2010.06.035","article-title":"Anatomic and procedural predictors of paravalvular aortic regurgitation after implantation of the medtronic CoreValve bioprosthesis","volume":"56","author":"Sherif","year":"2010","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1001\/jama.2014.7246","article-title":"Transcatheter Aortic Valve Implantation in Failed Bioprosthetic Surgical Valves","volume":"312","author":"Dvir","year":"2014","journal-title":"JAMA"},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.ijcard.2016.03.024","article-title":"Clinical outcomes for transcatheter valve-in-valve in treating surgical bioprosthetic dysfunction: A meta-analysis","volume":"212","author":"Chen","year":"2016","journal-title":"Int. J. Cardiol."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1093\/ejcts\/ezy471","article-title":"The hospital results and 1-year outcomes of transcatheter aortic valve-in-valve procedures and transcatheter aortic valve implantations in the native valves: The results from the Swiss-TAVI Registry","volume":"56","author":"Ferrari","year":"2019","journal-title":"Eur. J. Cardio-Thorac. Surg."},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"2647","DOI":"10.1016\/j.jacc.2019.03.483","article-title":"3-Year Outcomes after Valve-in-Valve Transcatheter Aortic Valve Replacement for Degenerated Bioprostheses: The PARTNER 2 Registry","volume":"73","author":"Webb","year":"2019","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.1093\/eurheartj\/ehaa252","article-title":"Comparison of in-hospital outcomes and readmissions for valve-in-valve transcatheter aortic valve replacement vs. reoperative surgical aortic valve replacement: A contemporary assessment of real-world outcomes","volume":"41","author":"Hirji","year":"2020","journal-title":"Eur. Heart J."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1111\/joic.12520","article-title":"Valve in valve transcatheter aortic valve implantation (ViV-TAVI) versus redo-Surgical aortic valve replacement (redo-SAVR): A systematic review and meta-analysis","volume":"31","author":"Nalluri","year":"2018","journal-title":"J. Interv. Cardiol."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.hjc.2019.10.016","article-title":"TAVI: Valve in valve. A new field for structuralists? Literature review","volume":"61","author":"Vrachatis","year":"2020","journal-title":"Hell. J. Cardiol."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jcin.2013.10.012","article-title":"Effect of Valve Design on the Stent Internal Diameter of a Bioprosthetic Valve A Concept of True Internal Diameter and Its Implications for the Valve-in-Valve Procedure","volume":"7","author":"Bapat","year":"2014","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"U44","DOI":"10.4244\/EIJV10SUA7","article-title":"Valve-in-valve apps: Why and how they were developed and how to use them","volume":"10","author":"Bapat","year":"2014","journal-title":"EuroIntervention"},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"541","DOI":"10.21037\/acs.2017.09.13","article-title":"Technical pitfalls and tips for the valve-in-valve procedure","volume":"6","author":"Bapat","year":"2017","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1016\/j.jtcvs.2012.07.104","article-title":"Use of transcatheter heart valves for a valve-in-valve implantation in patients with degenerated aortic bioprosthesis: Technical considerations and results","volume":"144","author":"Bapat","year":"2012","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_115","first-page":"2173","article-title":"Combination of Double Chimney Technique and Prosthesis Post-Dilation after Valve-in-Valve Implantation","volume":"2","author":"Fede","year":"2020","journal-title":"Case Rep."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.jcin.2020.01.227","article-title":"Chimney Stenting for Coronary Occlusion during TAVR: Insights from the Chimney Registry","volume":"13","author":"Mercanti","year":"2020","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.jcin.2019.11.024","article-title":"Coronary Protection to Prevent Coronary Obstruction during TAVR: A Multicenter International Registry","volume":"13","author":"Palmerini","year":"2020","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1016\/j.jcin.2019.04.052","article-title":"Preventing Coronary Obstruction during Transcatheter Aortic Valve Replacement: From Computed Tomography to BASILICA","volume":"12","author":"Lederman","year":"2019","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_119","first-page":"1501","article-title":"Challenges in valve-in-valve therapy","volume":"7","author":"Noorani","year":"2015","journal-title":"J. Thorac. Dis."},{"key":"ref_120","first-page":"e002667","article-title":"Fracturing the Ring of Small Mitroflow Bioprostheses by High-Pressure Balloon Predilatation in Transcatheter Aortic Valve-in-Valve Implantation","volume":"8","author":"Christiansen","year":"2015","journal-title":"Circ. Cardiovasc. Interv."},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"AB74","DOI":"10.4244\/EIJ-D-18-00667","article-title":"Novel strategies in aortic valve-in-valve therapy including bioprosthetic valve fracture and BASILICA","volume":"14","author":"Dvir","year":"2018","journal-title":"EuroIntervention"},{"key":"ref_122","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.athoracsur.2017.02.052","article-title":"Blood Stasis on Transcatheter Valve Leaflets and Implications for Valve-in-Valve Leaflet Thrombosis","volume":"104","author":"Vahidkhah","year":"2017","journal-title":"Ann. Thorac. Surg."},{"key":"ref_123","doi-asserted-by":"crossref","first-page":"269","DOI":"10.14740\/cr1108","article-title":"The Issue of Subclinical Leaflet Thrombosis after Transcatheter Aortic Valve Implantation","volume":"11","author":"Oliveira","year":"2020","journal-title":"Cardiol. Res."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"3003","DOI":"10.1016\/j.jacc.2020.04.043","article-title":"Subclinical Leaflet Thrombosis in Transcatheter and Surgical Bioprosthetic Valves","volume":"75","author":"Makkar","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_125","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/ccd.21597","article-title":"First percutaneous transcatheter aortic valve-in-valve implant with three year follow-up","volume":"72","author":"Ruiz","year":"2008","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_126","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1111\/joic.12120","article-title":"Second Transcatheter Aortic Valve Implantation for Treatment of Suboptimal Function of Previously Implanted Prosthesis: Review of the Literature","volume":"27","author":"Witkowski","year":"2014","journal-title":"J. Interv. Cardiol."},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.hjc.2017.06.004","article-title":"Repeated transapical TAVI for the treatment of a degenerated bioprosthetic valve","volume":"59","author":"Eftychiou","year":"2018","journal-title":"Hell. J. Cardiol."},{"key":"ref_128","doi-asserted-by":"crossref","first-page":"2528","DOI":"10.1016\/j.jcin.2020.06.016","article-title":"Coronary Access after TAVR-in-TAVR as Evaluated by Multidetector Computed Tomography","volume":"13","author":"Landes","year":"2020","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_129","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1016\/j.jcin.2020.02.005","article-title":"Alignment of Transcatheter Aortic-Valve Neo-Commissures (ALIGN TAVR): Impact on Final Valve Orientation and Coronary Artery Overlap","volume":"13","author":"Tang","year":"2020","journal-title":"JACC Cardiovasc. 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