Skip to main content
. Author manuscript; available in PMC: 2018 Feb 8.
Published in final edited form as: J Invasive Cardiol. 2017 Feb 15;29(5):151–162.

Table 1.

Percutaneous therapies for de novo aortic insufficiency (AI) with continuous flow left ventricular assist devices.

Author Year Case Series Indication/Diagnosis Intervention Outcome Long-Term Outcome
Russo et al36 2012 1 patient with HMII Cardiogenic shock due to severe AI 2 months after surgical repair of the AI Amplatzer Cribriform septal occluder
  • -

    Successfully discharged on day 6 without AI

  • -

    At 2 months, patient clinically improved with no further AI

Parikh et al35 2013 5 patients: 4 with HMII, 1 with HVAD Patients with symptomatic AI, deemed to have high surgical risk Amplatzer Cribriform septal occluder
  • -

    Improvement of AI from severe to less than mild in all

  • -

    Device embolized in the aorta (successfully retrieved) in 1

  • -

    Only 2 were alive at 30 days

  • -

    1 patient died from sepsis on day 18 and another died from right heart failure on day 12

Retzer et al39 2015 10 patients, 6 HMII, 4 HVAD Patient with severe AI and high surgical risk (STS mortality 22%) Amplatzer Cribriform septal occluder
  • -

    30% survived to discharge

  • -

    Those that died had worse RV function

  • -

    All 3 patients who were discharged were alive at 6 months

D’Ancona et al41 2012 1 patient with LVAD Severe AI Edwards SAPIEN 29 mm oversized valve via left anterior thoracotomy under fem-fem bypass
  • -

    Successful deployment of the valve without immediate complications

  • -

    No long-term follow-up

Santini et al42 2012 1 patient with HMII Refractory symptomatic AI and no surgical options 29 mm CoreValve implantation via femoral approach (required 2 valves due to paravalvular leak after first CoreValve)
  • -

    Minimal residual AI

  • -

    Successfully discharged

  • -

    On heart transplant list

  • -

    No long-term follow-up

Khan et al40 2013 1 patient with HMII Medically refractory symptomatic AI Melody transcatheter pulmonary valve in aortic position (femoral approach)
  • -

    Trace AI after procedure

  • -

    Successfully discharged on post-procedure day 6

  • -

    Survived 10 months