Structural Simulation of Transcatheter Heart Valve in Transcatheter Heart Valve

The durability of transcatheter heart valves (TAV) remains the main disadvantage of transcatheter heart valve implantation (TAVI) for treating aortic valve stenosis. In this study, we assessed the structural mechanics of TAV-in-TAVI using patient-specific modeling. A parametric analysis highlighted that the outcome of TAV-in-TAV depends on the implanted device position and the planned device to be implanted. Contact pressure evinced the impact of different implantation depth and device size on the TAV-in-TAV. This study may bring new insight in the biomechanical performance of TAV to evaluate options for future interventions when the current TAVs experience device failure.