Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall

Andrei Pop; Syed Zaid; Miho Fukui; Mohamed Abdel-Wahab; Mariama Akodad; Keith B. Allen; Ignacio J. Amat-Santos; Guilherme Attizzani; Ravinay Bhindi; Daniel J. Blackman; Michael Caskey; Lakshmi P. Dasi; Harold L. Dauerman; Ole De Backer; Augustin DeLago; Jeremiah P. Depta; Gregory P. Fontana; Santiago A. Garcia; Kashish Goel; Sachin S. Goel; Juan F. Granada; Kentaro Hayashida; Tsuyoshi Kaneko; Jaffar M. Khan; Sahil Khera; Yusuke Kobari; Simon C.C. Lam; Uri Landes; Raj R. Makkar; David Meier; Thomas Modine; Kamran Muhammad; Yohei Ohno; Radoslaw Parma; Karl Poon; Basel Ramlawi; Grant W. Reed; Toby Rogers; Stephanie L. Sellers; Cezar S. Staniloae; Curtiss T. Stinis; Ana Paula Tagliari; Giuseppe Tarantini; Didier Tchetche; Nicolas van Mieghem; John G. Webb; Mathew R. Williams; Pradeep Yadav; Steven J. Yakubov; Michael J. Mack; Martin B. Leon; Vinayak N. Bapat; Gilbert H.L. Tang

doi:10.1016/j.jcin.2026.06.003

Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall

Andrei Pop, Syed Zaid, Miho Fukui, Mohamed Abdel-Wahab, Mariama Akodad, Keith B. Allen, Ignacio J. Amat-Santos, Guilherme Attizzani, Ravinay Bhindi, Daniel J. Blackman, Michael Caskey, Lakshmi P. Dasi, Harold L. Dauerman, Ole De Backer, Augustin DeLago, Jeremiah P. Depta, Gregory P. Fontana, Santiago A. Garcia, Kashish Goel, Sachin S. GoelJuan F. Granada, Kentaro Hayashida, Tsuyoshi Kaneko, Jaffar M. Khan, Sahil Khera, Yusuke Kobari, Simon C.C. Lam, Uri Landes, Raj R. Makkar, David Meier, Thomas Modine, Kamran Muhammad, Yohei Ohno, Radoslaw Parma, Karl Poon, Basel Ramlawi, Grant W. Reed, Toby Rogers, Stephanie L. Sellers, Cezar S. Staniloae, Curtiss T. Stinis, Ana Paula Tagliari, Giuseppe Tarantini, Didier Tchetche, Nicolas van Mieghem, John G. Webb, Mathew R. Williams, Pradeep Yadav, Steven J. Yakubov, Michael J. Mack, Martin B. Leon, Vinayak N. Bapat, Gilbert H.L. Tang

Research output: Contribution to journal › Review article › peer-review

3 Scopus citations

Abstract

Transcatheter aortic valve replacement (TAVR) has created a growing population of patients who require redo-TAVR (TAV-in-TAV) for structural valve deterioration. Short-frame balloon-expandable valves implanted within failed short- or tall-frame transcatheter valves (“short-in-short” and “short-in-tall”) pose specific challenges, including coronary risk assessment, valve sizing, anchoring, and preservation of coronary access. Under the auspices of the Heart and Valve Collaboratory, an international multidisciplinary panel of experts reviewed bench and clinical data and synthesized contemporary best practices into a pragmatic workflow for redo-TAVR. This document standardizes key anatomic definitions, outlines computed tomography–based strategies for in vivo sizing, and details recommended approaches to predilatation, deployment techniques, and postdilatation. By harmonizing terminology and stepwise planning across imaging, interventional, and surgical teams, this document aims to simplify procedural decision-making and improve safety, coronary preservation, and hemodynamic outcomes in patients undergoing short-in-short and short-in-tall TAV-in-TAV procedures.

Original language	English (US)
Pages (from-to)	1999-2024
Number of pages	26
Journal	JACC: Cardiovascular Interventions
Volume	19
Issue number	15
DOIs	https://doi.org/10.1016/j.jcin.2026.06.003
State	Published - Aug 10 2026

Keywords

coronary obstruction
coronary risk plane
neoskirt plane
redo-TAVR
structural valve deterioration

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.jcin.2026.06.003

Cite this

Pop, A., Zaid, S., Fukui, M., Abdel-Wahab, M., Akodad, M., Allen, K. B., Amat-Santos, I. J., Attizzani, G., Bhindi, R., Blackman, D. J., Caskey, M., Dasi, L. P., Dauerman, H. L., De Backer, O., DeLago, A., Depta, J. P., Fontana, G. P., Garcia, S. A., Goel, K., ... Tang, G. H. L. (2026). Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall. JACC: Cardiovascular Interventions, 19(15), 1999-2024. https://doi.org/10.1016/j.jcin.2026.06.003

Pop, A, Zaid, S, Fukui, M, Abdel-Wahab, M, Akodad, M, Allen, KB, Amat-Santos, IJ, Attizzani, G, Bhindi, R, Blackman, DJ, Caskey, M, Dasi, LP, Dauerman, HL, De Backer, O, DeLago, A, Depta, JP, Fontana, GP, Garcia, SA, Goel, K, Goel, SS, Granada, JF, Hayashida, K, Kaneko, T, Khan, JM, Khera, S, Kobari, Y, Lam, SCC, Landes, U, Makkar, RR, Meier, D, Modine, T, Muhammad, K, Ohno, Y, Parma, R, Poon, K, Ramlawi, B, Reed, GW, Rogers, T, Sellers, SL, Staniloae, CS, Stinis, CT, Tagliari, AP, Tarantini, G, Tchetche, D, van Mieghem, N, Webb, JG, Williams, MR, Yadav, P, Yakubov, SJ, Mack, MJ, Leon, MB, Bapat, VN & Tang, GHL 2026, 'Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall', JACC: Cardiovascular Interventions, vol. 19, no. 15, pp. 1999-2024. https://doi.org/10.1016/j.jcin.2026.06.003

@article{035de22a900c43ba8d4fed33710f0fa2,

title = "Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall",

abstract = "Transcatheter aortic valve replacement (TAVR) has created a growing population of patients who require redo-TAVR (TAV-in-TAV) for structural valve deterioration. Short-frame balloon-expandable valves implanted within failed short- or tall-frame transcatheter valves (“short-in-short” and “short-in-tall”) pose specific challenges, including coronary risk assessment, valve sizing, anchoring, and preservation of coronary access. Under the auspices of the Heart and Valve Collaboratory, an international multidisciplinary panel of experts reviewed bench and clinical data and synthesized contemporary best practices into a pragmatic workflow for redo-TAVR. This document standardizes key anatomic definitions, outlines computed tomography–based strategies for in vivo sizing, and details recommended approaches to predilatation, deployment techniques, and postdilatation. By harmonizing terminology and stepwise planning across imaging, interventional, and surgical teams, this document aims to simplify procedural decision-making and improve safety, coronary preservation, and hemodynamic outcomes in patients undergoing short-in-short and short-in-tall TAV-in-TAV procedures.",

keywords = "coronary obstruction, coronary risk plane, neoskirt plane, redo-TAVR, structural valve deterioration",

author = "Andrei Pop and Syed Zaid and Miho Fukui and Mohamed Abdel-Wahab and Mariama Akodad and Allen, \{Keith B.\} and Amat-Santos, \{Ignacio J.\} and Guilherme Attizzani and Ravinay Bhindi and Blackman, \{Daniel J.\} and Michael Caskey and Dasi, \{Lakshmi P.\} and Dauerman, \{Harold L.\} and \{De Backer\}, Ole and Augustin DeLago and Depta, \{Jeremiah P.\} and Fontana, \{Gregory P.\} and Garcia, \{Santiago A.\} and Kashish Goel and Goel, \{Sachin S.\} and Granada, \{Juan F.\} and Kentaro Hayashida and Tsuyoshi Kaneko and Khan, \{Jaffar M.\} and Sahil Khera and Yusuke Kobari and Lam, \{Simon C.C.\} and Uri Landes and Makkar, \{Raj R.\} and David Meier and Thomas Modine and Kamran Muhammad and Yohei Ohno and Radoslaw Parma and Karl Poon and Basel Ramlawi and Reed, \{Grant W.\} and Toby Rogers and Sellers, \{Stephanie L.\} and Staniloae, \{Cezar S.\} and Stinis, \{Curtiss T.\} and Tagliari, \{Ana Paula\} and Giuseppe Tarantini and Didier Tchetche and \{van Mieghem\}, Nicolas and Webb, \{John G.\} and Williams, \{Mathew R.\} and Pradeep Yadav and Yakubov, \{Steven J.\} and Mack, \{Michael J.\} and Leon, \{Martin B.\} and Bapat, \{Vinayak N.\} and Tang, \{Gilbert H.L.\}",

note = "Publisher Copyright: {\textcopyright} 2026 The Authors.",

year = "2026",

month = aug,

day = "10",

doi = "10.1016/j.jcin.2026.06.003",

language = "English (US)",

volume = "19",

pages = "1999--2024",

journal = "JACC: Cardiovascular Interventions",

issn = "1936-8798",

publisher = "Elsevier",

number = "15",

}

TY - JOUR

T1 - Redo-TAVR (TAV-in-TAV) Best Practices Part 1

T2 - Short-in-Short and Short-in-Tall

AU - Pop, Andrei

AU - Zaid, Syed

AU - Fukui, Miho

AU - Abdel-Wahab, Mohamed

AU - Akodad, Mariama

AU - Allen, Keith B.

AU - Amat-Santos, Ignacio J.

AU - Attizzani, Guilherme

AU - Bhindi, Ravinay

AU - Blackman, Daniel J.

AU - Caskey, Michael

AU - Dasi, Lakshmi P.

AU - Dauerman, Harold L.

AU - De Backer, Ole

AU - DeLago, Augustin

AU - Depta, Jeremiah P.

AU - Fontana, Gregory P.

AU - Garcia, Santiago A.

AU - Goel, Kashish

AU - Goel, Sachin S.

AU - Granada, Juan F.

AU - Hayashida, Kentaro

AU - Kaneko, Tsuyoshi

AU - Khan, Jaffar M.

AU - Khera, Sahil

AU - Kobari, Yusuke

AU - Lam, Simon C.C.

AU - Landes, Uri

AU - Makkar, Raj R.

AU - Meier, David

AU - Modine, Thomas

AU - Muhammad, Kamran

AU - Ohno, Yohei

AU - Parma, Radoslaw

AU - Poon, Karl

AU - Ramlawi, Basel

AU - Reed, Grant W.

AU - Rogers, Toby

AU - Sellers, Stephanie L.

AU - Staniloae, Cezar S.

AU - Stinis, Curtiss T.

AU - Tagliari, Ana Paula

AU - Tarantini, Giuseppe

AU - Tchetche, Didier

AU - van Mieghem, Nicolas

AU - Webb, John G.

AU - Williams, Mathew R.

AU - Yadav, Pradeep

AU - Yakubov, Steven J.

AU - Mack, Michael J.

AU - Leon, Martin B.

AU - Bapat, Vinayak N.

AU - Tang, Gilbert H.L.

PY - 2026/8/10

Y1 - 2026/8/10

N2 - Transcatheter aortic valve replacement (TAVR) has created a growing population of patients who require redo-TAVR (TAV-in-TAV) for structural valve deterioration. Short-frame balloon-expandable valves implanted within failed short- or tall-frame transcatheter valves (“short-in-short” and “short-in-tall”) pose specific challenges, including coronary risk assessment, valve sizing, anchoring, and preservation of coronary access. Under the auspices of the Heart and Valve Collaboratory, an international multidisciplinary panel of experts reviewed bench and clinical data and synthesized contemporary best practices into a pragmatic workflow for redo-TAVR. This document standardizes key anatomic definitions, outlines computed tomography–based strategies for in vivo sizing, and details recommended approaches to predilatation, deployment techniques, and postdilatation. By harmonizing terminology and stepwise planning across imaging, interventional, and surgical teams, this document aims to simplify procedural decision-making and improve safety, coronary preservation, and hemodynamic outcomes in patients undergoing short-in-short and short-in-tall TAV-in-TAV procedures.

AB - Transcatheter aortic valve replacement (TAVR) has created a growing population of patients who require redo-TAVR (TAV-in-TAV) for structural valve deterioration. Short-frame balloon-expandable valves implanted within failed short- or tall-frame transcatheter valves (“short-in-short” and “short-in-tall”) pose specific challenges, including coronary risk assessment, valve sizing, anchoring, and preservation of coronary access. Under the auspices of the Heart and Valve Collaboratory, an international multidisciplinary panel of experts reviewed bench and clinical data and synthesized contemporary best practices into a pragmatic workflow for redo-TAVR. This document standardizes key anatomic definitions, outlines computed tomography–based strategies for in vivo sizing, and details recommended approaches to predilatation, deployment techniques, and postdilatation. By harmonizing terminology and stepwise planning across imaging, interventional, and surgical teams, this document aims to simplify procedural decision-making and improve safety, coronary preservation, and hemodynamic outcomes in patients undergoing short-in-short and short-in-tall TAV-in-TAV procedures.

KW - coronary obstruction

KW - coronary risk plane

KW - neoskirt plane

KW - redo-TAVR

KW - structural valve deterioration

UR - https://www.scopus.com/pages/publications/105046417358

UR - https://www.scopus.com/inward/citedby.url?scp=105046417358&partnerID=8YFLogxK

U2 - 10.1016/j.jcin.2026.06.003

DO - 10.1016/j.jcin.2026.06.003

M3 - Review article

C2 - 42340174

AN - SCOPUS:105046417358

SN - 1936-8798

VL - 19

SP - 1999

EP - 2024

JO - JACC: Cardiovascular Interventions

JF - JACC: Cardiovascular Interventions

IS - 15

ER -

Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this