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5 cycles). CONCLUSIONS This study shows that TAV-in-TAV is highly dependent on the valve that is originally implanted and the valve be implanted. Washout is not significantly degraded after TAV-in-TAV compared with valve-in-valve (ViV) and TAV replacement (TAVR). Further studies are needed to optimize valve size and selection. BACKGROUND Pulmonary embolism response teams (PERTs) have become increasingly popular at institutions around the country, although the evidence to support their efficacy is limited. PERTs are mechanisms for rapid