Open issues in transcatheter aortic valve implantation. Part 2: procedural issues and outcomes after transcatheter aortic valve implantation.

Bax, Jeroen J; Delgado, Victoria; Bapat, Vinayak; Baumgartner, Helmut; Collet, Jean P; Erbel, Raimund; Hamm, Christian; Kappetein, Arie P; Leipsic, Jonathon; Leon, Martin B; MacCarthy, Philip; Piazza, Nicolo; Pibarot, Philippe; Roberts, William C; Rodés-Cabau, Josep; Serruys, Patrick W; Thomas, Martyn; Vahanian, Alec; Webb, John; Zamorano, Jose Luis; ... (2014). Open issues in transcatheter aortic valve implantation. Part 2: procedural issues and outcomes after transcatheter aortic valve implantation. European Heart Journal, 35(38), pp. 2639-2654. Oxford University Press 10.1093/eurheartj/ehu257

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This article provides an overview on procedure-related issues and uncertainties in outcomes after transcatheter aortic valve implantation (TAVI). The different access sites and how to select them in an individual patient are discussed. Also, the occurrence and potential predictors of aortic regurgitation (AR) after TAVI are addressed. The different methods to quantify AR are reviewed, and it appears that accurate and reproducible quantification is suboptimal. Complications such as prosthesis-patient mismatch and conduction abnormalities (and need for permanent pacemaker) are discussed, as well as cerebrovascular events, which emphasize the development of optimal anti-coagulative strategies. Finally, recent registries have shown the adoption of TAVI in the real world, but longer follow-up studies are needed to evaluate the outcome (but also prosthesis durability). Additionally, future studies are briefly discussed, which will address the use of TAVI in pure AR and lower-risk patients.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Windecker, Stephan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0195-668X

Publisher:

Oxford University Press

Language:

English

Submitter:

Judith Liniger

Date Deposited:

09 Feb 2015 15:16

Last Modified:

28 Oct 2015 11:42

Publisher DOI:

10.1093/eurheartj/ehu257

PubMed ID:

25062953

Uncontrolled Keywords:

Access site, Aortic regurgitation, Complications, Registries, Transcatheter aortic valve implantation

BORIS DOI:

10.7892/boris.62111

URI:

https://boris.unibe.ch/id/eprint/62111

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