Platform Selection for Patients Undergoing Transcatheter Aortic Valve Replacement: A Practical Approach

Catheterization and Cardiovascular Interventions, Год журнала: 2025, Номер unknown

Опубликована: Янв. 24, 2025

ABSTRACT Transfemoral transcatheter aortic valve Replacement (TAVR) has become the standard therapy for patients with severe stenosis in over 75 years old Europe or 65 United States, regardless of surgical risk. Furthermore, iterations existing valves (TAVs), as well devices novel concepts, have provided substantial improvements respect to limitations previous‐generation devices. Hence, treatment a broader spectrum feasible, and sophisticated selection appropriate TAV tailored patients' anatomy comorbidities is now possible. Anatomy, patient characteristics, operator experience must all inform proper device selection. This review describes features performance current generation TAVs aim providing practical approach clinicians when selecting specific patient.

Язык: Английский

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TAVR and Strokes

JACC Asia, Год журнала: 2025, Номер 5(2), С. 270 - 272

Опубликована: Фев. 1, 2025

Язык: Английский

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Balloon-expandable SAPIEN 3 Ultra valve in intermediate sizing zones: insights from the OPERA-TAVI registry

EuroIntervention, Год журнала: 2025, Номер 21(5), С. e282 - e284

Опубликована: Фев. 24, 2025

Язык: Английский

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Transcatheter aortic valve replacement in heavily calcified aortic valve stenosis: a multicenter comparison

Clinical Research in Cardiology, Год журнала: 2025, Номер unknown

Опубликована: Март 10, 2025

Heavy calcifications in severe aortic stenosis (AS) pose a major challenge patients undergoing transcatheter valve replacement (TAVR). Only few studies have addressed the performance of different heart valves (THV) this subgroup patients. We aimed to investigate outcomes self-expanding Medtronic CoreValve Evolut frame and balloon-expandable Edwards SAPIEN-3/3 Ultra THV challenging patient population. This was multicenter registry including total 1513 with heavily calcified AS TAVR. The primary endpoint incidence degree paravalvular leak (PVL) after Secondary endpoints were post-implant hemodynamics as well clinical according VARC-3 definitions. R but not PRO showed significantly higher rates PVL compared (44.8% vs. 29.5% for mild PVL, p < 0.001), while there no significant difference ≥ moderate between both groups (p = 0.399). superior group. These findings confirmed propensity score-matched analysis. There differences regarding short-term permanent pacemaker implantation all-cause mortality three groups. In severely AS, lower than R. platform had system.

Язык: Английский

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Comparative Effectiveness and Safety of Self-Expanding Versus Balloon-Expandable Transcatheter Aortic Valve Replacement: A Systematic Review and Meta-Analysis

The American Journal of the Medical Sciences, Год журнала: 2025, Номер unknown

Опубликована: Апрель 1, 2025

Язык: Английский

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Transcatheter aortic valve replacement in small aortic annuli: A propensity-matched comparison between intra-annular self-expanding valves and balloon-expandable valves

Cardiovascular revascularization medicine, Год журнала: 2025, Номер unknown

Опубликована: Май 1, 2025

Язык: Английский

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Coronary Obstruction during Valve-in-Valve Transcatheter Aortic Valve Replacement: Pre-Procedural Risk Evaluation, Intra-Procedural Monitoring, and Follow-Up

Journal of Cardiovascular Development and Disease, Год журнала: 2023, Номер 10(5), С. 187 - 187

Опубликована: Апрель 23, 2023

Valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) is emerging as an effective treatment for patients with symptomatically failing bioprosthetic valves and a high prohibitive surgical risk; longer life expectancy has led to higher demand these reinterventions due the increased possibilities of outliving valve’s durability. Coronary obstruction most feared complication valve-in-valve TAVR; it rare but life-threatening occurs frequently at left coronary artery ostium. Accurate pre-procedural planning, mainly based on cardiac computed tomography, crucial determining feasibility ViV TAVR assessing anticipated risk eventual need protection measures. Intraprocedurally, root selective angiography are useful evaluating anatomic relationship between ostia; transesophageal echocardiographic real-time monitoring flow color Doppler pulsed-wave valuable tool that allows determination patency detection asymptomatic obstructions. Because developing delayed obstruction, close postprocedural obstructions advisable. CT simulations TAVR, 3D printing models, fusion imaging represent future directions may help provide personalized lifetime strategy tailored approach each patient, potentially minimizing complications improving outcomes.

Язык: Английский

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Conduction Disturbances After Transcatheter Aortic Valve Replacement

КАРДИОЛОГИЯ УЗБЕКИСТАНА, Год журнала: 2024, Номер 17(22), С. 2575 - 2595

Опубликована: Ноя. 1, 2024

Язык: Английский

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Surgical Mortality Risk Scores in Transcatheter Aortic Valve Implantation: Is Their Early Predictive Value Still Strong?

Journal of Cardiovascular Development and Disease, Год журнала: 2023, Номер 10(6), С. 244 - 244

Опубликована: Май 31, 2023

Surgical mortality risk scores, even if not properly designed and rarely tested in the transcatheter aortic valve implantation (TAVI) setting, still guide heart team managing significant stenosis.After splitting 1763 consecutive patients retrospectively based on their thresholds, composite endpoint early safety (ES) was adjudicated according to Valve Academic Research Consortium (VARC)-2 -3 consensus documents.ES incidence higher VARC-2 rather than VARC-3 defined. Despite only showing ES had significantly lower absolute values of all three main these last failed foresee both intermediate-risk patients. The receiver operating characteristic analysis also showed a correlation, but with poor diagnostic accuracy, among scores ES; moreover, absence low-osmolar contrast media administration were identified as independent predictors 1-year ES, respectively. Finally, single complication included definition could affect mortality.Currently, most used do have adequate accuracy predicting after TAVI. VARC-2, instead VARC-3, is an predictor mortality.

Язык: Английский

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One-year clinical outcomes of transcatheter aortic valve implantation with the latest iteration of self-expanding or balloonexpandable devices: insights from the OPERA-TAVI registry

EuroIntervention, Год журнала: 2023, Номер 20(1), С. 95 - 103

Опубликована: Дек. 29, 2023

Midterm comparative analyses of the latest iterations most used Evolut and SAPIEN platforms for transcatheter aortic valve implantation (TAVI) are lacking.

Язык: Английский

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