Kathetergestützte Aortenklappenimplantation aus chirurgischer Sicht

Bleiziffer, Sabine; Bauernschmitt, Robert; Ruge, Hendrik; Mazzitelli, Domenico; Schreiber, Christian; Hutter, Andrea; Opitz, A; Lange, Rüdiger

doi:10.1007/s00059-009-3254-1

Cited by 4 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Методика транскатетерной имплантации через трансфеморальный венозный доступ требует транссептальной пункции, под чреспищеводным ЭхоКГконтролем. Метод требует максимального сгибания катетера системы доставки, в связи с чем имеется большая опасности разрыва нижней полой вены [13]. Частой проблемой, связанной с транссептальной пункцией, является наличие большого дефекта межпредсердной перегородки, требующего установки окклюдера.…”

Section: Discussionunclassified

Meshalkin National Medical Research Center

Прокофьев¹,

Sharifulin²,

Астапов³

et al. 2021

Russ J Cardiol

View full text Add to dashboard Cite

We present three cases of successful transatrial transcatheter valve-in-valve implantation in patients with bioprosthetic mitral valve dysfunction. Patients with a high surgical risk, with severe heart failure due to bioprosthetic mitral valve dysfunction, were implanted with transcatheter prostheses using the transatrial approach.Transesophageal echocardiography and fluoroscopy-guided transcatheter mitral prosthetic valve positioning was performed. With a cardiac pacing at 180 bpm, a transcatheter valve was implanted. The transcatheter valves functioned properly after surgery. The patients were discharged in satisfactory condition.

show abstract

Section: Discussionunclassified

Meshalkin National Medical Research Center

Прокофьев¹,

Sharifulin²,

Астапов³

et al. 2021

Russ J Cardiol

View full text Add to dashboard Cite

show abstract

Aktueller Stand der interventionellen und chirurgischen Aortenklappenimplantation

Erbel

Jakob

2009

Herz

View full text Add to dashboard Cite

Kathetergestützte Aortenklappenimplantation

Möllmann

Kempfert

Hamm

et al. 2010

Herz

View full text Add to dashboard Cite

Degenerative aortic valve stenosis accounts for the majority of native valve diseases and the prognosis is poor for symptomatic patients if untreated. Owing to the progressive aging of the population, the incidence of symptomatic aortic stenoses will further increase. Surgical aortic valve replacement provides a valuable treatment option with a well-documented favorable long-term outcome. However, the risk of surgery increases especially in older patients with significant comorbidities. For this reason, one third of symptomatic patients is not considered suitable for surgery. Transcatheter off-pump aortic valve implantation, however, using a transfemoral or a transapical approach may be a suitable therapeutic option for these patients. The balloon-expandable Edwards-SAPIEN prosthesis and the self-expandable Medtronic Core- Valve system have received CE approval and more than 10,000 patients have been treated worldwide.Both methods share the same main principles: after crossing the stenotic aortic valve, balloon valvuloplasty is performed during a short episode of rapid ventricular pacing to predilate the native valve. After careful positioning of the valve prosthesis using either transesophageal echocardiography or fluoroscopy or both, the valve is released.30-day mortality ranges between 8% and 15% in different registries in higher-risk patients. Nonetheless, larger randomized trials are warranted in order to validate the safety and effectiveness of this new approach.

show abstract

Kathetergestützte Aortenklappenimplantation aus chirurgischer Sicht

Cited by 4 publications

References 14 publications

Meshalkin National Medical Research Center

Meshalkin National Medical Research Center

Aktueller Stand der interventionellen und chirurgischen Aortenklappenimplantation

Kathetergestützte Aortenklappenimplantation

Contact Info

Product

Resources

About