Minimalist Approach to Evaluating Patients for Transcatheter Aortic Valve Replacement

Dvir, Danny

doi:10.1161/circinterventions.115.002867

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…53 When monitored anesthetic care or CS is used, TTE is typically used, although some sites report successful intraprocedural imaging using TEE and monitored anesthetic care. 54 Two recent observational studies support the safety of the minimalist anesthetic approach compared with GA. First, the European Society of Cardiologist's Transcatheter Valve Treatment Registry found that survival at 1 year, compared by Kaplan-Meier analysis, was similar between groups (log-rank: P=0.1505), although in the highest tertile logEuroSCORE group, GA patients had higher mortality. Interestingly, GA patients had a higher immediate procedural success rate and a lower rate of periprocedural complications, and CS patients had a strong trend to higher combined (myocardial infarction, major stroke, and in-hospital death rates) adverse event rate (7.0% CS versus 5.3% GA; P=0.053).…”

Section: Intraprocedural Imaging For Specific Valvular Interventions mentioning

confidence: 95%

Transcathether Valve Replacement and Valve Repair

Hahn

2016

Circulation Research

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Transcatheter aortic valve replacement for treatment of aortic stenosis has now become an accepted alternative to surgical valve replacement for some patients. In addition, transcatheter mitral valve repair is also routinely used in high surgical risk patients with mitral regurgitation. Other transcatheter procedures are in rapid development. The current review attempts to summarize the procedures and echocardiographic imaging used for transcatheter valve replacement or valve repair.

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Section: Intraprocedural Imaging For Specific Valvular Interventions mentioning

confidence: 95%

Transcathether Valve Replacement and Valve Repair

Hahn

2016

Circulation Research

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Practical considerations for optimizing cardiac computed tomography protocols for comprehensive acquisition prior to transcatheter aortic valve replacement

Khalique

Pulerwitz

Halliburton

et al. 2016

Journal of Cardiovascular Computed Tomography

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Preprocedural assessment of coronary artery disease in patients undergoing transcatheter aortic valve implantation: Rationale and design of the EASE‐IT CT registry

Mascherbauer,

Rudolph,

Strauch

et al. 2024

Eur J Clin Investigation

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BackgroundInvasive coronary angiography (ICA) is the standard for pre‐procedural assessment of coronary artery disease (CAD) in patients undergoing transcatheter aortic valve implantation (TAVI). However, it requires hospitalization and can be associated with complications. Computed tomography angiography (CTA) may be a viable alternative to rule out prognostically relevant CAD.MethodsThe EASE‐IT CT Registry is an investigator‐initiated, prospective, observational, multicentre pilot registry involving patients aged ≥75 years with severe aortic stenosis (AS) intended to implant a transcatheter heart valve (THV) of the SAPIEN family. A total of 150 patients will be recruited from four sites in Germany and Austria. The registry will consist of two prospective cohorts: the investigational CTA‐only cohort and the CTA + ICA control cohort. The CTA‐only cohort will enrol 100 patients in whom significant (≥50%) left main (LM) and/or proximal left anterior descending artery (LAD) stenosis are ruled out on CTA. The CTA + ICA control cohort will enrol 50 patients who have undergone both CTA and ICA before TAVI and in whom ≥50% LM/proximal LAD stenosis has been ruled out by CTA. Three composite endpoints will be assessed at 3 months post‐TAVI: CAD‐specific endpoints, VARC‐3‐defined device success and early safety.ConclusionThe EASE‐IT CT Registry evaluates whether TAVI can be carried out safely without performing ICA if prognostically relevant CAD of the LM/proximal LAD is ruled out with CTA. If so, the omission of ICA would help streamline the pre‐procedural workup of TAVI patients.

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Minimalist Approach to Evaluating Patients for Transcatheter Aortic Valve Replacement

Cited by 3 publications

References 15 publications

Transcathether Valve Replacement and Valve Repair

Transcathether Valve Replacement and Valve Repair

Practical considerations for optimizing cardiac computed tomography protocols for comprehensive acquisition prior to transcatheter aortic valve replacement

Preprocedural assessment of coronary artery disease in patients undergoing transcatheter aortic valve implantation: Rationale and design of the EASE‐IT CT registry

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