Transcatheter aortic valve implantation for severe regurgitation in native and degenerated bioprosthetic aortic valves

Sarkar, Kunal; Sardella, Gennaro; Romeo, Francesco; Benedictis, Mauro De; Tarsia, Giandomenico; Iadanza, Alessandro; Sharma, Samin K.; Barbanti, Marco; Tamburino, Corrado

doi:10.1002/ccd.24479

Cited by 21 publications

(13 citation statements)

References 17 publications

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“…There have been multiple reports of complications of the procedure, including access issues (31–33), aortic root trauma (34–36), malpositioning of the THV (37–39), coronary obstruction (40,41), paravalvular regurgitation (PAR) (42–49), ventricular septal or mitral leaflet perforation (35), and cardiogenic shock (50,51). This imaging compendium from the PARTNER trials is intended to be a comprehensive compilation of intraprocedural complications imaged by using intraprocedural TEE and diagnostic tools to anticipate and/or prevent their occurrence.…”

mentioning

confidence: 99%

Echocardiographic Imaging of Procedural Complications During Balloon-Expandable Transcatheter Aortic Valve Replacement

Hahn

Kodali

Tuzcu

et al. 2015

JACC: Cardiovascular Imaging

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Transcatheter aortic valve replacement (TAVR) using a balloon-expandable valve is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high risk or inoperable patients. Intraprocedural transesophageal echocardiography (TEE) offers real-time imaging guidance throughout the procedure and allows for rapid and accurate assessment of complications and procedural results. The value of intraprocedural TEE for TAVR will likely increase in the future as this procedure is performed in lower surgical risk patients, who also have lower risk for general anesthesia, but a greater expectation of optimal results with lower morbidity and mortality. This imaging compendium from the PARTNER (Placement of Aortic Transcatheter Valves) trials is intended to be a comprehensive compilation of intraprocedural complications imaged by intraprocedural TEE and diagnostic tools to anticipate and/or prevent their occurrence.

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mentioning

confidence: 99%

Echocardiographic Imaging of Procedural Complications During Balloon-Expandable Transcatheter Aortic Valve Replacement

Hahn

Kodali

Tuzcu

et al. 2015

JACC: Cardiovascular Imaging

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“…The authors published the first successful series of TAVR in severe native AR (Aortic Regurgitation). 25 A recent multicenter registry 26 examined outcomes after TAVR for AR. It demonstrated a lower success rate and increased 30-day and 1-year mortality for patients who underwent TAVR for AR versus AS.…”

Section: Ongoing Trials With Transcatheter Aortic Valve Replacementmentioning

confidence: 99%

Current Status of Transcatheter Aortic Valve Replacement

Sarkar

2015

Medical Clinics of North America

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“…The main advantage of this method is the reduced invasiveness for the patient, as the need for cardiopulmonary bypass is eliminated and the procedure results in faster recovery (Walther et al , ) and better haemodynamic performance than surgically implanted stented valves (Clavel et al , ). Taking into consideration the advantages associated with TAVI, this technique is currently offered not only to inoperable or high‐risk patients (Sarkar et al , ), but also to those with fewer contraindications to surgery (Tamburino et al , ), and the results obtained in the intermediate‐risk patient cohort are comparable to the surgical replacement (Leon et al , ).…”

Section: Heart Valve Implantation Proceduresmentioning

confidence: 99%

The future of heart valve replacement: recent developments and translational challenges for heart valve tissue engineering

Fioretta

Dijkman

Emmert

et al. 2017

J Tissue Eng Regen Med

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Heart valve replacement is often the only solution for patients suffering from valvular heart disease. However, currently available valve replacements require either life-long anticoagulation or are associated with valve degeneration and calcification. Moreover, they are suboptimal for young patients, because they do not adapt to the somatic growth. Tissue-engineering has been proposed as a promising approach to fulfil the urgent need for heart valve replacements with regenerative and growth capacity. This review will start with an overview on the currently available valve substitutes and the techniques for heart valve replacement. The main focus will be on the evolution of and different approaches for heart valve tissue engineering, namely the in vitro, in vivo and in situ approaches. More specifically, several heart valve tissue-engineering studies will be discussed with regard to their shortcomings or successes and their possible suitability for novel minimally invasive implantation techniques. As in situ heart valve tissue engineering based on cell-free functionalized starter materials is considered to be a promising approach for clinical translation, this review will also analyse the techniques used to tune the inflammatory response and cell recruitment upon implantation in order to stir a favourable outcome: controlling the blood-material interface, regulating the cytokine release, and influencing cell adhesion and differentiation. In the last section, the authors provide their opinion about the future developments and the challenges towards clinical translation and adaptation of heart valve tissue engineering for valve replacement.

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Transcatheter aortic valve implantation for severe regurgitation in native and degenerated bioprosthetic aortic valves

Abstract: TAVI with the CRS bioprosthesis is feasible and effective in appropriately selected cases of severe aortic regurgitation in native and bioprosthetic aortic valves.

Cited by 21 publications

References 17 publications

Echocardiographic Imaging of Procedural Complications During Balloon-Expandable Transcatheter Aortic Valve Replacement

Echocardiographic Imaging of Procedural Complications During Balloon-Expandable Transcatheter Aortic Valve Replacement

Current Status of Transcatheter Aortic Valve Replacement

The future of heart valve replacement: recent developments and translational challenges for heart valve tissue engineering

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