Interv Akut Kardiol. 2016;15(1):19-25 | DOI: 10.36290/kar.2016.004

Aortic stenosis: new indications for transcatheter aortic valve implantation

Michael Želízko1, Bronislav Janek1, Marek Hrnčárek1, Jiří Malý2, Ivan Netuka2, Lucia Barčiaková2
1 Klinika kardiologie IKEM, Praha
2 Klinika kardiovaskulární chirurgie, IKEM, Praha

Transcatheter aortic valve implantation today represents an alternative to cardiac surgery in patients with a high surgical risk, in specific

situations (porcelain aorta, coronary bypass grafts) or in patients with absolute contraindication to surgical aortic valve replacement.

These original indications are gradually being extended to less risky patients and to other groups of patients (valve-in-valve implantation,

bicuspid aortic valve or combined stenosis and insufficiency). The article summarizes the current view of the indication for the procedure

with respect to certain specific situations and describes the potential risks of the procedure and mid-term results of our TAVI patient group.

Keywords: aortic stenosis, left ventricle dysfunction, TAVI, frailty, futility

Published: February 1, 2016  Show citation

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Želízko M, Janek B, Hrnčárek M, Malý J, Netuka I, Barčiaková L. Aortic stenosis: new indications for transcatheter aortic valve implantation. Interv Akut Kardiol. 2016;15(1):19-25. doi: 10.36290/kar.2016.004.
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References

  1. Schwarz F, et al. The effect of aortic valve replacement on survival. Circulation. 1982; 66(5): 1105-1110. Go to original source... Go to PubMed...
  2. Cribier A, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation. 2002; 106(24): 3006-3008. Go to original source... Go to PubMed...
  3. Osnabrugge RLJ, et al. Aortic stenosis in the elderly: disease prevalence and number of candidates for transcatheter aortic valve replacement: a meta-analysis and modeling study. J Am Coll Cardiol. 2013; 62(11): 1002-1012. Go to original source... Go to PubMed...
  4. Leon MB, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010; 363(17): 1597-1607. Go to original source... Go to PubMed...
  5. Smith CR, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011; 364: 2184-2198. Go to original source... Go to PubMed...
  6. George JC, et al. Transcatheter aortic valve implantation: Lessons from the PARTNER (Placement of Aortic Transcatheter Valves) trial. JACC Cardiovascular Interventions. 2011; 4(1): 132-133. Go to original source... Go to PubMed...
  7. Kodali SK, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012; 366(18): 1686-1695. Go to original source... Go to PubMed...
  8. Kapadia SR, et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial. The Lancet. 2015; 385(9986): 2485-2491. Go to original source... Go to PubMed...
  9. Mack MJ, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. The Lancet. 2015; 385: 2477-2484. Go to original source... Go to PubMed...
  10. Vahanian A, et al. Guidelines on the management of valvular heart disease (version 2012): the joint task force on the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2012; 33(19): 2451-2496. Go to original source... Go to PubMed...
  11. Nishimura RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease. J Am Coll Cardiol. 2014; 63(22): e57-e185. Go to original source... Go to PubMed...
  12. Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter Aortic-Valve Replacementwith a Self-Expanding Prosthesis. N Engl J Med 2014; 370: 1790-1798. Go to original source... Go to PubMed...
  13. Reardon M. A Randomized Comparison of Self-expanding Transcatheter and Surgical Aortic Valve Replacement in Patients with Severe Aortic Stenosis Deemed at Increased Risk for Surgery 2-Year Outcomes. Presented at ACC March 2015. San Diego, CA.
  14. Popma JJ. CoreValve US Pivotal trial extreme risk iliofemoral study results. Presented at TCT, 2013, San Francisco, USA.
  15. Thyregod HG, Steinbrüchel DA, Ihlemann N, et al. Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Valve Stenosis: 1-Year Results From the All-Comers NOTION Randomized Clinical Trial. J Am Coll Cardiol. 2015 May 26; 65(20): 2184-2194.
  16. Mylotte D, et al. Transcatheter heart valve implantation for failing surgical bioprostheses: technical considerations and evidence for valve-in-valve procedures. Heart. 2013; 99(13): 960-967. Go to original source... Go to PubMed...
  17. Kappetein AP, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. J Am Coll Cardiol. 2012; 60(15): 1438-1454. Go to original source... Go to PubMed...
  18. Eggebrecht H, et al. Risk of stroke after transcatheter aortic valve implantation (TAVI): a meta-analysis of 10,037 published patients. EuroIntervention. 2012; 8(1): 129-138. Go to original source... Go to PubMed...
  19. Nuis RJ, et al. Timing and potential mechanisms of new conduction abnormalities during the implantation of the Medtronic CoreValve System in patients with aortic stenosis. Eur Heart J. 2011; 32(16): 2067-2074. Go to original source... Go to PubMed...
  20. Athappan G, et al. Incidence, predictors, and outcomes of aortic regurgitation after transcatheter aortic valve replacement: meta-analysis and systematic review of literature. J Am Coll Cardiol. 2013; 61(15): 1585-1595. Go to original source... Go to PubMed...
  21. Généreux P, et al. Paravalvular leak after transcatheter aortic valve replacement: the new Achilles' heel? A comprehensive review of the literature. J Am Coll Cardiol. 2013; 61(11): 1125-1136. Go to original source... Go to PubMed...




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