Transcatheter aortic valve implantation: 10-year anniversary. Part II: clinical implications

被引：38

作者：

Genereux, Philippe ^{[1
,2
,3
]}

Head, Stuart J. ^{[4
]}

Wood, David A. ^{[5
]}

Kodali, Susheel K. ^{[1
,2
]}

Williams, Mathew R. ^{[1
,2
]}

Paradis, Jean-Michel ^{[1
,2
]}

Spaziano, Marco ^{[3
]}

Kappetein, A. Pieter ^{[4
]}

Webb, John G. ^{[5
]}

Cribier, Alain ^{[6
]}

Leon, Martin B. ^{[1
,2
]}

机构：

[1] Columbia Univ, Med Ctr, New York, NY 10027 USA

[2] Cardiovasc Res Fdn, New York, NY USA

[3] Univ Montreal, Hop Sacre Coeur Montreal, Montreal, PQ, Canada

[4] Erasmus Univ, Med Ctr, Rotterdam, Netherlands

[5] Univ British Columbia, Vancouver Reg Struct Heart Program, St Pauls Hosp, Vancouver, BC V5Z 1M9, Canada

[6] Univ Hosp Charles Nicolle, Dept Cardiol, Rouen, France

来源：

EUROPEAN HEART JOURNAL | 2012年 / 33卷 / 19期

关键词：

Aortic stenosis; TAVI; TAVR; ACADEMIC RESEARCH CONSORTIUM; PERMANENT PACEMAKER REQUIREMENT; HIGH-RISK PATIENTS; VASCULAR COMPLICATIONS; PREDICTIVE FACTORS; PROGNOSTIC VALUE; EDWARDS-SAPIEN; PARAVALVULAR REGURGITATION; BALLOON OCCLUSION; THORACIC AORTA;

D O I：

10.1093/eurheartj/ehs223

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve implantation (TAVI) has been increasingly recognized as a curative treatment for severe aortic stenosis (AS). Despite important improvements in current device technology and implantation techniques, specific complications still remain and warrant consideration. Vascular complications and peri-procedural neurological events were the first concerns to emerge with this new technology. Recently, significant post procedural para-valvular leak has been shown to be more frequent after TAVI than after surgical aortic valve replacement (SAVR), and its potential association with worse long-term prognostic has raised concerns. In moving toward treatment of lower risk populations, structural integrity and long-term durability of heat valve prosthesis are becoming of central importance. Emerging technologies and newer generations of devices seem promising in dealing with these matters.

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收藏

页码：2399 / +

页数：6

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