Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis
Over the past two decades, transcatheter aortic valve implantation (TAVI) for the treatment of degenerative severe aortic valve stenosis has become a well-established therapeutic option with increasing scientific evidence. TAVI procedure indications are not determined purely by the risk of cardiac s...
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Promenade Kft
2024-10-01
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| Series: | Cardiologia Hungarica |
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| Online Access: | https://cardiologia.hungarica.eu/archive/2024-issues/2024-5-contents/expanding-indications-of-transcatheter-aortic-valve-implantation-and-cornerstones-of-the-lifetime-management-of-patients-with-severe-aortic-stenosis?article=open |
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| author | Zalán Gulyás Gábor Kerecsen Emese Tóth-Zsámboki Zsófia Horváth Róbert Gábor Kiss Zoltán Gábor Duray |
| author_facet | Zalán Gulyás Gábor Kerecsen Emese Tóth-Zsámboki Zsófia Horváth Róbert Gábor Kiss Zoltán Gábor Duray |
| author_sort | Zalán Gulyás |
| collection | DOAJ |
| description | Over the past two decades, transcatheter aortic valve implantation (TAVI) for the treatment of degenerative severe aortic valve stenosis has become a well-established therapeutic option with increasing scientific evidence. TAVI procedure indications are not determined purely by the risk of cardiac surgery and progressively, more and more consider patient’s life expectancy. Current guidelines leave "grey zones" alongside the first class recommendations for TAVI and surgical aortic valve replacement (SAVR), providing an opportunity to make optimal decision between different therapies, taking into account advantages and disadvantages of both interventions, patient's interests and local circumstances. Since patients treated with TAVI have come to be younger, several factors and different characteristics of the intervention must be considered individually (lifetime management). In addition to intraventricular conduction disturbances, pacemaker implantation, paravalvular leak, valve durability, the feasibility of percutaneous coronary interventions after TAVI and potential aortic valve reinterventions are the most important issues. The choice of the first intervention – whether it is TAVI or SAVR – is crucial, as it can determine the patient's quality of life, valve durability and the feasibility of subsequent invasive procedures. |
| format | Article |
| id | doaj-art-41ab4f4793be4c62a540161b388f021e |
| institution | Kabale University |
| issn | 0133-5596 1588-0230 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Promenade Kft |
| record_format | Article |
| series | Cardiologia Hungarica |
| spelling | doaj-art-41ab4f4793be4c62a540161b388f021e2024-11-12T09:06:22ZengPromenade KftCardiologia Hungarica0133-55961588-02302024-10-0154536937710.26430/CHUNGARICA.2024.54.5.369Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosisZalán Gulyás0Gábor Kerecsen1Emese Tóth-Zsámboki2Zsófia Horváth3Róbert Gábor Kiss4Zoltán Gábor Duray5Észak-pesti Centrumkórház – Honvédkórház, Kardiológia, BudapestÉszak-pesti Centrumkórház – Honvédkórház, Kardiológia, BudapestÉszak-pesti Centrumkórház – Honvédkórház, Kardiológia, BudapestÉszak-pesti Centrumkórház – Honvédkórház, Kardiológia, BudapestÉszak-pesti Centrumkórház – Honvédkórház, Kardiológia, BudapestÉszak-pesti Centrumkórház – Honvédkórház, Kardiológia, BudapestOver the past two decades, transcatheter aortic valve implantation (TAVI) for the treatment of degenerative severe aortic valve stenosis has become a well-established therapeutic option with increasing scientific evidence. TAVI procedure indications are not determined purely by the risk of cardiac surgery and progressively, more and more consider patient’s life expectancy. Current guidelines leave "grey zones" alongside the first class recommendations for TAVI and surgical aortic valve replacement (SAVR), providing an opportunity to make optimal decision between different therapies, taking into account advantages and disadvantages of both interventions, patient's interests and local circumstances. Since patients treated with TAVI have come to be younger, several factors and different characteristics of the intervention must be considered individually (lifetime management). In addition to intraventricular conduction disturbances, pacemaker implantation, paravalvular leak, valve durability, the feasibility of percutaneous coronary interventions after TAVI and potential aortic valve reinterventions are the most important issues. The choice of the first intervention – whether it is TAVI or SAVR – is crucial, as it can determine the patient's quality of life, valve durability and the feasibility of subsequent invasive procedures.https://cardiologia.hungarica.eu/archive/2024-issues/2024-5-contents/expanding-indications-of-transcatheter-aortic-valve-implantation-and-cornerstones-of-the-lifetime-management-of-patients-with-severe-aortic-stenosis?article=openaortic valve stenosistranscatheter aortic valve implantationtavi durabilityaortic valve reinterventionlifetime management |
| spellingShingle | Zalán Gulyás Gábor Kerecsen Emese Tóth-Zsámboki Zsófia Horváth Róbert Gábor Kiss Zoltán Gábor Duray Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis Cardiologia Hungarica aortic valve stenosis transcatheter aortic valve implantation tavi durability aortic valve reintervention lifetime management |
| title | Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis |
| title_full | Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis |
| title_fullStr | Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis |
| title_full_unstemmed | Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis |
| title_short | Expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis |
| title_sort | expanding indications of transcatheter aortic valve implantation and cornerstones of the lifetime management of patients with severe aortic stenosis |
| topic | aortic valve stenosis transcatheter aortic valve implantation tavi durability aortic valve reintervention lifetime management |
| url | https://cardiologia.hungarica.eu/archive/2024-issues/2024-5-contents/expanding-indications-of-transcatheter-aortic-valve-implantation-and-cornerstones-of-the-lifetime-management-of-patients-with-severe-aortic-stenosis?article=open |
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