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Aortic Valve Transcatheter Intervention

ZIMARINO / WAKSMAN et al. --- Neuerscheinung!!

Aortic Valve Transcatheter Intervention
Complications and Solutions

288 Seiten, 1. Auflage, 2021

Calcific aortic stenosis (AS) is the most common heart valve anomaly, with a largely age-dependent prevalence, a calculated annual incidence rate in the range of 4-5% in general populations and up to 6% in patients aged 75 years and over.

Surgical aortic valve replacement (SAVR) was previously the only option available to patients with symptomatic, severe aortic stenosis. After the first-in-human transcatheter aortic valve implantation (TAVI) was performed by Alain Cribier in 2002, the treatment strategy for patients with symptomatic AS has been revolutionized. Since then, TAVI has grown exponentially, as a result of accruing evidence demonstrating safety and efficacy, and reduced invasiveness compared with SAVR. TAVI devices are continuously expanding to include several valve design options. As this strategy is continuously evolving to treat younger patients and lower-risk populations, aside from the long-term durability of the valve systems, procedural safety will become the focus of newer-generation devices.

This book is a practical handbook devoted to the optimization of TAVI procedures, through a focused containment of complications. Through an integrated evaluation of the clinical status, imaging techniques and laboratory findings, the authors provide readers with clear messages on preventive and therapeutic recommendations.

Table of Contents
  • Introduction
  • 2 Vascular Complications
  • 3 Annular Rupture
  • 4 Coronary Obstruction
  • 5 Cerebrovascular Events
  • 6 Ventricular Perforation
  • 7 Valve Migration
  • 8 Paravalvular Leaks
  • 9 Conduction Disturbances
  • 10 Leaflet Thrombosis
  • 11 Bleeding
  • 12 Renal Dysfunction
  • 13 Bicuspid Valve
  • 14 Degenerated Aortic Bioprosthesis
  • 15 Low-Flow Low-Gradient Aortic Stenosis
  • 16 Concomitant Mitral Regurgitation
  • 17 Alternative Transcatheter Approaches
  • 18 Transapical and Direct Aortic Approach
  • 19 Patients Needing Hemodynamic Support
  • 20 Coronary Angiography and Interventions After TAVIN
  • 21 Complex Femoral Accesses
  • 22 Low-Risk Patient
  • 23 Gender Peculiarities
  • 24 The Pathologist Perspective
  • 25 Conclusion: What We Learnt from Clinical Trials and Real-World Experience

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