Aortic Valve Transcatheter Intervention -

Aortic Valve Transcatheter Intervention

Complications and Solutions
Buch | Hardcover
288 Seiten
2021
Wiley-Blackwell (Verlag)
978-1-119-72059-1 (ISBN)
157,18 inkl. MwSt
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Aortic Valve Transcatheter Intervention

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.

Marco Zimarino, Institute of Cardiology "G. d'Annunzio" University, Interventional Cath Lab, ASL 2 Abruzzo, Chieti, Italy

Ron Waksman, MedStar Heart & Vascular Institute, Medstar Washington Hospital Center, Washington, DC, USA

Ignacio J. Amat-Santos, Department of Cardiology, Instituto de Ciencias del Corazon, Centro de Investigacion Biomedica en Red de Enfermedades Cardiovasculares, Hospital Clinico Universitario de Valladolid, Spain

Corrado Tamburino, Azienda Ospedaliero-Universitaria Policlinico "G. Rodolico- San Marco", University of Catania, Catania, Italy

List of Contributors vii


Foreword xiii
Alain Cribier


1 Introduction 1
Marco Zimarino and Corrado Tamburino


Part I General Complications 7


2 Vascular Complications 9
Sebastiano Imme and Claudia I. Tamburino


3 Annular Rupture 17


Claudia Reddavid, Carmelo Sgroi, Corrado Tamburino, and Marco Barbanti


4 Coronary Obstruction 25
Henrique B. Ribeiro, Antonio Fernando D. Freire, and Josep Rodes-Cabau


5 Cerebrovascular Events 35
Luca Testa, Mattia Squillace, Antonio Popolo Rubbio, Matteo Casenghi, Michele Bellamoli, and Francesco Bedogni


6 Ventricular Perforation 45
Mei Chau, Alfonso Ielasi, and Azeem Latib


7 Valve Migration 55
Heath SL Adams, Tiffany Patterson, Simon Redwood, and Bernard Prendergast


8 Paravalvular Leaks 65
Joris Ooms, Zouhair Rahhab, and Nicolas M. Van Mieghem


9 Conduction Disturbances 79
Itsik Ben-Dor and Ron Waksman


10 Leaflet Thrombosis 91
Sam Dawkins, Tarun Chakravarty, and Raj Makkar


11 Bleeding 97
Francesco Radico, Raffaele Piccolo, Umberto Ianni, Sabina Gallina, and Marco Zimarino


12 Renal Dysfunction 109
Francesco Saia, Gabriele Ghetti, and Nevio Taglieri


Part II Specific Complications 117


13 Bicuspid Valve 119
Anna Franzone, Eugenio Stabile, Plinio Cirillo, and Giovanni Esposito


14 Degenerated Aortic Bioprosthesis 129
Tania Rodriguez-Gabella, Carlos Cortes, Alberto San Roman, and Ignacio J. Amat-Santos


15 Low-Flow Low-Gradient Aortic Stenosis 139
Francesco Cardaioli, Chiara Fraccaro, Tommaso Fabris, and Giuseppe Tarantini


16 Concomitant Mitral Regurgitation 147
Felice Gragnano, Carmen Spaccarotella, Andreina Carbone, Augusto Esposito, Paolo Calabro, and Giampaolo Niccoli


17 Alternative Transcatheter Approaches 161
Marco De Carlo, Cristina Giannini, and Anna Sonia Petronio


18 Transapical and Direct Aortic Approach 171
Filippo Capestro, Paolo Berretta, Utz Kappert, and Marco Di Eusanio


19 Patients Needing Hemodynamic Support 179
Jacopo Andrea Oreglia, Federico De Marco, Francesco Soriano, and Stefano Nava


20 Coronary Angiography and Interventions After TAVI 189
Stefano Cannata, Matteo Perfetti, Tanya Salvatore, Caterina Gandolfo, and Nicola Maddestra


21 Complex Femoral Accesses 201
Damiano Regazzoli, Jorge Sanz-Sanchez, Giulio Stefanini, and Bernhard Reimers


22 Low-Risk Patients 211
Brian C. Case, Toby Rogers, and Ron Waksman


23 Gender Peculiarities 229
Ridhima Goel, Davide Cao, and Roxana Mehran


24 The Pathologist Perspective 237
Sho Torii, Yu Sato, Dipti Surve, Maria E. Romero, Aloke V. Finn, and Renu Virmani


25 Conclusion: What We Learnt from Clinical Trials and Real-World Experience 253
Paolo D'Arrigo, Piera Capranzano, and Davide Capodanno


Index 259

Erscheinungsdatum
Verlagsort Hoboken
Sprache englisch
Maße 189 x 257 mm
Gewicht 782 g
Einbandart gebunden
Themenwelt Medizinische Fachgebiete Chirurgie Herz- / Thorax- / Gefäßchirurgie
Schlagworte Aortenchirurgie • Aortenklappen • Aortenklappeninsuffizienz • Aortenklappenstenose • Herzchirurgie • Herzklappenprothesen • Kathetergestützte Aortenklappenimplantation • Transkatheter-Aortenklappen-Implantation
ISBN-10 1-119-72059-1 / 1119720591
ISBN-13 978-1-119-72059-1 / 9781119720591
Zustand Neuware
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