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Transcatheter percutaneous and transapical aortic valve replacement
John G Webb1, Sam Lichtenstein
1Division of Cardiology, St Paul's Hospital, University of British Columbia, Vancouver, BC, USA. webb@providencehealth.bc.ca
Transcatheter aortic valve implantation is a promising alternative for high-risk patients. While outcomes require further study, this minimally invasive procedure is gaining acceptance and likely to become more widespread.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Technology
Background:
- Transcatheter aortic valve implantation (TAVI) has advanced significantly in recent years.
- The femoral arterial and left ventricular apical approaches are currently the preferred methods for TAVI.
Purpose of the Study:
- To review the current status and evolving role of transcatheter aortic valve implantation.
- To address the uncertainties surrounding TAVI outcomes, implications, durability, and its appropriate clinical niche.
Main Methods:
- Review of current literature and clinical practice regarding transcatheter aortic valve implantation.
- Analysis of the evolution and acceptance of TAVI as an alternative to conventional surgery.
Main Results:
- TAVI is increasingly viewed as a viable option for selected high-risk patients unsuitable for traditional surgery.
- Skepticism has diminished, with growing acceptance of TAVI's potential benefits.
Conclusions:
- Transcatheter aortic valve implantation is becoming a more established and accepted therapeutic option.
- Further research is needed to fully elucidate long-term outcomes and optimize TAVI's role in managing aortic valve disease.
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