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Published on: March 26, 2018
Transcatheter aortic valve implantation: the new option for high-risk patients with aortic stenosis
Anna Olasińska-Wiśniewska1, Marek Grygier, Maciej Lesiak
11st Department of Cardiology, Poznan University of Medical Sciences, ul. Dluga 1/2, Poznan, Poland. anna.olasinska@poczta.onet.pl
Insights
Calcific aortic valve stenosis is a common heart condition. Transcatheter aortic valve implantation (TAVI) offers a promising alternative treatment for patients with severe aortic stenosis who are at high risk for traditional surgery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Valvular Heart Disease
Background:
- Calcific aortic valve stenosis is the most prevalent valvular heart disease in developed nations.
- Severe symptomatic aortic valve stenosis typically requires surgical aortic valve replacement for a positive prognosis.
- Elderly patients with severe, symptomatic aortic stenosis are often denied surgery due to high perioperative risks.
Purpose of the Study:
- To review transcatheter aortic valve implantation (TAVI) systems.
- To identify patient populations who are suitable candidates for TAVI.
- To discuss the benefits and drawbacks of the TAVI procedure.
Main Methods:
- Review of current TAVI systems and technologies.
- Analysis of patient selection criteria for TAVI.
- Evaluation of clinical outcomes, advantages, and disadvantages of TAVI.
Main Results:
- TAVI is an effective alternative for high-risk patients unsuitable for surgical valve replacement.
- The review details various TAVI systems and their specific applications.
- Key advantages and disadvantages of TAVI are presented for informed clinical decision-making.
Conclusions:
- TAVI provides a vital treatment option for selected patients with severe symptomatic aortic stenosis.
- Careful patient selection is crucial for optimizing TAVI outcomes.
- Understanding the TAVI procedure's benefits and risks is essential for managing valvular heart disease.
Abstract:
Calcific aortic valve stenosis is the most common valvular heart disease in developed countries. Without surgery, the prognosis is extremely dismal. Therefore there is general agreement that surgical aortic valve replacement should be offered to patients with symptomatic severe aortic valve stenosis. However, surgery is denied to approx. 30-40% of elderly patients with severe, symptomatic aortic stenosis due to high perioperative risk. Transcatheter aortic valve implantation (TAVI) is a novel and effective procedure which provides a promising treatment option for some of these patients. This review focuses on TAVI systems, the patients who would benefit from TAVI, and the advantages and disadvantages of the procedure.
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