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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Related Experiment Video

Updated: May 5, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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[Transcatheter aortic valve implantation (TAVI)].

H Möllmann1, W-K Kim, T Walther

  • 1Abteilung für Kardiologie, Kerckhoff-Klinik Bad Nauheim, Benekestr. 2-8, 61231, Bad Nauheim, Deutschland, h.moellmann@kerckhoff-klinik.de.

Der Internist
|November 21, 2013
PubMed
Summary

Transcatheter aortic valve implantation (TAVI) offers a safe and effective alternative for elderly, high-risk patients with aortic valve stenosis (AS). This minimally invasive procedure shows superiority over traditional medical management for this growing patient population.

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Aortic valve stenosis (AS) is the most prevalent acquired heart valve disease in industrialized nations.
  • Increasing life expectancy leads to a rise in elderly patients with AS and comorbidities.
  • Conventional aortic valve replacement is effective but poses risks for high-risk individuals.

Purpose of the Study:

  • To evaluate transfemoral or transapical aortic valve implantation (TAVI) as an alternative for elderly, high-risk AS patients.
  • To compare TAVI efficacy against standard medical treatment in this specific patient group.
  • To highlight the importance of a multidisciplinary heart team approach and advanced imaging for TAVI.

Main Methods:

  • Review of available data from randomized trials and large-scale registries on TAVI.
  • Emphasis on patient selection through a consensus conference involving cardiac surgeons and cardiologists.
  • Requirement for sophisticated pre-interventional imaging for successful transcatheter treatment.

Main Results:

  • Transfemoral or transapical aortic valve implantation (TAVI) has emerged as a valuable alternative for elderly, high-risk patients.
  • TAVI demonstrates superiority compared to standard medical treatment in high-risk populations.
  • Current data suggests TAVI is a promising treatment modality.

Conclusions:

  • TAVI is a safe and effective option for elderly patients with aortic valve stenosis and high surgical risk.
  • A collaborative heart team approach and detailed imaging are crucial for successful TAVI outcomes.
  • Ongoing research and data collection will further define the role of TAVI in managing AS.