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[Interventional therapy of aortic valve stenosis in Germany]
1Medizinische Klinik I, Universitätsklinik Gießen, Klinikstr. 33, 35392, Gießen, Deutschland. christian.hamm@innere.med.uni-giessen.de.
Background:
Transcatheter aortic valve implantation (TAVI) has gained importance in recent years for the treatment of symptomatic aortic stenosis in Germany.
Objective:
This article discusses the indications, the procedure itself and safety issues in TAVI.
Material And Methods:
Randomized controlled trials, registry studies, guidelines and expert recommendations are discussed.
Results:
Inoperable patients as well as patients ≥ 75 years with a high perioperative risk and patients ≥ 85 years should primarily be treated by TAVI. The decision must be made following discussions in a heart team. If no contraindications are detected the TAVI procedure should be performed via the transfemoral approach with the patient under conscious sedation. In recent years there has been a significant reduction in complication rates.
Conclusion:
In Germany TAVI is the standard of care for surgical high-risk and inoperable patients with aortic valve stenosis.
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