Adjuncts to transcatheter aortic valve implantation

Area of Science:

• Cardiovascular Intervention
• Medical Device Technology

Background:

• Percutaneous valve procedures are rapidly increasing, necessitating technological advancements for safer interventions.
• Transcatheter aortic valve implantation (TAVI) is a key procedure for managing aortic stenosis.

Purpose of the Study:

• To review adjunctive devices, tools, and techniques for transcatheter aortic valve implantation (TAVI).
• To highlight innovative technologies that enhance procedural safety and efficacy.
• To discuss emerging adjuncts not yet in widespread clinical use.

Main Methods:

• Review of current and emerging technologies discussed in national and international structural intervention conferences.
• Focus on well-designed adjuncts that improve procedural outcomes.
• Exclusion of vascular pre-closure systems, which are well-summarized elsewhere.

Main Results:

• Identification of advanced software and devices at the forefront of TAVI technology.
• Showcasing of specific adjuncts that demonstrably improve procedural efficacy and safety.
• Discussion of technologies that are not yet widely adopted but show significant promise.

Conclusions:

• The increasing volume of TAVI procedures requires a parallel decrease in procedural complications.
• Emerging technologies are essential for achieving safer and more effective TAVI interventions.
• The future of TAVI involves continued innovation in adjunctive devices and techniques.