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Transcatheter aortic valve implantation: status update
Antoinette Neylon1, Khalid Ahmed1, Federico Mercanti1
1Department of Cardiology, University Hospital of Galway, Newcastle Road, Galway, Ireland.
Journal of Thoracic Disease
|December 4, 2018
Summary
Transcatheter aortic valve implantation (TAVI) is a leading treatment for severe aortic stenosis. While TAVI outcomes have improved, further advancements are needed to address remaining complications and expand its use to more patient groups.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Transcatheter aortic valve implantation (TAVI) is now the standard for symptomatic severe aortic stenosis in high-risk patients.
- Significant advancements have enhanced TAVI safety and efficacy, improving patient outcomes.
- Key factors include increased operator experience, refined patient selection, and improved valve/delivery systems.
Purpose of the Study:
- To review the current state of Transcatheter Aortic Valve Implantation (TAVI).
- To identify and discuss the unmet needs and limitations of current TAVI technology.
- To highlight areas for future research and development in TAVI.
Main Methods:
- Review of contemporary literature on Transcatheter Aortic Valve Implantation (TAVI).
- Analysis of procedural complication rates and patient outcomes.
- Identification of patient subgroups and anatomical challenges where TAVI is currently limited.
Main Results:
- Contemporary TAVI demonstrates impressive patient outcomes and reduced procedural complications.
- Despite advances, serious complications associated with TAVI persist.
- Certain anatomical subsets and patient populations remain unsuitable for current TAVI technology.
Conclusions:
- Transcatheter aortic valve implantation (TAVI) has revolutionized aortic stenosis treatment.
- Ongoing challenges include persistent procedural risks and limitations in patient/anatomical applicability.
- Addressing these unmet needs is crucial for the future of TAVI.
Keywords:
Transcatheter aortic valve implantation (TAVI)aortic stenosissurgical aortic valve replacement (SAVR)More Related Videos
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