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Transcatheter Valve Replacement in Asia Pacific: Current Practice and Perspectives.

Francesco Giannini1, Luca Baldetti2, Guglielmo Gallone2

  • 1Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy.

Journal of the American College of Cardiology
|December 15, 2018
PubMed
Summary

Transcatheter valve interventions for valvular heart disease are expanding globally but face challenges in Asia. This review examines devices and clinical experience in Asia, focusing on local innovations.

Keywords:
Asia Pacifictranscatheter valve interventionvalvular heart disease

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Biomedical Engineering

Background:

  • Transcatheter therapies for valvular heart disease (VHD) are rapidly advancing in Western countries.
  • Adoption in Asia has been limited by device costs, training needs, and anatomical variations specific to the Asian population.

Purpose of the Study:

  • To review available transcatheter valve intervention devices in China and the Asia Pacific region.
  • To summarize current clinical experiences with these therapies in Asia.
  • To highlight novel, locally designed and manufactured devices for VHD in Asia.

Main Methods:

  • Literature review of transcatheter valve interventions in China and Asia Pacific.
  • Analysis of device availability and clinical outcomes.
  • Focus on specific anatomical and etiological considerations in the Asian population.

Main Results:

  • Several transcatheter devices are available, with growing clinical experience in Asia.
  • Local manufacturers are developing new devices tailored to Asian patient anatomy and disease prevalence.
  • Challenges remain regarding cost, training, and specialized infrastructure.

Conclusions:

  • Despite challenges, transcatheter valve interventions are increasingly feasible in Asia.
  • Local innovation is crucial for addressing the unmet clinical needs in the region.
  • Further research is needed to optimize long-term outcomes and device durability.