2024 Statement from Asia expert operators on transcatheter pulmonary valve replacement

Area of Science:

• Cardiology
• Minimally Invasive Surgery
• Medical Device Technology

Background:

• Transcatheter pulmonary valve replacement (TPVR), or percutaneous pulmonary valve implantation, is a minimally invasive technique for pulmonary valve replacement.
• Recent advancements in device technology, clinical evidence, and procedural experience have significantly improved TPVR outcomes.
• The growing adoption of TPVR necessitates updated guidelines to ensure standardized and safe clinical practice.

Purpose of the Study:

• To provide an updated consensus statement on Transcatheter Pulmonary Valve Replacement (TPVR) specifically for the Asian region.
• To synthesize the latest research and clinical evidence to facilitate the healthy development of TPVR.
• To establish core viewpoints on key aspects of TPVR procedures.

Main Methods:

• Systematic review of relevant medical literature.
• In-depth analysis of eight critical issues pertaining to TPVR.
• Consensus development based on expert review and evidence synthesis.

Main Results:

• Eight core viewpoints were established through the consensus process.
• Key areas covered include indication recommendations and device selection.
• The consensus addresses perioperative evaluation, procedural precautions, and complication management.

Conclusions:

• The updated consensus provides critical guidance for the standardized and safe implementation of TPVR in Asia.
• It synthesizes current evidence to support decision-making in TPVR procedures.
• The document aims to advance the field of TPVR through evidence-based recommendations.