Transcatheter Structural Heart Interventions in the Acute Setting: An Emerging Indication

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Structural heart disease prevalence increases with age.
• Transcatheter interventions are established for stable valvular disease.
• Acute settings for valvular disease management are emerging.

Purpose of the Study:

• To review acute transcatheter structural heart interventions in emergent settings.
• To discuss patient selection and future directions.
• To analyze interventions for mitral and aortic valve disease.

Main Methods:

• Review of existing literature on acute transcatheter interventions.
• Focus on mitral transcatheter edge-to-edge repair and transcatheter aortic valve implantation.
• Analysis of data in acute ischemic and decompensated heart failure contexts.

Main Results:

• Transcatheter interventions are being explored in acute settings.
• Mitral and aortic valve interventions show promise.
• Data on optimal patient phenotypes is evolving.

Conclusions:

• Acute transcatheter interventions offer new options for emergent valvular disease.
• Further research is needed to define optimal patient selection.
• The field is rapidly advancing with potential for improved outcomes.