Transcatheter Aortic valve replacement, An Issue of Interventional Cardiology Clinics

1st Edition, Volume 10-4 - September 29, 2021
Editor: Marvin H. Eng
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 8 6 6 - 4
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 8 6 7 - 1

This issue of Interventional Cardiology Clinics, edited by Dr. Marvin H. Eng, will focus on Transcatheter aortic valve replacement. Topics discussed in this issue include, but ar… Read more

Transcatheter Aortic valve replacement, An Issue of Interventional Cardiology Clinics

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This issue of Interventional Cardiology Clinics, edited by Dr. Marvin H. Eng, will focus on Transcatheter aortic valve replacement. Topics discussed in this issue include, but are not limited to: Choosing between transcatheter heart valves and surgery in a world with low-risk TAVR, Femoral access, hemostasis and vascular complications for TAVR, Balloon expandable Edwards Sapien Transcatheter Heart Valves:　 Safety and Efficacy, Conduction Delay and Pacing in TAVR, Mechanical complications of TAVR, Risk and mitigation of coronary obstruction in TAVR, Valve-in-Valve TAVR, Alternative Access for TAVR, Neurological complications in TAVR, Early leaflet thickening, durability and bioprosthetic valve failure in TAVR, Treatment of Bicuspid aortic valve stenosis using transcatheter heart valves, Revascularization in the TAVR population and New Bioprosthetic valve technologies.　

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Choosing Between Transcatheter Aortic Valve Replacement and Surgery in the Low-Risk Transcatheter Aortic Valve Replacement Era
Key points
Introduction
Anatomic considerations
Long-term management considerations
Summary
Clinics care points
Femoral Access, Hemostasis, and Complications for Transcatheter Aortic Valve Replacement
Key points
Background
Anatomy
Large-bore access
Hemostasis techniques
Complications and management
Summary
Blowing it up: A Review of Balloon-Expandable Transcatheter Aortic Valve Replacement
Key points
Introduction
PARTNER trial—Cohort B and Cohort A
PARTNER 2A trial
PARTNER 3 trial
Device evolution
When to use a balloon-expandable transcatheter heart valve
Summary
Clinics care points
Disclosure
Transcatheter Aortic Valve Replacement with a Self-Expanding Prosthesis
Key points
Introduction
Self-expanding transcatheter aortic valve replacement for high-risk patients
Self-expanding transcatheter aortic valve replacement for intermediate-risk patients
Self-expanding transcatheter aortic valve replacement for low-risk patients
Self-expanding transcatheter aortic valve replacement devices: CoreValve to Evolut R/Pro/+
Comparison of balloon-expandable to self-expanding transcatheter aortic valve replacement
Technical considerations
Complications
Durability—structural valve deterioration and bioprosthetic valve failure
Summary
Video loops for online
Supplementary data
Conduction Disturbances and Pacing in Transcatheter Aortic Valve Replacement
Key points
Introduction
The mechanism of conduction disturbances
Pacemaker implantation after transcatheter aortic valve replacement
The impact of left bundle branch brock
Risk factors for conduction disturbances after transcatheter aortic valve replacement
Membranous septum assessment in preprocedural computed tomography
Management of patients at high estimated risk of pacemaker
Summary
Clinics care points
Disclosures
Human and animal rights and informed consent
Mechanical Complications of Transcatheter Aortic Valve Replacement
Key points
Background
Annular rupture
Valve embolization
Paravalvular leak
Left ventricular outflow tract obstruction with suicide left ventricle
Ventricular perforation
Mitral valve injury
Summary
Risk and Mitigation of Coronary Obstruction in Transcatheter Aortic Valve Replacement
Key points
Introduction
What defines coronary obstruction, and how often does it occur?
Which patients are at risk for coronary obstruction?
How can we mitigate the risk of coronary obstruction?
What is the clinical presentation of and how can we manage coronary obstruction?
Summary
Clinics care points
Valve-in-Valve Transcatheter Aortic Valve Replacement, with Present-Day Innovations and Up-to-Date Techniques
Key points
Introduction
Bioprosthetic surgical valve structure
Safety of valve-in-valve transcatheter aortic valve replacement
Preoperative planning for valve-in-valve transcatheter aortic valve replacement
Valve-in-valve App
Procedural technique
Complications
Transvalvular gradient following valve-in-valve transcatheter aortic valve replacement
Bioprosthetic valve fracture
Risk of coronary obstruction following valve-in-valve transcatheter aortic valve replacement
Pre–valve-in-valve transcatheter aortic valve replacement leaflet modification technique (bioprosthetic or native aortic scallop intentional laceration to prevent coronary artery obstruction)
Controversies and future perspectives
Alternative Access for Transcatheter Aortic Valve Replacement: A Comprehensive Review
Key points
Introduction
Antegrade (transseptal) access
Transthoracic (apical [transapical] and direct aortic [transaortic]) access
Suprasternal access
Transaxillary access
Transcarotid access
Transcaval access
Summary
Neurologic Complications in Transcatheter Aortic Valve Replacement
Key points
Introduction
Definitions and distinctions
Timing, mechanism, and predictors of stroke in transcatheter aortic valve replacement patients
Implications of stroke to the patient and health care system
Stroke prevention
Summary
Clinics care points
Early Leaflet Thickening, Durability and Bioprosthetic Valve Failure in TAVR
Key points
Introduction
Surgical valve durability
Leaflet thickening
Leaflet degeneration
Valve durability
Coronary access
Valve-in-valve
Younger patients
Summary
Clinics care points
Treatment of Bicuspid Aortic Valve Stenosis Using Transcatheter Heart Valves
Key points
Introduction
Bicuspid aortic valve morphology
Other anatomic considerations
Imaging for transcatheter aortic valve replacement in bicuspid aortic valve
Early experience
Contemporary studies
Paravalvular leak and permanent pacemaker
Strokes and cerebral embolic protection
Prosthesis choice
Balloon sizing and preimplant ballooning
Durability
Summary
Revascularization in the Transcatheter Aortic Valve Replacement Population
Key points
Introduction
Rationale of coronary revascularization in transcatheter aortic valve replacement
Prognostic role of coronary artery disease in transcatheter aortic valve replacement patients
Selective versus routine coronary revascularization
Timing of coronary revascularization
Coronary events following transcatheter aortic valve replacement
Summary
Transcatheter Aortic Valve Replacement: Advances in Procedural Technology and Approaches
Key points
Case Presentation
Introduction
New valve technologies
Transcatheter aortic valve replacement in bicuspid valves
New Approaches to Pacing
Unilateral transcatheter aortic valve replacement access
New valve deployment techniques and future directions
New vascular closure devices
Cerebral Embolic Protection
Clinics care points
Summary