Commissural Alignment and Coronary Access after Transcatheter Aortic Valve Replacement

Autor: Angelo Quagliana, Nicholas J. Montarello, Yannick Willemen, Pernille S. Bække, Troels H. Jørgensen, Ole De Backer, Lars Sondergaard
Rok vydání: 2023
Předmět:
Zdroj: Journal of Clinical Medicine. 12:2136
ISSN: 2077-0383
Popis: Transcatheter aortic valve implantation (TAVR) is the first therapeutic option for elderly patients with severe symptomatic aortic stenosis, and indications are steadily expanding to younger patients and subjects with lower surgical risk and longer life expectancy. Commissural alignment between native and transcatheter valves facilitates coronary access after TAVR and is thus considered a procedural goal, allowing long-term management of coronary artery disease. Moreover, commissural alignment may potentially have a positive impact on transvalvular hemodynamic and valve durability. This review focus on technical hints to achieve commissural alignment and current evidence for different transcatheter aortic valves.
Databáze: OpenAIRE
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