Aortic valve surgery of the 21st century: sutureless AVR versus TAVI
| Autor: | Horatiu Moldovan, Victor S Costache, Andreea Costache, Catalina Arsenescu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Aortic valve medicine.medical_specialty Standard of care medicine.medical_treatment 030106 microbiology 030204 cardiovascular system & hematology Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Valve replacement Aortic valve replacement medicine Humans Minimally Invasive Surgical Procedures Local anesthesia Heart Valve Prosthesis Implantation Health professionals business.industry General surgery medicine.disease Sternotomy Sutureless Surgical Procedures medicine.anatomical_structure Median sternotomy Aortic Valve Aortic valve surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Minerva Cardiology and Angiology. 66 |
| ISSN: | 2724-5772 2724-5683 |
| DOI: | 10.23736/s0026-4725.17.04558-3 |
| Popis: | Surgical aortic valve replacement (sAVR) has been a safe, effective and time-proven technique and is still the standard of care all over the world for aortic valve treatment. The vast majority of centers perform this procedure by doing a median sternotomy with several disadvantages. While many others specialties went minimally invasive decades ago, in cardiovascular field transcatheter valve implantation was the first minimally invasive valvular procedure that gained rapid worldwide acceptance. Transcatheter valve replacement (TAVR) is now marketed as a procedure that should be performed under local anesthesia, by an interventional cardiologist via trans femoral route with no other healthcare professional invited to the patient selection or case planning. An increasing number of surgeons are promoting minimally invasive aortic valve replacement, which is gaining grounds, especially with the help of the new sutureless valve technology. With these two new technologies emerging, legitimate questions arise and need to be answered - which has the longest durability, lower complication rate and lower overall mortality. |
| Databáze: | OpenAIRE |
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