Prior Balloon Valvuloplasty Versus Direct Transcatheter Aortic Valve Replacement
نویسندگان
چکیده
منابع مشابه
Transcatheter Aortic Valve Replacement: A Review Article
Transcatheter aortic valve replacement (TAVR) is a novel therapeutic intervention for the replacement of severely stenotic aortic valves in high-risk patients for standard surgical procedures. Since the initial PARTNER trial results, use of TAVR has been on the rise each year. New delivery methods and different valves have been developed and modified in order to promote the minimally invasive p...
متن کاملPrior balloon valvuloplasty versus DIRECT transcatheter Aortic Valve Implantation (DIRECTAVI): study protocol for a randomized controlled trial
BACKGROUND Balloon predilatation of the aortic valve has been regarded as an essential step during the transcatheter aortic valve implantation (TAVI) procedure. However, recent evidence has suggested that aortic valvuloplasty may cause complications and that high success rates may be obtained without prior dilatation of the valve. We hypothesize that TAVI performed without predilatation of the ...
متن کاملTransapical transcatheter aortic valve implantation without prior balloon aortic valvuloplasty: feasible and safe.
OBJECTIVES Currently, preimplant balloon aortic valvuloplasty (BAV) is considered a prerequisite for successful subsequent transapical transcatheter aortic valve implantation (TA-TAVI) using balloon-expandable devices. However, cerebral embolization has been shown to originate at least in part from BAV procedures. Omitting BAV may therefore reduce neurological events after TAVI and facilitate t...
متن کاملBalloon Sizing for Transcatheter Aortic Valve Replacement*
When the association of paravalvular leak (PVL) and increased mortality was first described in 2012 at the 2-year PARTNER I presentation (1), the transcatheter aortic valve replacement (TAVR) community reacted with great concern that this promising technology was beginning to show signs of weakness. Since then, a great deal of data has been reported from multiple registries confirming this asso...
متن کاملRoutine Predeployment Balloon Aortic Valvuloplasty During Transcatheter Aortic Valve Replacement: Time to Move On?
R outine predeployment balloon aortic valvuloplasty (BAV) has historically been considered an essential part of the transcatheter aortic valve replacement (TAVR) procedure, ensuring unimpeded delivery of the prosthetic valve across the stenotic aortic valve, optimal valve expansion, and hemodynamic stability during valve deployment. This was particularly pertinent for first-generation valves wi...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2020
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2019.12.006