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Aortic Valve Transcatheter Intervention
Complications and Solutions
Marco Zimarino (Edited by), M Zimarino (Author), Ron Waksman (Edited by), Ignacio J. Amat-Santos (Edited by), Corrado Tamburino (Edited by)
9781119720591, Wiley
Hardback, published 27 May 2021
288 pages
25.6 x 18.5 x 2 cm, 0.771 kg
Aortic Valve Transcatheter Intervention Calcific aortic stenosis (AS) is the most common heart valve anomaly, with a largely age-dependent prevalence, a calculated annual incidence rate in the range of 4-5% in general populations and up to 6% in patients aged 75 years and over. Surgical aortic valve replacement (SAVR) was previously the only option available to patients with symptomatic, severe aortic stenosis. After the first-in-human transcatheter aortic valve implantation (TAVI) was performed by Alain Cribier in 2002, the treatment strategy for patients with symptomatic AS has been revolutionized. Since then, TAVI has grown exponentially, as a result of accruing evidence demonstrating safety and efficacy, and reduced invasiveness compared with SAVR. TAVI devices are continuously expanding to include several valve design options. As this strategy is continuously evolving to treat younger patients and lower-risk populations, aside from the long-term durability of the valve systems, procedural safety will become the focus of newer-generation devices. This book is a practical handbook devoted to the optimization of TAVI procedures, through a focused containment of complications. Through an integrated evaluation of the clinical status, imaging techniques and laboratory findings, the authors provide readers with clear messages on preventive and therapeutic recommendations.
List of Contributors vii Foreword xiii 1 Introduction 1 Part I General Complications 7 2 Vascular Complications 9 3 Annular Rupture 17 Claudia Reddavid, Carmelo Sgroi, Corrado Tamburino, and Marco Barbanti 4 Coronary Obstruction 25 5 Cerebrovascular Events 35 6 Ventricular Perforation 45 7 Valve Migration 55 8 Paravalvular Leaks 65 9 Conduction Disturbances 79 10 Leaflet Thrombosis 91 11 Bleeding 97 12 Renal Dysfunction 109 Part II Specific Complications 117 13 Bicuspid Valve 119 14 Degenerated Aortic Bioprosthesis 129 15 Low-Flow Low-Gradient Aortic Stenosis 139 16 Concomitant Mitral Regurgitation 147 17 Alternative Transcatheter Approaches 161 18 Transapical and Direct Aortic Approach 171 19 Patients Needing Hemodynamic Support 179 20 Coronary Angiography and Interventions After TAVI 189 21 Complex Femoral Accesses 201 22 Low-Risk Patients 211 23 Gender Peculiarities 229 24 The Pathologist Perspective 237 25 Conclusion: What We Learnt from Clinical Trials and Real-World Experience 253 Index 259
Alain Cribier
Marco Zimarino and Corrado Tamburino
Sebastiano Immè and Claudia I. Tamburino
Henrique B. Ribeiro, Antonio Fernando D. Freire, and Josep Rodés-Cabau
Luca Testa, Mattia Squillace, Antonio Popolo Rubbio, Matteo Casenghi, Michele Bellamoli, and Francesco Bedogni
Mei Chau, Alfonso Ielasi, and Azeem Latib
Heath SL Adams, Tiffany Patterson, Simon Redwood, and Bernard Prendergast
Joris Ooms, Zouhair Rahhab, and Nicolas M. Van Mieghem
Itsik Ben-Dor and Ron Waksman
Sam Dawkins, Tarun Chakravarty, and Raj Makkar
Francesco Radico, Raffaele Piccolo, Umberto Ianni, Sabina Gallina, and Marco Zimarino
Francesco Saia, Gabriele Ghetti, and Nevio Taglieri
Anna Franzone, Eugenio Stabile, Plinio Cirillo, and Giovanni Esposito
Tania Rodríguez-Gabella, Carlos Cortés, Alberto San Román, and Ignacio J. Amat-Santos
Francesco Cardaioli, Chiara Fraccaro, Tommaso Fabris, and Giuseppe Tarantini
Felice Gragnano, Carmen Spaccarotella, Andreina Carbone, Augusto Esposito, Paolo Calabrò, and Giampaolo Niccoli
Marco De Carlo, Cristina Giannini, and Anna Sonia Petronio
Filippo Capestro, Paolo Berretta, Utz Kappert, and Marco Di Eusanio
Jacopo Andrea Oreglia, Federico De Marco, Francesco Soriano, and Stefano Nava
Stefano Cannata, Matteo Perfetti, Tanya Salvatore, Caterina Gandolfo, and Nicola Maddestra
Damiano Regazzoli, Jorge Sanz-Sánchez, Giulio Stefanini, and Bernhard Reimers
Brian C. Case, Toby Rogers, and Ron Waksman
Ridhima Goel, Davide Cao, and Roxana Mehran
Sho Torii, Yu Sato, Dipti Surve, Maria E. Romero, Aloke V. Finn, and Renu Virmani
Paolo D’Arrigo, Piera Capranzano, and Davide Capodanno
Subject Areas: Medicine: general issues [MB]
