Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

Details

Ressource 1Download: serval:BIB_B144BCE30A0C.P001 (120.90 [Ko])
State: Public
Version: author
License: Not specified
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_B144BCE30A0C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI)
Journal
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association For Cardio-thoracic Surgery
Author(s)
Vahanian A., Alfieri O.R., Al-Attar N., Antunes M.J., Bax J., Cormier B., Cribier A., De Jaegere P., Fournial G., Kappetein A.P., Kovac J., Ludgate S., Maisano F., Moat N., Mohr F.W., Nataf P., Pierard L., Pomar J.L., Schofer J., Tornos P., Tuzcu M., van Hout B., von Segesser L.K., Walther T.
ISSN
1010-7940 (Print)
ISSN-L
1010-7940
Publication state
Published
Issued date
2008
Volume
34
Number
1
Pages
1-8
Language
english
Notes
Publication types: Consensus Development Conference ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
AIMS: To critically review the available transcatheter aortic valve implantation techniques and their results, as well as propose recommendations for their use and development.
METHODS AND RESULTS: A committee of experts including European Association of Cardio-Thoracic Surgery and European Society of Cardiology representatives met to reach a consensus based on the analysis of the available data obtained with transcatheter aortic valve implantation and their own experience. The evidence suggests that this technique is feasible and provides haemodynamic and clinical improvement for up to 2 years in patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery. Questions remain mainly concerning safety and long-term durability, which have to be assessed. Surgeons and cardiologists working as a team should select candidates, perform the procedure, and assess the results. Today, the use of this technique should be restricted to high-risk patients or those with contraindications for surgery. However, this may be extended to lower risk patients if the initial promise holds to be true after careful evaluation.
CONCLUSION: Transcatheter aortic valve implantation is a promising technique, which may offer an alternative to conventional surgery for high-risk patients with aortic stenosis. Today, careful evaluation is needed to avoid the risk of uncontrolled diffusion.
Keywords
Aortic Valve/surgery, Aortic Valve Stenosis/diagnostic imaging, Aortic Valve Stenosis/surgery, Heart Valve Prosthesis Implantation/methods, Minimally Invasive Surgical Procedures/methods
Pubmed
Web of science
Open Access
Yes
Create date
13/07/2018 9:00
Last modification date
25/09/2019 6:10
Usage data