Descripción

Print ISBN:9781119720591

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.

Table of Contents

Front Matter (Pages: i-xv)

CHAPTER 1

Introduction (Pages: 1-5)

Marco Zimarino, Corrado Tamburino

Part I : General Complications

CHAPTER 2

Vascular Complications (Pages: 7-15)

Sebastiano Immè, Claudia I. Tamburino

CHAPTER 3

Annular Rupture (Pages: 17-24)

Claudia Reddavid, Carmelo Sgroi, Corrado Tamburino, Marco Barbanti

CHAPTER 4

Coronary Obstruction (Pages: 25-33)

Henrique B. Ribeiro, Antonio Fernando D. Freire, Josep Rodés-Cabau

CHAPTER 5

Cerebrovascular Events (Pages: 35-43)

Luca Testa, Mattia Squillace, Antonio Popolo Rubbio, Matteo Casenghi, Michele Bellamoli, Francesco Bedogni

CHAPTER 6

Ventricular Perforation (Pages: 45-54)

Mei Chau, Alfonso Ielasi, Azeem Latib

CHAPTER 7

Valve Migration (Pages: 55-64)

Heath SL Adams, Tiffany Patterson, Simon Redwood, Bernard Prendergast

CHAPTER 8

Paravalvular Leaks (Pages: 65-77)

Joris Ooms, Zouhair Rahhab, Nicolas M. Van Mieghem

CHAPTER 9

Conduction Disturbances (Pages: 79-89)

Itsik Ben-Dor, Ron Waksman

CHAPTER 10

Leaflet Thrombosis (Pages: 91-96)

Sam Dawkins, Tarun Chakravarty, Raj Makkar

CHAPTER 11

Bleeding (Pages: 97-108)

Francesco Radico, Raffaele Piccolo, Umberto Ianni, Sabina Gallina, Marco Zimarino

CHAPTER 12

Renal Dysfunction (Pages: 109-115)

Francesco Saia, Gabriele Ghetti, Nevio Taglieri

Part II : Specific Complications

CHAPTER 13

Bicuspid Valve (Pages: 117-127)

Anna Franzone, Eugenio Stabile, Plinio Cirillo, Giovanni Esposito

CHAPTER 14

Degenerated Aortic Bioprosthesis (Pages: 129-138)

Tania Rodríguez-Gabella, Carlos Cortés, Alberto San Román, Ignacio J. Amat-Santos

CHAPTER 15

Low-Flow Low-Gradient Aortic Stenosis (Pages: 139-146)

Francesco Cardaioli, Chiara Fraccaro, Tommaso Fabris, Giuseppe Tarantini

CHAPTER 16

Concomitant Mitral Regurgitation (Pages: 147-159)

Felice Gragnano, Carmen Spaccarotella, Andreina Carbone, Augusto Esposito, Paolo Calabrò, Giampaolo Niccoli

CHAPTER 17

Alternative Transcatheter Approaches (Pages: 161-169)

Marco De Carlo, Cristina Giannini, Anna Sonia Petronio

CHAPTER 18

Transapical and Direct Aortic Approach (Pages: 171-177)

Filippo Capestro, Paolo Berretta, Utz Kappert, Marco Di Eusanio

CHAPTER 19

Patients Needing Hemodynamic Support (Pages: 179-188)

Jacopo Andrea Oreglia, Federico De Marco, Francesco Soriano, Stefano Nava

CHAPTER 20

Coronary Angiography and Interventions After TAVI (Pages: 189-199)

Stefano Cannata, Matteo Perfetti, Tanya Salvatore, Caterina Gandolfo, Nicola Maddestra

CHAPTER 21

Complex Femoral Accesses (Pages: 201-209)

Damiano Regazzoli, Jorge Sanz-Sánchez, Giulio Stefanini, Bernhard Reimers

CHAPTER 22

Low-Risk Patients (Pages: 211-227)

Brian C. Case, Toby Rogers, Ron Waksman

CHAPTER 23

Gender Peculiarities (Pages: 229-236)

Ridhima Goel, Davide Cao, Roxana Mehran

CHAPTER 24

The Pathologist Perspective (Pages: 237-251)

Sho Torii, Yu Sato, Dipti Surve, Maria E. Romero, Aloke V. Finn, Renu Virmani

CHAPTER 25

Conclusion: What We Learnt from Clinical Trials and Real-World Experience (Pages: 253-258)

Paolo D’Arrigo, Piera Capranzano, Davide Capodanno

Index (Pages: 259-271)