Sistema de Salut de Catalunya
Institut Català de la Salut
[Blackman D] Leeds Teaching Hospitals NHS Trust, Leeds, UK. [Gabbieri D] Hesperia Hospital, Modena, Italy. [García Del Blanco B] Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Kempfert J] German Heart Center Berlin, Berlin, Germany. [Laine M] Helsinki University Central Hospital, Helsinki, Finland. [Mascherbauer J] Karl Landsteiner University of Health Sciences, Krems, Austria
Vall d'Hebron Barcelona Hospital Campus
2022-01-13T11:18:13Z
2022-01-13T11:18:13Z
2021-12
Vàlvula aòrtica bicúspide; Talla del bicúspide; SAPIEN 3/Ultra
Válvula aórtica bicúspide; Talla del bicúspide; SAPIEN 3/Ultra
Bicuspid aortic valve; Bicuspid sizing; SAPIEN 3/Ultra
Severe aortic stenosis patients with bicuspid anatomy have been excluded from the major transcatheter aortic valve replacement (TAVI) randomized clinical trials. As a result, there is no official recommendation on bicuspid TAVI. A panel of bicuspid experts was created to fill this gap. In this consensus statement, an algorithm is proposed to guide the choice of surgery or TAVI within this complex patient population, depending on aortic dilatation, age, surgical risk score, and anatomy. A step-by-step guide for sizing and positioning of the SAPIEN 3/Ultra TAVI bioprostheses is presented. Annular sizing remains the primary strategy in most bicuspid patients. However, some anatomies may require sizing at the supra-annular level, for which patients the panel recommends the circle method, a dedicated sizing and positioning approach for SAPIEN 3/Ultra. The consensus provides valuable pre-operative insights on the interactions between SAPIEN 3/Ultra and the bicuspid anatomy; understanding the valve–anatomy relationship is critical to avoid complications and to optimize outcomes for patients.
The journal’s Rapid Service Fee was supported by Edwards Lifesciences.
Article
Published version
English
Medicina clínica - Presa de decisions; Vàlvula aòrtica - Estenosi - Cirurgia; Pròtesis valvulars cardíaques; PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus; DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Aortic Valve Stenosis; Other subheadings::Other subheadings::Other subheadings::/surgery; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Equipment and Supplies::Prostheses and Implants::Heart Valve Prosthesis; PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso; ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::enfermedades de las válvulas cardíacas::estenosis de la válvula aórtica; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::equipos y suministros::prótesis e implantes::prótesis valvulares cardíacas
Springer
Cardiology and Therapy;10
https://doi.org/10.1007/s40119-021-00223-9
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
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