𝔖 Scriptorium
✦   LIBER   ✦

📁

Aortic Valve Transcatheter Intervention: Complications and Solutions

✍ Scribed by Marco Zimarino; Ron Waksman; Ignacio J. Amat-Santos; Corrado Tamburino


Publisher
John Wiley & Sons
Year
2021
Tongue
English
Leaves
290
Edition
1
Category
Library

⬇  Acquire This Volume

No coin nor oath required. For personal study only.

✦ Synopsis


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.

✦ Table of Contents


Cover
Title Page
Copyright Page
Contents
List of Contributors
Foreword
Chapter 1 Introduction
References
Part I General Complications
Chapter 2 Vascular Complications
Introduction
Preventing and Managing Vascular Complications
Conclusions
References
Chapter 3 Annular Rupture
Introduction
Anatomy of the Aortic Valvar Complex
Pathophysiology of Annular Rupture
Sites and Classification of Annular Rupture
MDCT Assessment of the Aortic Annulus
Management of Annular Rupture
Prevention of Aortic Rupture
Conclusions
References
Chapter 4 Coronary Obstruction
Introduction
Risk Factors and Mechanism
Clinical Presentation
Preventive Measures and Treatment
Take Home Message
References
Chapter 5 Cerebrovascular Events
Introduction
Definition of Stroke and Epidemiology
Silent Stroke
Postprocedural Stroke Predictors
Predictors of Stroke in the Acute Phase
Predictors of Tardive Stroke
Postprocedural Stroke Prevention
Conclusions
References
Chapter 6 Ventricular Perforation
Introduction
General Mechanisms and Clinical Presentation of VP
Risk Factors for Ventricular Perforation
Clinical Factors
Anatomical Factors
Procedural Factors
Aortic Valve Crossing
Wire Exchange
THV Pre-deployment and Deployment
Right Ventricular Perforation
Management of Ventricular Perforation
LV Perforation and Surgical Repairing Techniques
Outcomes of Ventricular Perforations
Prevention of Ventricular Perforations
Conclusions
References
Chapter 7 Valve Migration
Introduction
Clinical Relevance
Monitoring
Treatment
Conclusion
Acknowledgements
References
Chapter 8 Paravalvular Leaks
Clinical Relevance
Prevention
Monitoring
Treatment
Valve-In-Valve Implantation (ViV)
Conclusion
References
Chapter 9 Conduction Disturbances
Introduction
Mechanism
Incidence
Predictors
Predictors of New-Onset LBBB
Role of Electrophysiology Studies and Management of Conduction Disturbances After TAVI
Summary
References
Chapter 10 Leaflet Thrombosis
Background
Diagnosis
Incidence
Predictors
Clinical Consequences
Management
Conclusions
References
Chapter 11 Bleeding
Introduction
Clinical Relevance
Prevention
Treatment
References
Chapter 12 Renal Dysfunction
Clinical Relevance
Prevention
Monitoring
Treatment
References
Part II Specific Complications
Chapter 13 Bicuspid Valve
Clinical Relevance
Prevention
Monitoring
Treatment
References
Chapter 14 Degenerated Aortic Bioprosthesis
Introduction
Definition of Structural Valve Degeneration
Diagnosis of SVD
Durability of Bioprosthesis
Transcatheter Bioprosthesis
Management of SVD
References
Chapter 15 Low-Flow Low-Gradient Aortic Stenosis
Introduction
References
Chapter 16 Concomitant Mitral Regurgitation
Introduction and Clinical Relevance
Mitral Regurgitation Assessment in Patients with Concomitant Aortic Stenosis
Prognostic Impact of Concomitant Mitral Regurgitation
How to Treat Patients with Severe Aortic Stenosis and Concomitant Mitral Regurgitation
Conclusions
References
Chapter 17 Alternative Transcatheter Approaches
The Need for Alternative Vascular Access
The Transapical Access
The Transaortic Access
The Subclavian Access
Subclavian Access: Procedural Technique
Subclavian Access: tips ’n tricks in Specific Conditions
The Transcarotid Access
The Transcaval Access
Conclusions
References
Chapter 18 Transapical and Direct Aortic Approach
Transapical Access
Sudden Death and Low Ejection Fraction
Pericardial Effusion or Pericardial Tamponade
Coronary Injury
Mitral Insufficiency
Respiratory Failure
Wound Infection
Transaortic Access
References
Chapter 19 Patients Needing Hemodynamic Support
Background
Devices for Mechanical Circulatory Support
Impella
Extracorporeal Membrane Oxygenation (ECMO)
TandemHeart
Choice of the Device
Technical Considerations
Choice and Management of the Access Site
Prophylactic Use of MCS in TAVI
Emergent Use of MCS in TAVI
Mechanical Circulatory Support Device-Related Complications
Final Considerations
References
Chapter 20 Coronary Angiography and Interventions After TAVI
Coronary Access After Self-Expandable EVOLUT R/PRO Valve
Coronary Access After Balloon-Expandable SAPIEN 3 Valve
Coronary Access after Other Transcatheter Valves
Coronary Access After TAVI for Degenerated Bioprosthetic Surgical Valve (ViV)
Coronary Access After TAVI-in-TAVI
Conclusions
References
Chapter 21 Complex Femoral Accesses
Introduction
Ilio-Femoral Atherosclerotic Disease
Concomitant Aortic Aneurisms
Severe Iliofemoral Tortuosity
High Bifurcation
Conclusions
References
Chapter 22 Low-Risk Patients
Introduction
Historical Perspective
Low-Risk TAVI Trials
Future Challenges
Conclusion
Declarations of Interest
References
Chapter 23 Gender Peculiarities
Introduction
Gender Peculiarities Among TAVI Candidates
Gender Differences in TAVI complications
Conclusion
References
Chapter 24 The Pathologist Perspective
Introduction
Infective Endocarditis
Leaflet Thrombosis
Neointimal Coverage and Pannus Formation
Leaflet Calcification
Structural Changes (Leaflet Tears)
Conclusion
References
Chapter 25 Conclusion: What We Learnt from Clinical Trials and Real-World Experience
Bleeding
Vascular Complications
Paravalvular Leaks
Permanent Pacemaker Implantation
Acute Kidney Injury
Cerebrovascular Events
Coronary Occlusion
Annular Rupture and Ventricular Perforation
Device Embolization
Conclusions
References
Index
EULA


📜 SIMILAR VOLUMES


Transcatheter Aortic Valve Implantation:
✍ Arturo Giordano, Giuseppe Biondi-Zoccai, Giacomo Frati 📂 Library 📅 2019 🏛 Springer International Publishing 🌐 English

<p><p>This book provides comprehensive information on transcatheter aortic valve implantation (TAVI), which was introduced for the treatment of aortic valve disease less than two decades ago. It explains how TAVI has delivered satisfactory results even in high and intermediate risk patients and outl

Transcatheter Aortic Valve Replacement
✍ A. Claire Watkins, Anuj Gupta, Bartley P. Griffith 📂 Library 📅 2018 🏛 Springer International Publishing 🌐 English

<p>This concise manual describes in detail how to perform a transcatheter aortic valve replacement (TAVR) procedure and provides cardiac surgeons and cardiologists with the foundation necessary to begin practicing TAVR. It includes background on the landmark data establishing the field of TAVR, inst

Multimodality Imaging for Transcatheter
✍ James K. Min MD, FACC, FSCCT (auth.), James K. Min, Daniel S. Berman, Jonathon L 📂 Library 📅 2014 🏛 Springer-Verlag London 🌐 English

<p><p>This book is ideal for cardiovascular imagers of all backgrounds as well as proceduralists (surgeons and interventional cardiologists) performing TAVR. This text is also of value for the physicians and nurses involved in the care of these patients, and for fellows-in-training. This practical t