Document Detail


Transcatheter aortic valve implantation: The European experience.
MedLine Citation:
PMID:  23410775     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The European transcatheter aortic valve implantation experience began in 2002, and ever since, numerous centers have started a program, resulting in a "transcatheter aortic valve implantation pandemic." Considerable experience has been gained with various access routes for implantation and with valve-in-surgical bioprosthetic valve procedures. Reimbursement differs among the European countries and is currently undergoing rapid changes. Accordingly, the implantation rates in various European countries still differ considerably, with the greatest in Switzerland and Germany: 77 implants per 1 million treatable inhabitants. The Edwards Source and the Medtronic Advance trials, designed as postcommercialization studies, demonstrated a steady improvement in results, which was also reflected in the single-center mid-term data up to 3 years. The preliminary results from national European registries have been remarkably comparable in terms of survival and stroke. The "glimpse into the future" points toward implantation in intermediate-risk patients in contrast to high-risk or inoperable patients. The results of the Medtronic Surgical Replacement and Transcatheter Aortic Valve Implantation and Edwards Placement of Aortic Transcatheter Valves Trial 2 trials will show whether this change in paradigm is justified.
Authors:
Rüdiger Lange; Sabine Bleiziffer; Yacine Elhmidi; Nicolo Piazza
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Publication Detail:
Type:  Editorial    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  145     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S17-21     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Surgery, Technische Universität München, German Heart Center Munich, Munich, Germany.
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