Document Detail


Transcatheter aortic valve implantation: complications and management.
MedLine Citation:
PMID:  22066353     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Transcatheter aortic valve implantation (TAVI) is an emerging and promising modality to treat severe aortic stenosis in a select group of patients who are poor surgical candidates. Despite the lesser degree of invasiveness of TAVI compared to open aortic valve replacement (AVR), TAVI is associated with a significant potential for serious life-threatening complications, both intraoperatively and postoperatively. These include vascular injuries, stroke, structural injury to the aorta and the heart and its valves, aortic root or annulus injury, conduction tissue injury, paravalvular leak, valve malposition, coronary complications such as obstruction or ischemia, pericardial effusion and tamponade, and procedural cardiac depression requiring immediate cardiopulmonary bypass for resuscitation. The prevention, detection, and treatment of these complications demands a skill set requiring the services of a cardiovascular surgeon with endovascular skills, an interventional cardiologist, a cardiac perfusion team, and cardiac anesthesia. Therefore, the optimal care of TAVI patients requires a multidisciplinary approach involving these services. The range of serious complications associated with TAVI, and the management strategies utilized in their treatment, are discussed.
Authors:
Prashanth Vallabhajosyula; Joseph E Bavaria
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  20     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-11-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  499-509     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.
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