Details

Autor(en) / Beteiligte

• Lefèvre, Thierry, MD

Titel

Cardiac Death After TAVR

Ist Teil von

• Journal of the American College of Cardiology, 2015-02, Vol.65 (5), p.449-451

Ort / Verlag

New York: Elsevier Limited

Erscheinungsjahr

2015

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• [...]that transcatheter aortic valve implantation (TAVI) has reached relative maturity in terms of equipment, technical strategy, and screening refinement, and given that eligibility of patients at intermediate risk is increasingly envisioned (2), this investigation of predictors of mid-term cardiac death via a large, international, multicenter trial conducted in the real world was timely. Since Alain Cribier's first procedure in 2012 (3), considerable progress has been made with respect to procedural success and 30-day mortality rates. [...]we can control 3 key factors: 1) selection of the transfemoral route whenever feasible and safe; 2) prevention of the occurrence of paravalvular leak >1 grade by optimal valve sizing and positioning and its correction by adequate post-dilation (19), a problem that newer-generation valves will probably solve; and 3) consideration of systematic PM implantation, or even resynchronization, in the presence of an LBBB with large QRS width (>160 ms) for patients with significantly impaired left ventricular function.