[Therapeutic revolution in the treatment of aortic stenosis : transcatheter aortic valve implantation (TAVI )]
- PMID: 32496670
[Therapeutic revolution in the treatment of aortic stenosis : transcatheter aortic valve implantation (TAVI )]
Abstract
Eighteen years after the birth of the concept, TAVI (Transcatheter Aortic Valve Implantation) has established itself as the treatment of choice for symptomatic patients with severe aortic valve stenosis at high surgical risk. Unlike surgical prosthesis, the benefit of which has been validated in observational studies, indications for TAVI are now based on the results of large randomized trials. The TAVI revolution continues today with the miniaturization of the equipment, the development of new closure systems, the availability of a wider range of prosthesis sizes and the growing experience of operators, all contributing to the widening of indications to lower risk patients.
Dix-huit ans après la naissance du concept, le TAVI («Transcatheter Aortic Valve Implantation») s’est affirmé comme un traitement de choix chez les patients symptomatiques avec rétrécissement valvulaire aortique serré à haut risque chirurgical. Contrairement aux prothèses chirurgicales, dont le bénéfice a été validé dans des études observationnelles, les indications concernant le TAVI s’appuient, aujourd’hui, sur les résultats de larges essais randomisés. La révolution du TAVI continue encore actuellement avec la miniaturisation du matériel, le développement de nouveaux systèmes de fermeture, la disponibilité d’un plus large éventail de tailles de prothèse et l’expérience croissante des opérateurs, le tout contribuant à l’élargissement des indications aux patients à risque intermédiaire.
Keywords: Management; TAVI; Transcatheter aortic valve implantation; Aortic stenosis.
Similar articles
-
Updated clinical indications for transcatheter aortic valve implantation in patients with severe aortic stenosis: expert opinion of the Italian Society of Cardiology and GISE.J Cardiovasc Med (Hagerstown). 2018 May;19(5):197-210. doi: 10.2459/JCM.0000000000000636. J Cardiovasc Med (Hagerstown). 2018. PMID: 29578921 Review.
-
Transcatheter aortic valve implantation: where are we now?Future Cardiol. 2017 Nov;13(6):551-566. doi: 10.2217/fca-2017-0056. Epub 2017 Oct 24. Future Cardiol. 2017. PMID: 29064293 Review.
-
[Transcatheter aortic valve replacement : from a concept to a medical revolution].Rev Med Liege. 2019 Sup;74(S1):S64-S72. Rev Med Liege. 2019. PMID: 31070319 French.
-
Meta-analysis of transcatheter aortic valve implantation versus surgical aortic valve replacement in patients at low surgical risk.EuroIntervention. 2019 Dec 20;15(12):e1047-e1056. doi: 10.4244/EIJ-D-19-00663. EuroIntervention. 2019. PMID: 31566571
-
Cost-effectiveness of transcatheter aortic valve implantation compared to surgical aortic valve replacement in the intermediate surgical risk population.Int J Cardiol. 2019 Nov 1;294:17-22. doi: 10.1016/j.ijcard.2019.06.057. Epub 2019 Jun 21. Int J Cardiol. 2019. PMID: 31255453
MeSH terms
LinkOut - more resources
Full Text Sources
