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Annular Rupture During Transcatheter Aortic Valve Implantation: Predictors, Management and Outcomes.
Coughlan, J J Kiernan, Thomas Mylotte, Darren Arnous, Samer
Coughlan, J J
Kiernan, Thomas
Mylotte, Darren
Arnous, Samer
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Date
2018-09-01
Date Submitted
Keywords
Transcatheter aortic valve implantation (TAVI)
aortic annular rupture
aortic stenosis
balloon aortic valvuloplasty (BAV)
multislice computed tomography (MSCT)
transcatheter heart valve (THV)
transoesophageal echocardiography (TEE)
transthoracic echocardiography (TTE)
CARDIOLOGY
SURGERY, CARDIAC
aortic annular rupture
aortic stenosis
balloon aortic valvuloplasty (BAV)
multislice computed tomography (MSCT)
transcatheter heart valve (THV)
transoesophageal echocardiography (TEE)
transthoracic echocardiography (TTE)
CARDIOLOGY
SURGERY, CARDIAC
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Principal Investigators
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Adobe PDF, 607.65 KB
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Abstract
Transcatheter aortic valve implantation (TAVI) is the treatment of choice in patients with symptomatic severe aortic stenosis who are either inoperable or at high risk for conventional surgical aortic valve replacement. Recent data have also shown favourable outcomes in patients deemed to be at intermediate operative risk, which expands the application of this novel technology. Despite its success, TAVI has been associated with rare life-threatening complications. Of these, aortic annular rupture is considered to be the most devastating. Advances in pre-procedural screening and patient selection have reduced the incidence of annular rupture. When this complication occurs, early recognition and prompt management are essential. This article is intended to provide a comprehensive review of the predictors, management and clinical outcomes of aortic annular rupture.
Language
en
Citation
ISSN
1756-1485
eISSN
ISBN
DOI
10.15420/icr.2018.20.2
PMID
30443272