التفاصيل البيبلوغرافية
| العنوان: |
Predicting and improving outcomes of transcatheter aortic valve replacement in older adults and the elderly. |
| المؤلفون: |
Bruno, Antonio Giulio, Santona, Laura, Palmerini, Tullio, Taglieri, Nevio, Marrozzini, Cinzia, Ghetti, Gabriele, Orzalkiewicz, Mateusz, Galiè, Nazzareno, Saia, Francesco |
| المصدر: |
Expert Review of Cardiovascular Therapy; Oct2020, Vol. 18 Issue 10, p663-680, 18p |
| مصطلحات موضوعية: |
OLDER people, FORECASTING, AORTIC stenosis, ARTERIAL puncture, HEART valve prosthesis implantation, CORONARY arteries |
| مستخلص: |
Indications for transcatheter aortic valve replacement (TAVR) are progressively extending to younger and lower risk patients. In this scenario, minimizing periprocedural complications and optimizing procedural result are both crucial to achieve an excellent long-term outcome. In this review, we summarize the main strategies that can be adopted before, during, and after TAVR to predict and prevent complications, to optimize procedural results and ultimately improve outcomes, with an emphasis on more recent evidence, new devices, and new techniques. In the next future TAVR will probably represent the first treatment option for patients affected by aortic valve stenosis who are candidates to receive a biological valve. Continuous refinement of TAVR devices has been key to allow safer and most effective procedures and further progress is expected. Development of new techniques and devices, such as ultrasound-guided puncture and intravascular lithotripsy, will expand safety and eligibility to transfemoral procedures. Effective preemptive measures for coronary occlusion have been developed. Open issues include cerebral protection, re-access to coronary arteries, post-procedural management, and therapy. [ABSTRACT FROM AUTHOR] |
|
Copyright of Expert Review of Cardiovascular Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
