Simplified TAVR Procedure: How Far Is It Possible to Go?
TAVR
simplification
tailored approach
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
16 May 2022
16 May 2022
Historique:
received:
28
03
2022
revised:
05
05
2022
accepted:
12
05
2022
entrez:
28
5
2022
pubmed:
29
5
2022
medline:
29
5
2022
Statut:
epublish
Résumé
Increasing operators' experience and improvement of the technique have resulted in a drastic reduction in complications following transcatheter aortic valve replacement (TAVR) in patients with lower surgical risk. In parallel, the procedure was considerably simplified, with a routine default approach including local anesthesia in the catheterization laboratory, percutaneous femoral approach, radial artery as the secondary access, prosthesis implantation without predilatation, left ventricle wire pacing and early discharge. Thus, the "simplified" TAVR adopted in most centers nowadays is a real revolution of the technique. However, simplified TAVR must be accompanied upstream by a rigorous selection of patients who can benefit from a minimalist procedure in order to guarantee its safety. The minimalist strategy must not become dogmatic and careful pre-, per- and post-procedural evaluation of patients with well-defined protocols guarantee optimal care following TAVR. This review aims to evaluate the benefits and limits of the simplified TAVR procedure in a current and future vision.
Identifiants
pubmed: 35628919
pii: jcm11102793
doi: 10.3390/jcm11102793
pmc: PMC9145302
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
JACC Cardiovasc Interv. 2020 Mar 9;13(5):594-602
pubmed: 32139216
Int J Cardiol. 2021 May 1;330:158-163
pubmed: 33621627
Circ J. 2018 Sep 25;82(10):2518-2522
pubmed: 30068794
JACC Cardiovasc Interv. 2019 Apr 22;12(8):767-777
pubmed: 30928442
Circulation. 2020 Oct 13;142(15):1437-1447
pubmed: 32819145
J Interv Cardiol. 2018 Apr;31(2):216-222
pubmed: 29193337
N Engl J Med. 2017 Apr 6;376(14):1321-1331
pubmed: 28304219
Eur Heart J. 2011 Jan;32(2):205-17
pubmed: 21216739
J Thorac Cardiovasc Surg. 2006 May;131(5):1194-6
pubmed: 16678621
J Thorac Cardiovasc Surg. 2010 Oct;140(4):928-9
pubmed: 20381818
Clin Res Cardiol. 2021 Jan;110(1):40-49
pubmed: 32335689
N Engl J Med. 2016 Apr 28;374(17):1609-20
pubmed: 27040324
Catheter Cardiovasc Interv. 2020 Aug;96(2):450-458
pubmed: 31785087
N Engl J Med. 2019 May 2;380(18):1695-1705
pubmed: 30883058
J Thorac Dis. 2018 Nov;10(Suppl 30):S3595-S3598
pubmed: 30505540
JAMA Cardiol. 2017 Nov 1;2(11):1208-1216
pubmed: 28973091
J Am Heart Assoc. 2020 Mar 17;9(6):e014916
pubmed: 32172643
Eur J Cardiothorac Surg. 2014 Apr;45(4):746-8
pubmed: 23886993
Cardiovasc Revasc Med. 2022 Jul;40:152-157
pubmed: 34848177
JACC Cardiovasc Interv. 2018 Mar 26;11(6):567-578
pubmed: 29566803
JACC Cardiovasc Interv. 2018 Nov 12;11(21):2195-2203
pubmed: 30409276
EuroIntervention. 2013 Sep 10;9 Suppl:S33-7
pubmed: 24025955
BMC Med. 2014 Mar 10;12:41
pubmed: 24612945
Catheter Cardiovasc Interv. 2021 Jun 1;97(7):1452-1459
pubmed: 33325639
JACC Cardiovasc Interv. 2020 Jun 8;13(11):1277-1287
pubmed: 32499018
Heart Surg Forum. 2009 Jan;12(1):E63-4
pubmed: 19233771
JACC Cardiovasc Interv. 2019 Dec 23;12(24):2449-2459
pubmed: 31857014
BMC Cardiovasc Disord. 2018 Dec 10;18(1):231
pubmed: 30526521
N Engl J Med. 2012 May 3;366(18):1705-15
pubmed: 22551129
JACC Cardiovasc Interv. 2022 Mar 28;15(6):590-598
pubmed: 35331450
JACC Cardiovasc Interv. 2010 May;3(5):475-83
pubmed: 20488402
Catheter Cardiovasc Interv. 2019 Jun 1;93(7):1367-1373
pubmed: 30536569
J Am Heart Assoc. 2022 Mar 15;11(6):e023848
pubmed: 35243902
Catheter Cardiovasc Interv. 2019 Sep 1;94(3):469-478
pubmed: 30866154
J Innov Card Rhythm Manag. 2019 May 15;10(5):3652-3661
pubmed: 32477730
J Am Coll Cardiol. 2019 Aug 27;74(8):1086-1106
pubmed: 31439219
JACC Cardiovasc Interv. 2019 Mar 11;12(5):459-469
pubmed: 30846085
N Engl J Med. 2019 May 2;380(18):1706-1715
pubmed: 30883053
Postepy Kardiol Interwencyjnej. 2017;13(2):150-156
pubmed: 28798786
Am J Cardiol. 2015 Nov 1;116(9):1399-404
pubmed: 26414600
Circ Cardiovasc Interv. 2014 Aug;7(4):602-10
pubmed: 25006175
Am Heart J. 2012 Jul;164(1):102-10.e1
pubmed: 22795289
JACC Cardiovasc Interv. 2016 Jun 27;9(12):1269-1276
pubmed: 27339844
J Am Coll Cardiol. 2012 Jan 10;59(2):113-8
pubmed: 22222073
Eur Heart J. 2022 Feb 12;43(7):561-632
pubmed: 34453165
J Cardiol. 2018 Jun;71(6):525-533
pubmed: 29499894
EuroIntervention. 2019 Jun 20;15(2):147-154
pubmed: 30777842
JACC Cardiovasc Interv. 2020 May 11;13(9):1046-1054
pubmed: 32305392
Catheter Cardiovasc Interv. 2018 Feb 1;91(2):330-342
pubmed: 28738447