Transcatheter aortic valve implantation in patients with bicuspid valve morphology: a roadmap towards standardization.


Journal

Nature reviews. Cardiology
ISSN: 1759-5010
Titre abrégé: Nat Rev Cardiol
Pays: England
ID NLM: 101500075

Informations de publication

Date de publication:
01 2023
Historique:
accepted: 26 05 2022
pubmed: 22 6 2022
medline: 16 12 2022
entrez: 21 6 2022
Statut: ppublish

Résumé

Indications for transcatheter aortic valve implantation (TAVI) have expanded in many countries to include patients with aortic stenosis who are at low surgical risk, and a similar expansion to this cohort is anticipated elsewhere in the world, together with an increase in the proportion of patients with bicuspid aortic valve (BAV) morphology as the age of the patients being treated decreases. To date, patients with BAV have been excluded from major randomized trials of TAVI owing to anatomical considerations. As a consequence, BAV has been a relative contraindication to the use of TAVI in international guidelines. Although clinical experience and observational data are accumulating, BAV presents numerous anatomical challenges for successful TAVI, despite advances in device design. Furthermore, in those with BAV, substantial geographical variation exists in patient characteristics, clinical approach and procedural strategy. Therefore, in this Roadmap article, we summarize the existing evidence and provide consensus recommendations from an international group of experts on the application of TAVI in patients with BAV in advance of the anticipated growth in the use of this procedure in this challenging cohort of patients.

Identifiants

pubmed: 35726019
doi: 10.1038/s41569-022-00734-5
pii: 10.1038/s41569-022-00734-5
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

52-67

Informations de copyright

© 2022. Springer Nature Limited.

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Auteurs

Tian-Yuan Xiong (TY)

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.

Walid Ben Ali (WB)

Montreal Heart Institute, Montreal, Quebec, Canada.

Yuan Feng (Y)

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.

Kentaro Hayashida (K)

Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.

Hasan Jilaihawi (H)

Heart Valve Center, NYU Langone Health, New York, NY, USA.

Azeem Latib (A)

Division of Cardiology, Montefiore Medical Center, New York, NY, USA.

Michael Kang-Yin Lee (MK)

Division of Cardiology, Queen Elizabeth Hospital, Kowloon, Hong Kong, China.

Martin B Leon (MB)

Columbia University Medical Center, New York, NY, USA.

Raj R Makkar (RR)

Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Thomas Modine (T)

Department of Heart Valve Therapy, CHU Bordeaux, Bordeaux, France.
IHU Lyric, Bordeaux-, Pessac, France.
Shanghai Jiaotong University, Shanghai, China.

Christoph Naber (C)

Department of Cardiology, Klinikum Wilhelmshaven, Wilhelmshaven, Germany.

Yong Peng (Y)

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.

Nicolo Piazza (N)

Division of Cardiology, Department of Medicine, McGill University Health Center, Montreal, Quebec, Canada.

Michael J Reardon (MJ)

Houston Methodist DeBakey Heart and Vascular Center, The Methodist Hospital, Houston, TX, USA.

Simon Redwood (S)

Department of Cardiology, St Thomas' Hospital, London, UK.

Ashok Seth (A)

Fortis Escorts Heart Institute, New Delhi, India.

Lars Sondergaard (L)

The Heart Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Edgar Tay (E)

National University Heart Center, National University of Singapore, Singapore, Singapore.

Didier Tchetche (D)

Department of Cardiology, Clinique Pasteur, Toulouse, France.

Wei-Hsian Yin (WH)

Heart Center, ChengHsin General Hospital, Taipei, China.

Mao Chen (M)

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. hmaochen@vip.sina.com.

Bernard Prendergast (B)

Department of Cardiology, St Thomas' Hospital, London, UK. bernard.prendergast@gstt.nhs.uk.
Cleveland Clinic London, London, UK. bernard.prendergast@gstt.nhs.uk.

Darren Mylotte (D)

Department of Cardiology, University Hospital Galway, National University of Ireland, Galway, Ireland. darrenmylotte@gmail.com.

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