Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve
Bicuspid aortic valve (BAV) remains challenging in transcatheter aortic valve replacement (TAVR) because of unfavorable anatomy. New-generation balloon-expandable valve (BEV) appears to be a valid alternative to surgery, especially in some Asian countries with a higher prevalence of BAV. This tutori...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-09-01
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| Series: | JACC: Asia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772374721000831 |
| _version_ | 1819121110502866944 |
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| author | Mi Chen, MD Jonathan Michel, MD Albert Markus Kasel, MD |
| author_facet | Mi Chen, MD Jonathan Michel, MD Albert Markus Kasel, MD |
| author_sort | Mi Chen, MD |
| collection | DOAJ |
| description | Bicuspid aortic valve (BAV) remains challenging in transcatheter aortic valve replacement (TAVR) because of unfavorable anatomy. New-generation balloon-expandable valve (BEV) appears to be a valid alternative to surgery, especially in some Asian countries with a higher prevalence of BAV. This tutorial review summarizes current thinking about how to plan and implant BEV in BAVs using versatile techniques. First, the authors depict the main morphological characteristics of BAVs and their effects on the TAVR procedure. Next, the authors provide preprocedural analysis on sizing, obtaining the optimal deployment projection, and how to simplify valve-crossing. Finally, the authors provide step-by-step guidance on how to deploy the BEVs with evolved iterations in terms of specific anatomies, calcified annulus, and giant annulus. |
| first_indexed | 2024-12-22T06:31:21Z |
| format | Article |
| id | doaj.art-08cdc71af69c49978366def8d55b104a |
| institution | Directory Open Access Journal |
| issn | 2772-3747 |
| language | English |
| last_indexed | 2024-12-22T06:31:21Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Asia |
| spelling | doaj.art-08cdc71af69c49978366def8d55b104a2022-12-21T18:35:42ZengElsevierJACC: Asia2772-37472021-09-0112147161Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic ValveMi Chen, MD0Jonathan Michel, MD1Albert Markus Kasel, MD2Department of Cardiac Surgery, University Hospital of Zurich, University of Zurich, Zurich, Switzerland; Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaDepartment of Cardiology, University Hospital of Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Cardiology, University Hospital of Zurich, University of Zurich, Zurich, Switzerland; Address for correspondence: Dr Albert Markus Kasel, Department of Cardiology, University Hospital of Zurich, University of Zurich, Zurich 8091, Switzerland.Bicuspid aortic valve (BAV) remains challenging in transcatheter aortic valve replacement (TAVR) because of unfavorable anatomy. New-generation balloon-expandable valve (BEV) appears to be a valid alternative to surgery, especially in some Asian countries with a higher prevalence of BAV. This tutorial review summarizes current thinking about how to plan and implant BEV in BAVs using versatile techniques. First, the authors depict the main morphological characteristics of BAVs and their effects on the TAVR procedure. Next, the authors provide preprocedural analysis on sizing, obtaining the optimal deployment projection, and how to simplify valve-crossing. Finally, the authors provide step-by-step guidance on how to deploy the BEVs with evolved iterations in terms of specific anatomies, calcified annulus, and giant annulus.http://www.sciencedirect.com/science/article/pii/S2772374721000831aortic stenosisballoon-expandable valvebicuspid aortic valvetranscatheter aortic valve replacementtranscatheter heart valve |
| spellingShingle | Mi Chen, MD Jonathan Michel, MD Albert Markus Kasel, MD Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve JACC: Asia aortic stenosis balloon-expandable valve bicuspid aortic valve transcatheter aortic valve replacement transcatheter heart valve |
| title | Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve |
| title_full | Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve |
| title_fullStr | Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve |
| title_full_unstemmed | Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve |
| title_short | Application of Balloon-Expandable Transcatheter Heart Valve in Bicuspid Aortic Valve |
| title_sort | application of balloon expandable transcatheter heart valve in bicuspid aortic valve |
| topic | aortic stenosis balloon-expandable valve bicuspid aortic valve transcatheter aortic valve replacement transcatheter heart valve |
| url | http://www.sciencedirect.com/science/article/pii/S2772374721000831 |
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