Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach

Transcatheter aortic valve replacement (TAVI) has become a game changer in the management of severe aortic stenosis shifting the concept from inoperable or high-risk patients to intermediate or low surgical-risk individuals. Among devices available nowadays, there is no clear evidence that one devic...

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Main Authors: Andreas Mitsis, Xun Yuan, Christos Eftychiou, Panayiotis Avraamides, Christoph A. Nienaber
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/9/11/407
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author Andreas Mitsis
Xun Yuan
Christos Eftychiou
Panayiotis Avraamides
Christoph A. Nienaber
author_facet Andreas Mitsis
Xun Yuan
Christos Eftychiou
Panayiotis Avraamides
Christoph A. Nienaber
author_sort Andreas Mitsis
collection DOAJ
description Transcatheter aortic valve replacement (TAVI) has become a game changer in the management of severe aortic stenosis shifting the concept from inoperable or high-risk patients to intermediate or low surgical-risk individuals. Among devices available nowadays, there is no clear evidence that one device is better than the other or that one device is suitable for all patients. The selection of the optimal TAVI valve for every patient represents a challenging process for clinicians, given a large number of currently available devices. Consequently, understanding the advantages and disadvantages of each valve and personalising the valve selection based on patient-specific clinical and anatomical characteristics is paramount. This review article aims to both analyse the available devices in the presence of specific clinical and anatomic features and offer guidance to select the most suitable valve for a given patient.
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spelling doaj.art-f600d69ced04494ca3f03807541490132023-11-24T08:46:59ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252022-11-0191140710.3390/jcdd9110407Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation ApproachAndreas Mitsis0Xun Yuan1Christos Eftychiou2Panayiotis Avraamides3Christoph A. Nienaber4Department of Cardiology, Nicosia General Hospital, Strovolos 2029, CyprusCardiology and Aortic Centre, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London SW3 6NP, UKDepartment of Cardiology, Nicosia General Hospital, Strovolos 2029, CyprusDepartment of Cardiology, Nicosia General Hospital, Strovolos 2029, CyprusCardiology and Aortic Centre, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London SW3 6NP, UKTranscatheter aortic valve replacement (TAVI) has become a game changer in the management of severe aortic stenosis shifting the concept from inoperable or high-risk patients to intermediate or low surgical-risk individuals. Among devices available nowadays, there is no clear evidence that one device is better than the other or that one device is suitable for all patients. The selection of the optimal TAVI valve for every patient represents a challenging process for clinicians, given a large number of currently available devices. Consequently, understanding the advantages and disadvantages of each valve and personalising the valve selection based on patient-specific clinical and anatomical characteristics is paramount. This review article aims to both analyse the available devices in the presence of specific clinical and anatomic features and offer guidance to select the most suitable valve for a given patient.https://www.mdpi.com/2308-3425/9/11/407balloon expandable valves (BEV)self-expandable valves (SEV)surgical aortic valve replacement (SAVR)transcatheter aortic valve replacement (TAVR)transcatheter aortic valve implantation (TAVI)
spellingShingle Andreas Mitsis
Xun Yuan
Christos Eftychiou
Panayiotis Avraamides
Christoph A. Nienaber
Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach
Journal of Cardiovascular Development and Disease
balloon expandable valves (BEV)
self-expandable valves (SEV)
surgical aortic valve replacement (SAVR)
transcatheter aortic valve replacement (TAVR)
transcatheter aortic valve implantation (TAVI)
title Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach
title_full Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach
title_fullStr Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach
title_full_unstemmed Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach
title_short Personalised Treatment in Aortic Stenosis: A Patient-Tailored Transcatheter Aortic Valve Implantation Approach
title_sort personalised treatment in aortic stenosis a patient tailored transcatheter aortic valve implantation approach
topic balloon expandable valves (BEV)
self-expandable valves (SEV)
surgical aortic valve replacement (SAVR)
transcatheter aortic valve replacement (TAVR)
transcatheter aortic valve implantation (TAVI)
url https://www.mdpi.com/2308-3425/9/11/407
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