Complicaciones en el implante transcatéter de la válvula aórtica. Prevención, resolución y morbimortalidad asociada

Abstract

Introduction

Degenerative aortic stenosis is the most common valvular pathology in the population over 65 years of age, incidence of 2-7%. Currently, transcatheter aortic valve implantation is a standard therapy in these symptomatic patients. This procedure is associated with relatively high rates of complications, which can be serious. The objective of this work is to provide an update and detailed description of the most important complications of the transcatheter aortic valve procedure in terms of etiology, prevalence, diagnosis, prognosis, prevention and treatment.

Methods

Bibliographic review of current evidence on the most important complications of transcatheter aortic valve implantation, their prevention and resolution.

Results

Rhythm disorders, vascular complications, prosthetic regurgitation, cardiac perforation..., are among others some of the possible complications that appear in 2-10% of cases, and are associated with an increase mortality of up to 2 or 3 times.

Conclusions

Complications of the transcatheter aortic valve procedure are frequent and often serious, so it is essential to know the predisposing factors, prevention and treatment strategies. Careful patient selection, quality infrastructure, training and accreditation, multidisciplinary collaboration are essential for optimal prognosis and a decrease in possible complications.