Implante percutáneo de válvula aórtica en válvulas aórticas bicúspides: presente y futuro

IF 5.9 2区 医学 Q2 Medicine
Alberto Alperi , Raquel del Valle , Isaac Pascual , Paula Antuna , Marcel Almendárez , Rut Álvarez , Daniel Hernández-Vaquero , Pablo Avanzas
{"title":"Implante percutáneo de válvula aórtica en válvulas aórticas bicúspides: presente y futuro","authors":"Alberto Alperi ,&nbsp;Raquel del Valle ,&nbsp;Isaac Pascual ,&nbsp;Paula Antuna ,&nbsp;Marcel Almendárez ,&nbsp;Rut Álvarez ,&nbsp;Daniel Hernández-Vaquero ,&nbsp;Pablo Avanzas","doi":"10.1016/j.recesp.2025.02.013","DOIUrl":null,"url":null,"abstract":"<div><div>The prevalence of bicuspid aortic valves (BAV) in patients undergoing transcatheter aortic valve implantation (TAVI) is expected to gradually increase over the coming years. However, in the absence of dedicated randomized trials, TAVI outcomes in BAV patients have failed to match those obtained in trileaflet anatomies. This discrepancy is mainly due to varying degrees of valve morphology and calcification, aortic angulation, concomitant aortopathy, and the difficulties of achieving optimal preprocedural anatomic sizing and device selection in the BAV setting. In this review, we aim to outline the current state of knowledge in the BAV and TAVI field, evaluate the main challenges faced by TAVI operators when dealing with these anatomies, summarize novel approaches for sizing and preprocedural evaluation, and provide a glimpse into the future of this interesting and evolving field.</div></div>","PeriodicalId":21299,"journal":{"name":"Revista espanola de cardiologia","volume":"78 8","pages":"Pages 724-735"},"PeriodicalIF":5.9000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista espanola de cardiologia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0300893225012229","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

The prevalence of bicuspid aortic valves (BAV) in patients undergoing transcatheter aortic valve implantation (TAVI) is expected to gradually increase over the coming years. However, in the absence of dedicated randomized trials, TAVI outcomes in BAV patients have failed to match those obtained in trileaflet anatomies. This discrepancy is mainly due to varying degrees of valve morphology and calcification, aortic angulation, concomitant aortopathy, and the difficulties of achieving optimal preprocedural anatomic sizing and device selection in the BAV setting. In this review, we aim to outline the current state of knowledge in the BAV and TAVI field, evaluate the main challenges faced by TAVI operators when dealing with these anatomies, summarize novel approaches for sizing and preprocedural evaluation, and provide a glimpse into the future of this interesting and evolving field.
双尖主动脉瓣皮下主动脉瓣膜植入:现在和将来
在接受经导管主动脉瓣植入术(TAVI)的患者中,双尖瓣主动脉瓣(BAV)的患病率预计将在未来几年逐渐增加。然而,由于缺乏专门的随机试验,BAV患者的TAVI结果未能与三胞胎解剖结果相匹配。这种差异主要是由于不同程度的瓣膜形态和钙化,主动脉成角,伴随主动脉病变,以及在BAV设置中实现最佳手术前解剖尺寸和设备选择的困难。在这篇综述中,我们旨在概述BAV和TAVI领域的知识现状,评估TAVI操作员在处理这些解剖时面临的主要挑战,总结尺寸和手术前评估的新方法,并展望这一有趣且不断发展的领域的未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Revista espanola de cardiologia
Revista espanola de cardiologia 医学-心血管系统
CiteScore
4.20
自引率
13.60%
发文量
257
审稿时长
28 days
期刊介绍: Revista Española de Cardiología, Revista bilingüe científica internacional, dedicada a las enfermedades cardiovasculares, es la publicación oficial de la Sociedad Española de Cardiología.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信