Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks.

IF 0.2 0 PHILOSOPHY
Interventional Cardiology Review Pub Date : 2021-10-12 eCollection Date: 2021-04-01 DOI:10.15420/icr.2020.35
Angela McInerney, Rafael Vera-Urquiza, Gabriela Tirado-Conte, Luis Marroquin, Pilar Jimenez-Quevedo, Iván Nuñez-Gil, Eduardo Pozo, Nieves Gonzalo, Jose Alberto de Agustín, Javier Escaned, Antonio Fernández-Ortiz, Carlos Macaya, Luis Nombela-Franco
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引用次数: 9

Abstract

Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with symptomatic severe aortic stenosis. In recent years, an emphasis has been placed on simplification of the procedure. Balloon predilation was initially considered a mandatory step to cross and prepare the stenotic aortic valve, but several studies demonstrated the feasibility of performing TAVR without balloon valvuloplasty. Balloon postdilation of the implanted valve is sometimes required to optimise results, although many patients do not require this step. Contemporary consensus advocates an individualised approach to TAVR procedures and so balloon pre- and post-dilation are performed selectively. This review aims to outline the advantages and disadvantages of balloon pre- and post-dilation and to identify the scenarios in which they are required during TAVR procedures.

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经导管主动脉瓣置换术的预扩张和后扩张:适应症、益处和风险。
经导管主动脉瓣置换术(TAVR)是治疗严重症状性主动脉瓣狭窄的常用方法。近年来,重点放在简化程序上。球囊预扩张最初被认为是通过和准备狭窄主动脉瓣的强制性步骤,但一些研究表明无需球囊瓣膜成形术进行TAVR的可行性。有时需要球囊后扩张植入瓣膜以优化结果,尽管许多患者不需要这一步骤。当代共识提倡个体化TAVR手术,因此球囊扩张前后是有选择性地进行的。本综述旨在概述球囊扩张前后的优缺点,并确定在TAVR手术中需要球囊扩张的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Interventional Cardiology Review
Interventional Cardiology Review Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.30
自引率
0.00%
发文量
18
审稿时长
12 weeks
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