TY - JOUR
T1 - Postimplant biological aortic prosthesis degeneration
T2 - Challenges in transcatheter valve implants
AU - Bidar, Elham
AU - Folliguet, Thierry
AU - Kluin, Jolanda
AU - Muneretto, Claudio
AU - Parolari, Alessandro
AU - Barili, Fabio
AU - Suwalski, Piotr
AU - Bonaros, Nikolaos
AU - Punjabi, Prakash
AU - Sadaba, Rafa
AU - De Bonis, Michele
AU - Al-Attar, Nawwar
AU - Obadia, Jean Francois
AU - Czerny, Martin
AU - Shrestha, Malakh
AU - Zegdi, Rachid
AU - Natour, Ehsan
AU - Lorusso, Roberto
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Surgical aortic valve replacement (SAVR) is highly effective and can be achieved with relatively low risk in patients with severe aortic stenosis. Bioprostheses have been used most frequently during the past 60 years. However, the function of biological valves usually declines after 10-15 years from implant when structural valve degeneration occurs often mandating a reoperation once valve dysfunction becomes haemodynamically significant. Known for many years by surgeons and cardiologists taking care of patients with SAVR, the issue of postimplant structural valve degeneration has been recently highlighted also in patients with transcatheter aortic valve implant (TAVI). There is growing concern that TAVI valves exhibit structural valve degeneration due to inherent challenges of the deployment mode. The impact on postimplant degeneration of TAVI valves compared to SAVR has still to be understood and defined. Based on the ongoing process of expanding TAVI indications, several potential shortcomings and caveats, learned during the last 60 years of SAVR experience, should be taken into consideration to refine this technique.
AB - Surgical aortic valve replacement (SAVR) is highly effective and can be achieved with relatively low risk in patients with severe aortic stenosis. Bioprostheses have been used most frequently during the past 60 years. However, the function of biological valves usually declines after 10-15 years from implant when structural valve degeneration occurs often mandating a reoperation once valve dysfunction becomes haemodynamically significant. Known for many years by surgeons and cardiologists taking care of patients with SAVR, the issue of postimplant structural valve degeneration has been recently highlighted also in patients with transcatheter aortic valve implant (TAVI). There is growing concern that TAVI valves exhibit structural valve degeneration due to inherent challenges of the deployment mode. The impact on postimplant degeneration of TAVI valves compared to SAVR has still to be understood and defined. Based on the ongoing process of expanding TAVI indications, several potential shortcomings and caveats, learned during the last 60 years of SAVR experience, should be taken into consideration to refine this technique.
KW - Aortic valve replacement
KW - Structural valve degeneration
KW - Transcatheter aortic valve degeneration
KW - Transcatheter aortic valve implant
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U2 - 10.1093/ejcts/ezy391
DO - 10.1093/ejcts/ezy391
M3 - Article
C2 - 30541101
AN - SCOPUS:85060150897
VL - 55
SP - 191
EP - 200
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 2
ER -