Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI).

Alec Vahanian, Ottavio Alfieri, Nawwar Al-Attar, Manuel Antunes, Jeroen Bax, Bertrand Cormier, Alain Cribier, Peter De Jaegere, Gerard Fournial, Arie Pieter Kappetein, Jan Kovac, Susanne Ludgate, Francesco Maisano, Neil Moat, Friedrich Mohr, Patrick Nataf, Luc Pierard, José Luis Pomar, Joachim Schofer, Pilar TornosMurat Tuzcu, Ben van Hout, Ludwig K. Von Segesser, Thomas Walther

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Abstract

AIMS: To critically review the available transcatheter aortic valve implantation techniques and their results, as well as propose recommendations for their use and development. METHODS AND RESULTS: A committee of experts including European Association of Cardio-Thoracic Surgery and European Society of Cardiology representatives met to reach a consensus based on the analysis of the available data obtained with transcatheter aortic valve implantation and their own experience. The evidence suggests that this technique is feasible and provides haemodynamic and clinical improvement for up to 2 years in patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery. Questions remain mainly concerning safety and long-term durability, which have to be assessed. Surgeons and cardiologists working as a team should select candidates, perform the procedure, and assess the results. Today, the use of this technique should be restricted to high-risk patients or those with contraindications for surgery. However, this may be extended to lower risk patients if the initial promise holds to be true after careful evaluation. CONCLUSION: Transcatheter aortic valve implantation is a promising technique, which may offer an alternative to conventional surgery for high-risk patients with aortic stenosis. Today, careful evaluation is needed to avoid the risk of uncontrolled diffusion.

Original languageEnglish
Pages (from-to)193-199
Number of pages7
JournalEuroIntervention
Volume4
Issue number2
Publication statusPublished - Aug 2008

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Aortic Valve Stenosis
Thoracic Surgery
Hemodynamics
Safety
Transcatheter Aortic Valve Replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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Transcatheter valve implantation for patients with aortic stenosis : a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). / Vahanian, Alec; Alfieri, Ottavio; Al-Attar, Nawwar; Antunes, Manuel; Bax, Jeroen; Cormier, Bertrand; Cribier, Alain; De Jaegere, Peter; Fournial, Gerard; Kappetein, Arie Pieter; Kovac, Jan; Ludgate, Susanne; Maisano, Francesco; Moat, Neil; Mohr, Friedrich; Nataf, Patrick; Pierard, Luc; Pomar, José Luis; Schofer, Joachim; Tornos, Pilar; Tuzcu, Murat; van Hout, Ben; Von Segesser, Ludwig K.; Walther, Thomas.

In: EuroIntervention, Vol. 4, No. 2, 08.2008, p. 193-199.

Research output: Contribution to journalArticle

Vahanian, A, Alfieri, O, Al-Attar, N, Antunes, M, Bax, J, Cormier, B, Cribier, A, De Jaegere, P, Fournial, G, Kappetein, AP, Kovac, J, Ludgate, S, Maisano, F, Moat, N, Mohr, F, Nataf, P, Pierard, L, Pomar, JL, Schofer, J, Tornos, P, Tuzcu, M, van Hout, B, Von Segesser, LK & Walther, T 2008, 'Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI).', EuroIntervention, vol. 4, no. 2, pp. 193-199.
Vahanian, Alec ; Alfieri, Ottavio ; Al-Attar, Nawwar ; Antunes, Manuel ; Bax, Jeroen ; Cormier, Bertrand ; Cribier, Alain ; De Jaegere, Peter ; Fournial, Gerard ; Kappetein, Arie Pieter ; Kovac, Jan ; Ludgate, Susanne ; Maisano, Francesco ; Moat, Neil ; Mohr, Friedrich ; Nataf, Patrick ; Pierard, Luc ; Pomar, José Luis ; Schofer, Joachim ; Tornos, Pilar ; Tuzcu, Murat ; van Hout, Ben ; Von Segesser, Ludwig K. ; Walther, Thomas. / Transcatheter valve implantation for patients with aortic stenosis : a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). In: EuroIntervention. 2008 ; Vol. 4, No. 2. pp. 193-199.
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T2 - a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI).

AU - Vahanian, Alec

AU - Alfieri, Ottavio

AU - Al-Attar, Nawwar

AU - Antunes, Manuel

AU - Bax, Jeroen

AU - Cormier, Bertrand

AU - Cribier, Alain

AU - De Jaegere, Peter

AU - Fournial, Gerard

AU - Kappetein, Arie Pieter

AU - Kovac, Jan

AU - Ludgate, Susanne

AU - Maisano, Francesco

AU - Moat, Neil

AU - Mohr, Friedrich

AU - Nataf, Patrick

AU - Pierard, Luc

AU - Pomar, José Luis

AU - Schofer, Joachim

AU - Tornos, Pilar

AU - Tuzcu, Murat

AU - van Hout, Ben

AU - Von Segesser, Ludwig K.

AU - Walther, Thomas

PY - 2008/8

Y1 - 2008/8

N2 - AIMS: To critically review the available transcatheter aortic valve implantation techniques and their results, as well as propose recommendations for their use and development. METHODS AND RESULTS: A committee of experts including European Association of Cardio-Thoracic Surgery and European Society of Cardiology representatives met to reach a consensus based on the analysis of the available data obtained with transcatheter aortic valve implantation and their own experience. The evidence suggests that this technique is feasible and provides haemodynamic and clinical improvement for up to 2 years in patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery. Questions remain mainly concerning safety and long-term durability, which have to be assessed. Surgeons and cardiologists working as a team should select candidates, perform the procedure, and assess the results. Today, the use of this technique should be restricted to high-risk patients or those with contraindications for surgery. However, this may be extended to lower risk patients if the initial promise holds to be true after careful evaluation. CONCLUSION: Transcatheter aortic valve implantation is a promising technique, which may offer an alternative to conventional surgery for high-risk patients with aortic stenosis. Today, careful evaluation is needed to avoid the risk of uncontrolled diffusion.

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