دورية أكاديمية
Considering alternatives to transcatheter heart valves for managing patients with severe aortic valve stenosis.
| العنوان: | Considering alternatives to transcatheter heart valves for managing patients with severe aortic valve stenosis. |
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| المؤلفون: | Elzomor H; Department of Cardiology, Saolta Group, Galway University Hospital, Galway, Ireland.; CORRIB Core Lab, University of Galway, Galway, Ireland.; Islamic Center of Cardiology, Al-Azhar University, Nasr City, Cairo, Egypt.; CÚRAM, SFI Research Centre for Medical Devices, Galway, Ireland.; Department of Cardiology, Royal Wolverhampton NHS Trust, Wolverhampton, UK., Elkoumy A; Department of Cardiology, Saolta Group, Galway University Hospital, Galway, Ireland.; CORRIB Core Lab, University of Galway, Galway, Ireland.; Islamic Center of Cardiology, Al-Azhar University, Nasr City, Cairo, Egypt.; CÚRAM, SFI Research Centre for Medical Devices, Galway, Ireland., Hothi SS; Department of Cardiology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.; College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.; Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, UK., Soliman O; Department of Cardiology, Saolta Group, Galway University Hospital, Galway, Ireland.; CORRIB Core Lab, University of Galway, Galway, Ireland.; Islamic Center of Cardiology, Al-Azhar University, Nasr City, Cairo, Egypt.; Department of Cardiology, Royal Wolverhampton NHS Trust, Wolverhampton, UK.; Euro Heart Foundation, Rotterdam, The Netherlands. |
| المصدر: | Expert review of medical devices [Expert Rev Med Devices] 2024 Jan-Feb; Vol. 21 (1-2), pp. 109-120. Date of Electronic Publication: 2024 Feb 04. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101230445 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1745-2422 (Electronic) Linking ISSN: 17434440 NLM ISO Abbreviation: Expert Rev Med Devices Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: London : Future Drugs Ltd. |
| مواضيع طبية MeSH: | Aortic Valve Stenosis*/surgery , Transcatheter Aortic Valve Replacement*/adverse effects , Heart Valve Prosthesis Implantation*/adverse effects, Humans ; Aortic Valve/surgery ; Treatment Outcome ; Risk Factors |
| مستخلص: | Introduction: Transcatheter aortic valve implantation (TAVI) is becoming the standard of care for severe symptomatic aortic stenosis (AS). Yet, some patients with AS are not indicated/eligible for TAVI. Several noninvasive, catheter-based or surgical alternatives exist, and other therapeutic options are emerging. Areas Covered: This review provides an overview of non-TAVI options for severe AS. Non-invasive, transcatheter, and alternative surgical strategies are discussed, emphasizing their backgrounds, techniques, and outcomes. Expert Opinion: Alternative therapies to TAVI, whether device-based or non-device-based, continue to evolve or emerge and provide either alternative treatments or a bridge to TAVI, for patients not meeting indications for, or having contraindications to TAVI.Although TAVI and SAVR are the current dominant therapies, there are still some patients that could benefit in the future from other alternatives.Data on alternative options for such patients are scarce. Many advantages and disadvantages arise when selecting a specific treatment strategy for individual patients.Head-to-head comparison studies could guide physicians toward better patient selection and procedural planning. Awareness of therapeutic options, indications, techniques, and outcomes should enable heart teams to achieve optimized patient selection. Furthermore, it can increase the use of these alternatives to optimize the management of AS among different patient populations. |
| فهرسة مساهمة: | Keywords: Aortic stenosis; Ozaki; Ross; beating heart surgery; intuity; leaflet scoring; sutureless aortic valve; transcatheter aortic valve implantation |
| تواريخ الأحداث: | Date Created: 20240103 Date Completed: 20240206 Latest Revision: 20240206 |
| رمز التحديث: | 20240206 |
| DOI: | 10.1080/17434440.2023.2298716 |
| PMID: | 38166517 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1745-2422 |
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| DOI: | 10.1080/17434440.2023.2298716 |