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Transcatheter aortic valve implantation: 10-year anniversary part II: clinical implications.

Généreux, Philippe; Head, Stuart J; Wood, David A; Kodali, Susheel K; Williams, Mathew R; Paradis, Jean-Michel; Spaziano, Marco; Kappetein, A Pieter; Webb, John G; Cribier, Alain; Leon, Martin B.
Eur Heart J; 33(19): 2399-402, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22851655
Transcatheter aortic valve implantation (TAVI) has been increasingly recognized as a curative treatment for severe aortic stenosis (AS). Despite important improvements in current device technology and implantation techniques, specific complications still remain and warrant consideration. Vascular complications and peri-procedural neurological events were the first concerns to emerge with this new technology. Recently, significant post procedural para-valvular leak has been shown to be more frequent after TAVI than after surgical aortic valve replacement (SAVR), and its potential association with worse long-term prognostic has raised concerns. In moving toward treatment of lower risk populations, structural integrity and long-term durability of heat valve prosthesis are becoming of central importance. Emerging technologies and newer generations of devices seem promising in dealing with these matters.
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