Review on transcatheter aortic valve implantation (TAVI): indications, types of prostheses, risks, and benefits
DOI:
https://doi.org/10.5281/zenodo.14550185Keywords:
TAVI, Aortic stenosis, Bicuspid valve, Minimally invasive intervention, Interventional cardiologyAbstract
Transcatheter aortic valve implantation (TAVI) has emerged as a minimally invasive technique that is increasingly employed in the treatment of aortic stenosis, particularly in patients at higher surgical risk. This review article aims to present the main indications of this method, covering both degenerative valve disease and bicuspid valve pathology, in addition to describing the available types of prostheses, their contraindications, the most frequent complications, and the balance between risks and benefits. Furthermore, the article includes the latest national and international recommendations, in accordance with Brazilian, American, and European guidelines, as well as relevant studies published in this field.
References
ADAMS, D. H. et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. New England Journal of Medicine, v. 370, n. 19, p. 1790-1798, 2014.
AMERICAN COLLEGE OF CARDIOLOGY; AMERICAN HEART ASSOCIATION. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease. Journal of the American College of Cardiology, v. 77, n. 4, p. e25-e197, 2020.
EUROPEAN SOCIETY OF CARDIOLOGY. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. European Heart Journal, v. 42, n. 36, p. 3599-3726, 2021.
KODALI, S. K. et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. New England Journal of Medicine, v. 366, n. 18, p. 1686-1695, 2012.
LEON, M. B. et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. New England Journal of Medicine, v. 374, n. 17, p. 1609-1620, 2016.
LEON, M. B. et al. Transcatheter or surgical aortic-valve replacement in low-risk patients. New England Journal of Medicine, v. 380, n. 18, p. 1706-1715, 2019.
MACK, M. J. et al. Transcatheter aortic-valve replacement with a balloonexpandable valve in low-risk patients. New England Journal of Medicine, v. 380, n. 18, p. 1695-1705, 2019.
NISHIMURA, R. A. et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease. Circulation, v. 135, n. 25, p. e1159-e1195, 2017.
POPMA, J. J. et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. New England Journal of Medicine, v. 380, n. 18, p. 1706-1715, 2019.
REARDON, M. J. et al. Surgical or transcatheter aortic-valve replacement in intermediate-risk patients. New England Journal of Medicine, v. 376, n. 14, p. 1321-1331, 2017.
SMITH, C. R. et al. Transcatheter versus surgical aortic-valve replacement in highrisk patients. New England Journal of Medicine, v. 364, n. 23, p. 2187-2198, 2011.
SIONTIS, G. C. M. et al. Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of severe aortic stenosis: a meta-analysis of randomized trials. European Heart Journal, v. 41, n. 38, p. 3811-3819, 2020.
SOCIEDADE BRASILEIRA DE CARDIOLOGIA. Diretrizes Brasileiras sobre Valvopatias. Arquivos Brasileiros de Cardiologia, v. 114, n. 1, p. 1-72, 2020.
SOCIEDADE BRASILEIRA DE CARDIOLOGIA. Atualização das Diretrizes de Valvopatias. Arquivos Brasileiros de Cardiologia, v. 118, n. 4, p. 789-829, 2022.
VAHANIAN, A. et al. Transcatheter Aortic Valve Implantation: 15 Years of Clinical Experience. European Heart Journal, v. 42, n. 27, p. 2680-2689, 2021.
WEBB, J. G. et al. Percutaneous aortic valve implantation retrograde from the femoral artery. Circulation, v. 113, n. 6, p. 842-850, 2006.
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