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How to Image and Manage Prosthesis-Related Complications After Transcatheter Aortic Valve Replacement
Current Cardiology Reports ( IF 3.7 ) Pub Date : 2021-07-01 , DOI: 10.1007/s11886-021-01522-2
Nina C Wunderlich 1 , Jörg Honold 1 , Martin J Swaans 2 , Robert J Siegel 3
Affiliation  

Purpose of review

In this review, we provide an overview of potential prosthesis — related complications after transcatheter aortic valve replacement, their incidences, the imaging modalities best suited for detection, and possible strategies to manage these complications.

Recent findings

Therapy for severe aortic valve stenosis requiring intervention has increasingly evolved toward transcatheter aortic valve replacement over the past decade, and the number of procedures performed has increased steadily in recent years. As more and more centers favor a minimalistic approach and largely dispense with general anesthesia and intra-procedural imaging by transesophageal echocardiography, post-procedural imaging is becoming increasingly important to promptly detect dysfunction of the transcatheter valve and potential complications.

Summary

Complications after transcatheter aortic valve replacement must be detected immediately in order to initiate adequate therapeutic measures, which require a profound knowledge of possible complications that may occur after transcatheter aortic valve replacement, the imaging modalities best suited for detection, and available treatment options.



中文翻译:

如何对经导管主动脉瓣置换术后假体相关并发症进行成像和管理

审查目的

在这篇综述中,我们概述了潜在的假体——经导管主动脉瓣置换术后的相关并发症、它们的发生率、最适合检测的成像方式,以及处理这些并发症的可能策略。

最近的发现

在过去的十年中,需要干预的严重主动脉瓣狭窄的治疗越来越多地向经导管主动脉瓣置换术发展,并且近年来执行的手术数量稳步增加。随着越来越多的中心倾向于采用简约的方法并在很大程度上免除全身麻醉和经食道超声心动图术中成像,术后成像对于及时检测经导管瓣膜功能障碍和潜在并发症变得越来越重要。

概括

必须立即检测经导管主动脉瓣置换术后的并发症,以便采取适当的治疗措施,这需要深入了解经导管主动脉瓣置换术后可能发生的并发症、最适合检测的成像方式以及可用的治疗方案。

更新日期:2021-07-01
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