1. 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)
- Author
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Alain Cribier, José Luis Pomar, Manuel J. Antunes, Susanne Ludgate, Jeroen Bax, Ludwig K. von Segesser, Alec Vahanian, Ottavio Alfieri, Murat Tuzcu, Ben van Hout, Arie Pieter Kappetein, Patrick Nataf, Bertrand Cormier, Gerard Fournial, Joachim Schofer, Luc Pierard, Nawwar Al-Attar, Peter De Jaegere, Thomas Walther, Francesco Maisano, Friedrich W. Mohr, Neil Moat, Jan Kovac, Pilar Tornos, Cardiology, Cardiothoracic Surgery, Vahanian, A, Alfieri, Ottavio, Al Attar, N, Antunes, Mj, Bax, J, Cormier, B, Cribier, A, De Jaegere, P, Fournial, G, Kappetein, Ap, Kovac, J, Ludgate, S, Maisano, F, Moat, N, Mohr, Fw, Nataf, P, Pierard, L, Pomar, Jl, Schofer, J, Tornos, P, Tuzcu, M, van Hout, B, von Segesser, Lk, Walther, T., Antunes, M, Mohr, F, Von Segesser, Lk, Vahanian, Alec, 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 Jose, Lui, Schofer, Joachim, Tornos, Pilar, Tuzcu, Murat, van Hout, Ben, Von Segesser Ludwig, K., and Walther, Thomas
- Subjects
Thorax ,Pulmonary and Respiratory Medicine ,Position statement ,Cardiac Catheterization ,medicine.medical_specialty ,Percutaneous ,MEDLINE ,Psychological intervention ,Lower risk ,Risk Factors ,Internal medicine ,medicine ,Minimally Invasive Surgical Procedures ,Humans ,Societies, Medical ,Heart Valve Prosthesis Implantation ,Evidence-Based Medicine ,business.industry ,Contraindications ,Patient Selection ,Aortic Valve Stenosis ,General Medicine ,Evidence-based medicine ,medicine.disease ,Radiography ,Europe ,Stenosis ,Treatment Outcome ,Cardiothoracic surgery ,Aortic Valve ,Aortic valve stenosis ,Heart catheterization ,Cardiology ,Surgery ,Cardiology and Cardiovascular Medicine ,business - 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 tong-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. (C) 2008 The European Society of Cardiology, European Association for Cardio-Thoracic Surgery, and Europa Edition. All rights reserved.
- Published
- 2017