Academic Journal

Clinical and Technical Challenges of Prosthesis–Patient Mismatch After Transcatheter Aortic Valve Implantation

التفاصيل البيبلوغرافية
العنوان: Clinical and Technical Challenges of Prosthesis–Patient Mismatch After Transcatheter Aortic Valve Implantation
المؤلفون: Pier Pasquale Leone, Fabio Fazzari, Francesco Cannata, Jorge Sanz-Sanchez, Antonio Mangieri, Lorenzo Monti, Ottavia Cozzi, Giulio Giuseppe Stefanini, Renato Bragato, Antonio Colombo, Bernhard Reimers, Damiano Regazzoli
المصدر: Frontiers in Cardiovascular Medicine, Vol 8 (2021)
بيانات النشر: Frontiers Media S.A., 2021.
سنة النشر: 2021
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: aortic stenosis, prosthesis-patient mismatch, small annuli, TAVI, valve-in-valve, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Prosthesis–patient mismatch (PPM) is present when the effective area of a prosthetic valve inserted into a patient is inferior to that of a normal human valve; the hemodynamic consequence of a valve too small compared with the size of the patient's body is the generation of higher than expected transprosthetic gradients. Despite evidence of increased risk of short- and long-term mortality and of structural valve degeneration in patients with PPM after surgical aortic valve replacement, its clinical impact in patients subject to transcatheter aortic valve implantation (TAVI) is yet unclear. We aim to review and update on the definition and incidence of PPM after TAVI, and its prognostic implications in the overall population and in higher-risk subgroups, such as small aortic annuli or valve-in-valve procedures. Last, we will focus on the armamentarium available in order to reduce risk of PPM when planning a TAVI procedure.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2297-055X
Relation: https://www.frontiersin.org/articles/10.3389/fcvm.2021.670457/full; https://doaj.org/toc/2297-055X
DOI: 10.3389/fcvm.2021.670457
URL الوصول: https://doaj.org/article/1604bfe683fc41569a0ff29b758c171e
رقم الانضمام: edsdoj.1604bfe683fc41569a0ff29b758c171e
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2297055X
DOI:10.3389/fcvm.2021.670457