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TAVI in complex clinical and anatomical scenarios

SAIA F., TARANTINI G.

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DESCRIPTION

Transcatheter aortic valve implantation (TAVI) was introduced about 15 years ago as an alternative to surgical valve replacement in patients at prohibitive operating risk, and is now a consolidated treatment also for lower surgical risk categories of patients. An increasing use of TAVI in even lower risk categories and to younger people is expected shortly. This makes mandatory the search for optimal procedural results. To the achievement of this goal certainly contributed the increasing experience of the operators and the enormous technological improvement, with the development of more performing prostheses with a lower profile, which drastically reduce the risks of periprocedural complications. Yet, complex clinical and anatomical features may still deeply affect the immediate and log-term outcomes after TAVI. This book was designed to address these complex scenarios, with the main objective of providing useful insights from and to expert interventional cardiologists to further optimize clinical outcomes in patients undergoing TAVI.



CHAPTER INDEX

Transcatheter aortic valve implantation (TAVI): current indications and future scenarios

T. Palmerini, A.G. Bruno

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Management of complex peripheral access: tortuosity, small diameter, severe calcifications

T. Piva, R. Fattori

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Management of vascular complications: materials and techniques

R. Nerla, A. Micari, A. Cremonesi, F. Castriota

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Coronary protection: when and how to do it

N. Buzzatti, A. Latib, A. Colombo

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Evaluation and management of pre-existing coronary disease

R. Scarsini, A. Piccoli, M. Pighi, F. Ribichini

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Severe calcification of annulus, left ventricular outflow tract and coronary cusps

L. Losi, V. Guiducci, A. Menozzi, L. Vignali

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Bicuspid aortic valve: from correct sizing to procedural success

M. Napodano, C. Fraccaro, G. Tarantini

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TAVI valve-in-valve for small-diameter degenerated surgical bioprostheses

F. Meucci, M. Stolcova, G. Squillantini, N. Chiriatti, F. Ristalli, C. Agostini, C. Sorini Dini, C. Di Mario

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TAVI for pure aortic regurgitation

F. Bedogni, M. Casenghi, L. Testa, N. Brambilla, M. Agnifi li, F. De Marco

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TAVI in the setting of acutely decompensated aortic stenosis patients

F. Burzotta, G. Russo, C. Aurigemma, C. Trani

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Mitral and tricuspid transcatheter heart valve implantation

C. Savini, G. Folesani

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TAVI for degenerated transcatheter heart valves

M. Barbanti, C. Tamburino

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Patients with associated heart valve disease: pathophysiology, clinical evaluation, and therapeutic strategies

A.A. Vecchia, F. Lanni, E. Di Lorenzo

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Management of paravalvular leaks after TaVi

F. De Marco, M. Casenghi, L. Testa, N. Brambilla, M. Agnifili, F. Bedogni

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Antithrombotic therapy and transcatheter aortic valve implantation

D. Capodanno, C. Tamburino

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Troubleshooting: clinical cases parade - TAVI valve-in-valve in a failing Freestyle Root with high-risk of coronary obstruction

M. Stolcova, F. Meucci, G. Squillantini, N. Chiriatti, F. Ristalli, C. Di Mario

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Troubleshooting: clinical cases parade - Transfemoral valve-in-valve for severe aortic regurgitation in a patient with very high risk of coronary occlusion

C. Moretti, C. Marcelli, T. Palmerini, F. Saia

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Troubleshooting: clinical cases parade - Transfemoral TAVI in heavily calcified iliac arteried facilitated by percutaneous lithoplasty

M. Stolcova, F. Meucci, G. Squillantini, N. Chiriatti, F. Ristalli, C. Di Mario

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Troubleshooting: clinical cases parade - Transfemoral TAVI in severe calcified aortic anulus with high risk of rupture

C. Moretti, C. Marcelli, M. Chiarabelli, C. Marozzini, T. Palmerini, F. Saia

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Troubleshooting: clinical cases parade - Successful percutaneous implantation of Symetis Acurate Neo transcatheter aortic bioprosthesis for the treatment of pure aortic regurgitation

A.G. Cerillo, M. Ravani, G. Trianni, M. Mariani, A. Al Jabri, S. Berti

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