The Incidence, Impact, and Techniques of Commissural Alignment in Transcatheter Aortic Valve Implantation: A Review

In current clinical practice, commissural alignment of the transcatheter heart valve (THV) during transcatheter aortic valve implantation (TAVI) is seldom achieved. Orientation of the THV within the aortic root and the subsequent influence upon leaflet haemodynamic function, coronary blood flow, and...

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Detalles Bibliográficos
Autores: Paredes-Vazquez, Jose G., Tirado-Conte, Gabriela, Shabbir, Asad, Mon-Noboa, Matias, Chavez, Jorge F., Nuñez-Gil, Ivan, Jimenez-Quevedo, Pilar, Pozo-Osinalde, Eduardo, Gomez de Diego, Jose Juan, Salinas, Pablo, Mejia-Renteria, Hernan, Macaya, Fernando, De Agustín Loeches, José Alberto, Gonzalo, Nieves, Escaned Barbosa, Javier, Fernández Ortiz, Antonio Ignacio, Nombela-Franco, Luis
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/130509
Acceso en línea:https://hdl.handle.net/20.500.14352/130509
Access Level:acceso abierto
Palabra clave:Commissure alignment
TAVI
Aortic stenosis
Coronary reaccess
Cardiología
3205.01 Cardiología
Descripción
Sumario:In current clinical practice, commissural alignment of the transcatheter heart valve (THV) during transcatheter aortic valve implantation (TAVI) is seldom achieved. Orientation of the THV within the aortic root and the subsequent influence upon leaflet haemodynamic function, coronary blood flow, and ease of access to the coronary ostia are gaining significant interest. Herein, we review the incidence and clinical implications of commissural misalignment in TAVI and offer thorough descriptions of how optimal alignment can be achieved with several different contemporary THV devices.

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