Recognition and management of complications during transcatheter aortic valve implantation

Joanne Shannon, Marco Mussardo, Azeem Latib, Kensuke Takagi, Alaide Chieffo, Matteo Montorfano, Antonio Colombo

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

In the field of interventional cardiology, transcatheter aortic valve implantation is the newest and most exciting development of recent years. With a growing evidence base for both prognostic and symptomatic benefit, more and more interventionalists are keen to learn the procedure. However, the concomitant risk associated with a technically challenging procedure in a high-risk patient population is significant, and complications can arise suddenly and often unexpectedly. It is essential that new, and even established, operators are meticulously aware of the potential for complications, are able to identify them at an early stage, and manage them quickly and effectively. We have significant experience with transcatheter aortic valve implantation, through the implantation of 260 devices, which brings first-hand experience of most major complications. This article provides insight into the potential for complications, offering advice on effective treatment, recognition, and ultimately, prevention. It also suggests a number of procedural and technical modifications, which might improve outcomes in the future.

Original languageEnglish (US)
Pages (from-to)913-926
Number of pages14
JournalExpert Review of Cardiovascular Therapy
Volume9
Issue number7
DOIs
StatePublished - Jul 2011
Externally publishedYes

Keywords

  • annulus rupture
  • aortic stenosis
  • atrioventricular block
  • cerebral embolism
  • complications
  • coronary occlusion
  • embolization
  • paravalvular regurgitation
  • tamponade
  • transcatheter aortic valve implantation
  • vascular access

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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