Echocardiographic follow-up after transcatheter aortic valve replacement
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Echocardiographic follow-up after transcatheter aortic valve replacement. / Sokalskis, Vladislavs; Muraru, Denisa; Fraccaro, Chiara; Napodano, Massimo; D'Onofrio, Augusto; Tarantini, Giuseppe; Badano, Luigi Paolo.
In: ECHOCARDIOGR-J CARD, Vol. 34, No. 2, 02.2017, p. 267-278.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Echocardiographic follow-up after transcatheter aortic valve replacement
AU - Sokalskis, Vladislavs
AU - Muraru, Denisa
AU - Fraccaro, Chiara
AU - Napodano, Massimo
AU - D'Onofrio, Augusto
AU - Tarantini, Giuseppe
AU - Badano, Luigi Paolo
N1 - © 2017, Wiley Periodicals, Inc.
PY - 2017/2
Y1 - 2017/2
N2 - The use of transcatheter aortic valve replacement (TAVR) for high-risk patients with aortic stenosis has rapidly increased during the past years. Accordingly, more and more patients are referred for a follow-up echocardiographic study after TAVR. However, the echocardiographic evaluation of patients who underwent TAVR places specific demands on echocardiographers. Furthermore, TAVR may be associated with new types of complications, which are frequently unrecognized or underestimated due to lack of familiarity with the normal and pathological appearance of TAVR. Therefore, this review summarizes the echocardiographic parameters describing the structural and functional status of bioprostheses used in TAVR, procedures taking into account their peculiar hemodynamics. We also describe the strengths and the limitations of echocardiography and of other imaging modalities in detecting long-term complications of TAVR (eg, infective endocarditis, thrombosis). The aim of this review was to serve as a guide for a structured echocardiographic follow-up of TAVR patients, as well as for the echocardiographic diagnosis of the procedure-associated complications.
AB - The use of transcatheter aortic valve replacement (TAVR) for high-risk patients with aortic stenosis has rapidly increased during the past years. Accordingly, more and more patients are referred for a follow-up echocardiographic study after TAVR. However, the echocardiographic evaluation of patients who underwent TAVR places specific demands on echocardiographers. Furthermore, TAVR may be associated with new types of complications, which are frequently unrecognized or underestimated due to lack of familiarity with the normal and pathological appearance of TAVR. Therefore, this review summarizes the echocardiographic parameters describing the structural and functional status of bioprostheses used in TAVR, procedures taking into account their peculiar hemodynamics. We also describe the strengths and the limitations of echocardiography and of other imaging modalities in detecting long-term complications of TAVR (eg, infective endocarditis, thrombosis). The aim of this review was to serve as a guide for a structured echocardiographic follow-up of TAVR patients, as well as for the echocardiographic diagnosis of the procedure-associated complications.
KW - Aortic Valve/diagnostic imaging
KW - Echocardiography/methods
KW - Follow-Up Studies
KW - Humans
KW - Kaplan-Meier Estimate
KW - Postoperative Complications/diagnostic imaging
KW - Risk Assessment
KW - Survival Rate
KW - Transcatheter Aortic Valve Replacement
KW - Treatment Outcome
U2 - 10.1111/echo.13443
DO - 10.1111/echo.13443
M3 - SCORING: Review article
C2 - 28052455
VL - 34
SP - 267
EP - 278
JO - ECHOCARDIOGR-J CARD
JF - ECHOCARDIOGR-J CARD
SN - 0742-2822
IS - 2
ER -