Transcatheter Aortic Valve Replacements: Current Trends and Future Directions

Lee Goeddel, Jessica Serini, Johannes W. Steyn, Adam S. Evans, Sanjay Dwarakanath, Harish Ramakrishna, John Augoustides, Mary Beth Brady

Research output: Contribution to journalArticle

Abstract

Since the 1960s when the first aortic surgical aortic valve replacement (SAVR) was performed, continuous growth in the field of valvular technology has occurred. Although SAVR remains a lifesaving procedure, minimally invasive transcatheter aortic valve replacement has revolutionized and expanded aortic valve replacement to patients who were not previously SAVR candidates, increasing their quality of life and survival. Since its introduction in the United States in 2011, the technology and practice have rapidly expanded. Hybrid techniques have been developed that combine surgical access to the vasculature with valvular deployment over transcatheter systems. This literature review aims to describe the differences between the current available valve technologies, review approaches to surgical technique, discuss anesthetic considerations, and look forward to future directions, trends, and challenges.

Original languageEnglish (US)
JournalSeminars in Cardiothoracic and Vascular Anesthesia
DOIs
StateAccepted/In press - Jun 1 2018

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Keywords

  • aortic stenosis
  • Medtronic
  • SAPIEN
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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