Kardiologie up2date 2012; 08(04): 266-272
DOI: 10.1055/s-0032-1325942
Hotline – Herzklappenerkrankungen
© Georg Thieme Verlag KG Stuttgart · New York

Kathetergestützter Aortenklappenersatz

Karim Ibrahim
Silvio Quick
Ruth H. Strasser
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Publication History

Publication Date:
20 December 2012 (online)


The treatment of choice of symptomatic aortic stenosis is aortic valve replacement, as it leads to congestive heart failure and death. But still about 30 – 40 % of patients in Western Europe are not being treated due to age or comorbidities. Transcatheter aortic valve implantation is a new method to treat especially this high-risk group of patient. It has proven to be as effective and safe as conventional surgical aortic valve replacement. All patients have to be discussed in a special „Heart Team” to validate the eligibility for transcatheter aortic valve implantation. With the increasing improvement of the different valve-systems the complication rates could be reduced constantly. Current studies investigate the eligibility of the new transcatheter procedures in low to intermediate risk patients. Further application fields like trancatheter valve implantion in mitral- or tricuspidal position are in development.