Interventionelle Behandlung der Aortenklappe – Update und Herausforderungen 2019

Abstract

Aortic valve stenosis is the most common valvular heart disease requiring treatment in Europe. Transcatheter aortic valve implantation (TAVI) has already been established as a standard therapy in patients with high but also intermediate risk.

In the meantime, it is even being performed more frequently than surgical replacement in Germany.

This article presents current data, indications and future challenges.

Die Aortenklappenstenose ist in Europa der häufigste behandlungsbedürftige Herzklappenfehler. Als Standardtherapie hat sich der Katheter-gestützte Aortenklappenersatz bei Patienten mit hohem und intermediärem operativem Risiko bereits etabliert. Mittlerweile wird er in Deutschland sogar häufiger durchgeführt als der konventionell-chirurgische Klappenersatz. Aktuelle Datenlage, Indikationen und Herausforderungen stellt dieser Beitrag vor.

Schlüsselwörter

TAVI - paravalvuläre Leckagen - Schrittmacher - bikuspide Aortenklappe - Schlaganfall

Key words

TAVI - paravalvular leaks - pacemaker - bicuspid aortic valve - stroke

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