Vor- und Nachteile von selbstexpandierenden und ballonexpandierbaren Prothesen zur kathetergestützten Aortenklappenimplantation

Abstract

Different biologic prostheses are currently in use for transcatheter aortic valve implantation. Recent experience has shown that balloon-expandable and self-expanding valves achieve similar clinical outcomes. In addition, numerous factors have been identified that are associated with favorable results with one or the other prosthesis type. At the same time, new prostheses with alternative stent designs and implantation techniques have been released on the market. Future research should aim at identifying further factors to ultimately enable prosthesis selection on an individual patient base

• Literatur

• 1 Kapadia SR, Leon MB, Makkar RR et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet 2015; 385: 2485-2491
• 2 Mack MJ, Leon MB, Smith CR et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet 2015; 385: 2477-2484
• 3 Yakubov SJ, Adams DH, Watson DR et al. 2-Year Outcomes After Iliofemoral Self-Expanding Transcatheter Aortic Valve Replacement in Patients With Severe Aortic Stenosis Deemed Extreme Risk for Surgery. Journal of the American College of Cardiology 2015; 66: 1327-1334
• 4 Reardon MJ, Adams DH, Kleiman NS et al. 2-Year Outcomes in Patients Undergoing Surgical or Self-Expanding Transcatheter Aortic Valve Replacement. J Am Coll Cardiol 2015; 66: 113-121
• 5 Abdel-Wahab M, Neumann FJ, Mehilli J et al. 1-Year Outcomes After Transcatheter Aortic Valve Replacement With Balloon-Expandable Versus Self-Expandable Valves: Results From the CHOICE Randomized Clinical Trial. J Am Coll Cardiol 2015; 66: 791-800
• 6 Seiffert M, Fujita B, Avanesov M et al. Device landing zone calcification and its impact on residual regurgitation after transcatheter aortic valve implantation with different devices. Eur Heart J Cardiovasc Imaging 2015; [Epub ahead of print]
• 7 Kuetting M, Sedaghat A, Utzenrath M et al. In vitro assessment of the influence of aortic annulus ovality on the hydrodynamic performance of self-expanding transcatheter heart valve prostheses. J Biomech 2014; 47: 957-965
• 8 Schuhbaeck A, Weingartner C, Arnold M et al. Aortic annulus eccentricity before and after transcatheter aortic valve implantation: Comparison of balloon-expandable and self-expanding prostheses. Eur J Radiol 2015; 84: 1242-1248
• 9 Bekeredjian R, Bodingbauer D, Hofmann NP et al. The extent of aortic annulus calcification is a predictor of postprocedural eccentricity and paravalvular regurgitation: a pre- and postinterventional cardiac computed tomography angiography study. J Invasive Cardiol 2015; 27: 172-180
• 10 Delgado V, Ng AC, van de Veire NR et al. Transcatheter aortic valve implantation: role of multi-detector row computed tomography to evaluate prosthesis positioning and deployment in relation to valve function. Eur Heart J 2010; 31: 1114-1123
• 11 Schultz CJ, Weustink A, Piazza N et al. Geometry and degree of apposition of the CoreValve ReValving system with multislice computed tomography after implantation in patients with aortic stenosis. J Am Coll Cardiol 2009; 54: 911-918
• 12 Pasic M, Unbehaun A, Buz S et al. Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches, and prevention. JACC Cardiovascular interventions 2015; 8: 1-9
• 13 Dvir D, Webb JG, Bleiziffer S et al. Transcatheter aortic valve implantation in failed bioprosthetic surgical valves. JAMA 2014; 312: 162-170
• 14 Jategaonkar SR, Scholtz W, Horstkotte D et al. Transfemoral aortic valve-in-valve implantation with the CoreValve Evolut for small degenerated stented bioprosthesis. J Invasive Cardiol 2014; 26: 291-294
• 15 Roy DA, Schaefer U, Guetta V et al. Transcatheter aortic valve implantation for pure severe native aortic valve regurgitation. J Am Coll Cardiol 2013; 61: 1577-1584