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Transcatheter aortic valve replacement: from previously inoperable patients to low surgical risk patient

Authors: Dzhidzalova D.Kh., Berdibekov B.Sh., Petrosian K.V.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2021-15-4-440-455

For citation: Dzhidzalova D.Kh., Berdibekov B.Sh., Petrosian K.V. Transcatheter aortic valve replacement: from previously inoperable patients to low surgical risk patients. Creative Cardiology. 2021; 15 (4): 440–55 (in Russ.). DOI: 10.24022/1997-3187-2021-15-4-440-455

Received / Accepted:  15.11.2021 / 20.12.2021

Keywords: aortic stenosis transcatheter aortic valve replacement surgical aortic valve

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Abstract

With an increase in life expectancy and an aging population, aortic stenosis is by far the most common valvular heart disease. The invention of transcatheter aortic valve replacement (TAVR) revolutionized the treatment of severe aortic stenosis. The improvement of transcatheter devices, the optimization of the procedure, and the increased experience of surgeons have increased the safety of TAVR. As a result of large randomized studies, the transcatheter procedure showed encouraging results in patients with severe aortic stenosis of different surgical risk spectrum compared with surgical aortic valve replacement, which led to an expansion of indications for TAVR. This review presents a brief history, the evolution of transcatheter bioprostheses, the formation of the procedure as an alternative to open-heart surgery, as well as the current state of TAVR.

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About Authors

  • Diana Kh. Dzhidzalova, Postgraduate; ORCID
  • Bektur Sh. Berdibekov, Cardiologist; ORCID
  • Karen V. Petrosian, Dr. Med. Sci., Endovascular Surgeon, Head of Department; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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