Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge
The number of aortic stenosis patients in Western countries is increasing, along with better life conditions and expectancies. Presently, the volume of percutaneous transcatheter aortic valve implantations (TAVIs) is incessantly increasing, and has already overcome the surgical replacement procedure...
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doaj-2fb18ea2bff34c06ad74ea92d45e2d492021-09-26T00:39:12ZengMDPI AGMedicina1010-660X1648-91442021-08-015788388310.3390/medicina57090883Transcatheter Aortic Valve Implantation in Younger Patients: A New ChallengeGiacomo Virgili0Salvatore Mario Romano1Renato Valenti2Angela Migliorini3Pierluigi Stefàno4Niccolò Marchionni5Nazario Carrabba6Cardiothoracovascular Department, Careggi Hospital, 50134 Florence, ItalyExperimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyCardiothoracovascular Department, Careggi Hospital, 50134 Florence, ItalyCardiothoracovascular Department, Careggi Hospital, 50134 Florence, ItalyCardiothoracovascular Department, Careggi Hospital, 50134 Florence, ItalyCardiothoracovascular Department, Careggi Hospital, 50134 Florence, ItalyCardiothoracovascular Department, Careggi Hospital, 50134 Florence, ItalyThe number of aortic stenosis patients in Western countries is increasing, along with better life conditions and expectancies. Presently, the volume of percutaneous transcatheter aortic valve implantations (TAVIs) is incessantly increasing, and has already overcome the surgical replacement procedure volume. According to the literature, TAVI is a feasible procedure even among low surgical risk patients, and American guidelines have extended the indications for TAVI, including shifting patient evaluations from high/low STS scores to old/young patients, a “paradigm shift” of aortic stenosis evaluation. As a result, low-risk young (<75 years-old) population management could be the next challenge in cardiology. To manage the life conditions of a 65 year old patient affected by aortic stenosis who is undergoing TAVI, one of the most crucial issue will be bioprosthesis durability and the appropriate intervention to make in cases of valve dysfunction or failure.https://www.mdpi.com/1648-9144/57/9/883aortic stenosisTAVISAVRlow-risk patientsyoung patientslife-time management |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giacomo Virgili Salvatore Mario Romano Renato Valenti Angela Migliorini Pierluigi Stefàno Niccolò Marchionni Nazario Carrabba |
spellingShingle |
Giacomo Virgili Salvatore Mario Romano Renato Valenti Angela Migliorini Pierluigi Stefàno Niccolò Marchionni Nazario Carrabba Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge Medicina aortic stenosis TAVI SAVR low-risk patients young patients life-time management |
author_facet |
Giacomo Virgili Salvatore Mario Romano Renato Valenti Angela Migliorini Pierluigi Stefàno Niccolò Marchionni Nazario Carrabba |
author_sort |
Giacomo Virgili |
title |
Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge |
title_short |
Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge |
title_full |
Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge |
title_fullStr |
Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge |
title_full_unstemmed |
Transcatheter Aortic Valve Implantation in Younger Patients: A New Challenge |
title_sort |
transcatheter aortic valve implantation in younger patients: a new challenge |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X 1648-9144 |
publishDate |
2021-08-01 |
description |
The number of aortic stenosis patients in Western countries is increasing, along with better life conditions and expectancies. Presently, the volume of percutaneous transcatheter aortic valve implantations (TAVIs) is incessantly increasing, and has already overcome the surgical replacement procedure volume. According to the literature, TAVI is a feasible procedure even among low surgical risk patients, and American guidelines have extended the indications for TAVI, including shifting patient evaluations from high/low STS scores to old/young patients, a “paradigm shift” of aortic stenosis evaluation. As a result, low-risk young (<75 years-old) population management could be the next challenge in cardiology. To manage the life conditions of a 65 year old patient affected by aortic stenosis who is undergoing TAVI, one of the most crucial issue will be bioprosthesis durability and the appropriate intervention to make in cases of valve dysfunction or failure. |
topic |
aortic stenosis TAVI SAVR low-risk patients young patients life-time management |
url |
https://www.mdpi.com/1648-9144/57/9/883 |
work_keys_str_mv |
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1716870151446462464 |