Transcatheter Aortic Valve Implantation Current Indications and Future Directions

• Main Authors: Mirjam Gauri Winkel, Stefan Stortecky, Peter Wenaweser
• Format: Article
• Language: English
• Published: Frontiers Media S.A. 2019-12-01
• Series: Frontiers in Cardiovascular Medicine
• Subjects: valvular heart disease; aortic valve; transcatheter aortic valve replacement; structural interventions; aortic stenosis
• Online Access: https://www.frontiersin.org/article/10.3389/fcvm.2019.00179/full

Degenerative heart valve disease is associated with significant morbidity and mortality and healthcare expenditures. Transcatheter heart valve repair and replacement has introduced a fundamental change in the therapeutic management and transcatheter aortic valve replacement (TAVR) has gained substantial popularity. Favorable results from randomized trials and large real world registries lead to TAVR being considered a standard procedure with high rates of procedural success and low rates of peri-procedural complications. This article aims to review the past evolution, summarize the available evidence, discuss current indications and limitations and venture a glimpse into the future of percutaneous interventions for aortic valve disease.