Transcatheter Aortic Valve Replacements: Current Trends and Future Directions. (September 2019)

• Record Type: Journal Article
• Authors: Goeddel, Lee A.; Serini, Jessica; Steyn, Johannes W.; Evans, Adam S.; Dwarakanath, Sanjay; Ramakrishna, Harish; Augoustides, John; Brady, Mary Beth
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 23:Number 3(2019)
• Page Start: 282
• Page End: 292
• Publication Date: 2019-09
• Subjects: aortic stenosis -- transcatheter aortic valve replacement -- SAPIEN -- Medtronic; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/1089253218779389
• Languages: English
• ISSNs: 1089-2532

Abstract

Since the 1960s when the first aortic surgical aortic valve replacement (SAVR) was performed, continuous growth in the field of valvular technology has occurred. Although SAVR remains a lifesaving procedure, minimally invasive transcatheter aortic valve replacement has revolutionized and expanded aortic valve replacement to patients who were not previously SAVR candidates, increasing their quality of life and survival. Since its introduction in the United States in 2011, the technology and practice have rapidly expanded. Hybrid techniques have been developed that combine surgical access to the vasculature with valvular deployment over transcatheter systems. This literature review aims to describe the differences between the current available valve technologies, review approaches to surgical technique, discuss anesthetic considerations, and look forward to future directions, trends, and challenges.