Skip to main content
SpringerLink
Log in

Konsensuspapier der Deutschen Gesellschaft für Kardiologie (DGK) und der Deutschen Gesellschaft für Thorax‑, Herz- und Gefäßchirurgie (DGTHG) zur kathetergestützten Aortenklappenimplantation (TAVI) 2020

Consensus paper of the German Cardiac Society (DGK) and the German Society for Thoracic and Cardiovascular Surgery (DGTHG) on transcatheter aortic valve implantation (TAVI) 2020

  • Konsensuspapiere
  • Published:
Der Kardiologe Aims and scope

Zusammenfassung

Nach den 2 Positionspapieren der Deutschen Gesellschaft für Kardiologie (DGK) in 2015 und 2016 zum Thema der kathetergestützten Aortenklappenimplantation (TAVI) haben sich die DGK und die Deutsche Gesellschaft für Thorax‑, Herz- und Gefäßchirurgie (DGTHG) entschlossen, ein Konsensuspapier vorzulegen, das die neuesten Ergebnisse von randomisierten und auch Beobachtungsstudien berücksichtigt, insbesondere bei Patienten mit hochgradiger Aortenklappenstenose (AS) und niedrigem operativem Risiko (STS-Score ≤4 %) sowie bei speziellen Indikationen wie „Klappe in Klappe“ und hochgradiger AS bei bikuspider Aortenklappe. Außerdem wird auf Komplikationen und Themen wie Haltbarkeit der perkutanen im Vergleich zu operativ eingesetzten Prothesen eingegangen – insbesondere unter dem Gesichtspunkt, dass Niedrigrisikopatienten jünger sind. Nach diesem Konsensuspapier wird ein chirurgischer Aortenklappenersatz (AKE) bei Niedrigrisikopatienten empfohlen, die ≤70 Jahre alt sind und keine anderen, in den üblichen Scores nicht enthaltenen Risikofaktoren aufweisen. TAVI wird empfohlen bei Patienten >75 Jahre und einer für TAVI geeigneten Anatomie nach Entscheidung im Herz-Team. Bei 70- bis 75-jährigen Patienten wird eine Herz-Team-Entscheidung zu TAVI oder AKE unter Bewertung der Lebensperspektive für den Patienten angesichts fehlender Langzeitdaten aus randomisierten Studien empfohlen. Unter Berücksichtigung des G‑BA(Gemeinsamer Bundesausschuss)-Beschlusses zur perkutanen Herzklappentherapie werden die Kriterien für die personellen und strukturellen Voraussetzungen unter dem Aspekt der Qualifikation des TAVI-Zentrums und des TAVI-Operateurs mit der speziellen Rolle des interventionellen Kardiologen und des Herzchirurgen definiert.

Abstract

Following the two position papers of the German Cardiac Society (DGK) from 2015 and 2016 on transcatheter aortic valve implantation (TAVI), the DGK and the German Society for Thoracic and Cardiovascular Surgery (DGTHG) have decided to issue a consensus paper on the topic that takes into account the most recent results from randomized controlled trials and registries, with special emphasis on patients with severe aortic stenosis (AS) and low operative risk (STS score ≤4%). Specific indications, such as “valve in valve” and severe AS in patients with a bicuspid aortic valve are also addressed. Additionally, TAVI-related complications and the durability of percutaneously in comparison to surgically inserted prostheses are discussed, particularly in view of the generally younger age of low-risk patients. According to this consensus paper, surgical aortic valve replacement (SAVR) is recommended for low-risk patients ≤70 years without any of the risk factors known to be missing from the widely accepted risk scores. The TAVI procedure is recommended after heart team consensus for low-risk patients >75 years and a suitable anatomy for TAVI. In patients between 70 and 75 years old, a heart team decision between SAVR and TAVI is recommended that considers the patient’s life perspective in view of missing long-term data from randomized trials. Taking into account the decision of the Federal Joint Committee (G-BA) on percutaneous heart valve treatment, the personnel and structural prerequisites regarding the qualification of TAVI centers and TAVI surgeons, with the special roles of interventional cardiologists and cardiac surgeons, are defined.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1

Literatur

  1. Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, Tuzcu EM, Webb JG, Fontana GP, Makkar RR, Brown DL, Block PC, Guyton RA, Pichard AD, Bavaria JE, Herrmann HC, Douglas PS, Petersen JL, Akin JJ, Anderson WN, Wang D, Pocock S (2010) Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med 363(17):1597–1607

    Article  CAS  PubMed  Google Scholar 

  2. Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, Tuzcu EM, Webb JG, Fontana GP, Makkar RR, Williams M, Dewey T, Kapadia S, Babaliaros V, Thourani VH, Corso P, Pichard AD, Bavaria JE, Herrmann HC, Akin JJ, Anderson WN, Wang D, Pocock SJ (2011) Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med 364(23):2187–2198

    Article  CAS  PubMed  Google Scholar 

  3. Makkar RR, Fontana GP, Jilaihawi H, Kapadia S, Pichard AD, Douglas PS, Thourani VH, Babaliaros VC, Webb JG, Herrmann HC, Bavaria JE, Kodali S, Brown DL, Bowers B, Dewey TM, Svensson LG, Tuzcu M, Moses JW, Williams MR, Siegel RJ, Akin JJ, Anderson WN, Pocock S, Smith CR, Leon MB (2012) Transcatheter aortic-valve replacement for inoperable severe aortic stenosis. N Engl J Med 366(18):1696–1704

    Article  CAS  PubMed  Google Scholar 

  4. Kodali SK, Williams MR, Smith CR, Svensson LG, Webb JG, Makkar RR, Fontana GP, Dewey TM, Thourani VH, Pichard AD, Fischbein M, Szeto WY, Lim S, Greason KL, Teirstein PS, Malaisrie SC, Douglas PS, Hahn RT, Whisenant B, Zajarias A, Wang D, Akin JJ, Anderson WN, Leon MB (2012) Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med 366(18):1686–1695

    Article  CAS  PubMed  Google Scholar 

  5. Adams DH, Popma JJ, Reardon MJ, Yakubov SJ, Coselli JS, Deeb GM, Gleason TG, Buchbinder M, Hermiller J Jr, Kleiman NS, Chetcuti S, Heiser J, Merhi W, Zorn G, Tadros P, Robinson N, Petrossian G, Hughes GC, Harrison JK, Conte J, Maini B, Mumtaz M, Chenoweth S, Oh JK (2014) Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med 370(19):1790–1798

    Article  CAS  PubMed  Google Scholar 

  6. Mack MJ, Leon MB, Smith CR, Miller DC, Moses JW, Tuzcu EM, Webb JG, Douglas PS, Anderson WN, Blackstone EH, Kodali SK, Makkar RR, Fontana GP, Kapadia S, Bavaria J, Hahn RT, Thourani VH, Babaliaros V, Pichard A, Herrmann HC, Brown DL, Williams M, Akin J, Davidson MJ, Svensson LG (2015) 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 385(9986):2477–2484

    Article  PubMed  Google Scholar 

  7. Kapadia SR, Leon MB, Makkar RR, Tuzcu EM, Svensson LG, Kodali S, Webb JG, Mack MJ, Douglas PS, Thourani VH, Babaliaros VC, Herrmann HC, Szeto WY, Pichard AD, Williams MR, Fontana GP, Miller DC, Anderson WN, Akin JJ, Davidson MJ, Smith CR (2015) 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 385(9986):2485–2491

    Article  PubMed  Google Scholar 

  8. Thourani VH, Kodali S, Makkar RR, Herrmann HC, Williams M, Babaliaros V, Smalling R, Lim S, Malaisrie SC, Kapadia S, Szeto WY, Greason KL, Kereiakes D, Ailawadi G, Whisenant BK, Devireddy C, Leipsic J, Hahn RT, Pibarot P, Weissman NJ, Jaber WA, Cohen DJ, Suri R, Tuzcu EM, Svensson LG, Webb JG, Moses JW, Mack MJ, Miller DC, Smith CR, Alu MC, Parvataneni R, D’Agostino RB Jr, Leon MB (2016) Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Lancet 387(10034):2218–2225

    Article  PubMed  Google Scholar 

  9. Deeb GM, Reardon MJ, Chetcuti S, Patel HJ, Grossman PM, Yakubov SJ, Kleiman NS, Coselli JS, Gleason TG, Lee JS, Hermiller JB Jr, Heiser J, Merhi W, Zorn GL 3rd, Tadros P, Robinson N, Petrossian G, Hughes GC, Harrison JK, Maini B, Mumtaz M, Conte J, Resar J, Aharonian V, Pfeffer T, Oh JK, Qiao H, Adams DH, Popma JJ (2016) 3‑year outcomes in high-risk patients who underwent surgical or transcatheter aortic valve replacement. J Am Coll Cardiol 67(22):2565–2574

    Article  PubMed  Google Scholar 

  10. Leon MB, Smith CR, Mack MJ, Makkar RR, Svensson LG, Kodali SK, Thourani VH, Tuzcu EM, Miller DC, Herrmann HC, Doshi D, Cohen DJ, Pichard AD, Kapadia S, Dewey T, Babaliaros V, Szeto WY, Williams MR, Kereiakes D, Zajarias A, Greason KL, Whisenant BK, Hodson RW, Moses JW, Trento A, Brown DL, Fearon WF, Pibarot P, Hahn RT, Jaber WA, Anderson WN, Alu MC, Webb JG (2016) Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med 374(17):1609–1620

    Article  CAS  PubMed  Google Scholar 

  11. Gleason TG, Reardon MJ, Popma JJ, Deeb GM, Yakubov SJ, Lee JS, Kleiman NS, Chetcuti S, Hermiller JB Jr, Heiser J, Merhi W, Zorn GL 3rd, Tadros P, Robinson N, Petrossian G, Hughes GC, Harrison JK, Conte JV, Mumtaz M, Oh JK, Huang J, Adams DH (2018) 5‑year outcomes of self-expanding transcatheter versus surgical aortic valve replacement in high-risk patients. J Am Coll Cardiol 72(22):2687–2696

    Article  PubMed  Google Scholar 

  12. Mack MJ, Leon MB, Thourani VH, Makkar R, Kodali SK, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Pibarot P, Leipsic J, Hahn RT, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Pocock SJ, Alu MC, Webb JG, Smith CR (2019) Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med 380(18):1695–1705

    Article  PubMed  Google Scholar 

  13. Popma JJ, Deeb GM, Yakubov SJ, Mumtaz M, Gada H, O’Hair D, Bajwa T, Heiser JC, Merhi W, Kleiman NS, Askew J, Sorajja P, Rovin J, Chetcuti SJ, Adams DH, Teirstein PS, Zorn GL 3rd, Forrest JK, Tchétché D, Resar J, Walton A, Piazza N, Ramlawi B, Robinson N, Petrossian G, Gleason TG, Oh JK, Boulware MJ, Qiao H, Mugglin AS, Reardon MJ (2019) Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients. N Engl J Med 380(18):1706–1715

    Article  PubMed  Google Scholar 

  14. Søndergaard L, Ihlemann N, Capodanno D, Jørgensen TH, Nissen H, Kjeldsen BJ, Chang Y, Steinbrüchel DA, Olsen PS, Petronio AS, Thyregod HGH (2019) Durability of transcatheter and surgical bioprosthetic aortic valves in patients at lower surgical risk. J Am Coll Cardiol 73(5):546–553

    Article  PubMed  Google Scholar 

  15. Makkar RR, Thourani VH, Mack MJ, Kodali SK, Kapadia S, Webb JG, Yoon SH, Trento A, Svensson LG, Herrmann HC, Szeto WY, Miller DC, Satler L, Cohen DJ, Dewey TM, Babaliaros V, Williams MR, Kereiakes DJ, Zajarias A, Greason KL, Whisenant BK, Hodson RW, Brown DL, Fearon WF, Russo MJ, Pibarot P, Hahn RT, Jaber WA, Rogers E, Xu K, Wheeler J, Alu MC, Smith CR, Leon MB (2020) Five-year outcomes of transcatheter or surgical aortic-valve replacement. N Engl J Med 382(9):799–809

    Article  PubMed  Google Scholar 

  16. Bekeredjian R, Szabo G, Balaban Ü, Bleiziffer S, Bauer T, Ensminger S, Frerker C, Herrmann E, Beyersdorf F, Hamm C, Beckmann A, Möllmann H, Karck M, Katus HA, Walther T (2019) Patients at low surgical risk as defined by the Society of Thoracic Surgeons Score undergoing isolated interventional or surgical aortic valve implantation: in-hospital data and 1‑year results from the German Aortic Valve Registry (GARY). Eur Heart J 40(17):1323–1330

    Article  PubMed  Google Scholar 

  17. Barbanti M, Tamburino C, D’Errigo P, Biancari F, Ranucci M, Rosato S, Santoro G, Fusco D, Seccareccia F (2019) Five-year outcomes of transfemoral transcatheter aortic valve replacement or surgical aortic valve replacement in a real world population. Circ Cardiovasc Interv 12(7):e7825

    Article  PubMed  Google Scholar 

  18. Gaede L, Blumenstein J, Liebetrau C, Dörr O, Kim WK, Nef H, Husser O, Elsässer A, Hamm CW, Möllmann H (2018) Outcome after transvascular transcatheter aortic valve implantation in 2016. Eur Heart J 39(8):667–675

    Article  PubMed  Google Scholar 

  19. Kötting J, Schiller W, Beckmann A, Schäfer E, Döbler K, Hamm C, Veit C, Welz A (2013) German Aortic Valve Score: a new scoring system for prediction of mortality related to aortic valve procedures in adults. Eur J Cardiothorac Surg 43:971–977

    Article  PubMed  Google Scholar 

  20. Schiller W, Barnewold L, Kazmaier T, Beckmann A, Masseli F, Welz A, Szecsenyi J, Heller G (2017) The German Aortic Valve Score II. Eur J Cardiothorac Surg 52:881–887

    Article  PubMed  Google Scholar 

  21. Michelena HI, Prakash SK, Della Corte A, Bissell MM, Anavekar N, Mathieu P, Bossé Y, Limongelli G, Bossone E, Benson DW, Lancellotti P, Isselbacher EM, Enriquez-Sarano M, Sundt TM 3rd, Pibarot P, Evangelista A, Milewicz DM, Body SC (2014) Bicuspid aortic valve: identifying knowledge gaps and rising to the challenge from the International Bicuspid Aortic Valve Consortium (BAVCon). Circulation 129(25):2691–2704

    Article  PubMed  PubMed Central  Google Scholar 

  22. Carro A, Teixido-Tura G, Evangelista A (2012) Aortic dilatation in bicuspid aortic valve disease. Rev Esp Cardiol (Engl Ed) 65(11):977–981

    Article  Google Scholar 

  23. Cedars A, Braverman AC (2012) The many faces of bicuspid aortic valve disease. Prog Pediatr Cardiol 34(2):91–96

    Article  Google Scholar 

  24. Bourguignon T, Bouquiaux-Stablo AL, Candolfi P, Mirza A, Loardi C, May MA, El-Khoury R, Marchand M, Aupart M (2015) Very long-term outcomes of the Carpentier-Edwards Perimount valve in aortic position. Ann Thorac Surg 99(3):831–837

    Article  PubMed  Google Scholar 

  25. Goldstone AB, Chiu P, Baiocchi M, Lingala B, Patrick WL, Fischbein MP, Woo YJ (2017) Mechanical or biologic prostheses for aortic-valve and mitral-valve replacement. N Engl J Med 377(19):1847–1857

    Article  PubMed  Google Scholar 

  26. Yoon SH, Bleiziffer S, De Backer O, Delgado V, Arai T, Ziegelmueller J, Barbanti M, Sharma R, Perlman GY, Khalique OK, Holy EW, Saraf S, Deuschl F, Fujita B, Ruile P, Neumann FJ, Pache G, Takahashi M, Kaneko H, Schmidt T, Ohno Y, Schofer N, Kong WKF, Tay E, Sugiyama D, Kawamori H, Maeno Y, Abramowitz Y, Chakravarty T, Nakamura M, Kuwata S, Yong G, Kao HL, Lee M, Kim HS, Modine T, Wong SC, Bedgoni F, Testa L, Teiger E, Butter C, Ensminger SM, Schaefer U, Dvir D, Blanke P, Leipsic J, Nietlispach F, Abdel-Wahab M, Chevalier B, Tamburino C, Hildick-Smith D, Whisenant BK, Park SJ, Colombo A, Latib A, Kodali SK, Bax JJ, Søndergaard L, Webb JG, Lefèvre T, Leon MB, Makkar R (2017) Outcomes in transcatheter aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis. J Am Coll Cardiol 69(21):2579–2589

    Article  PubMed  Google Scholar 

  27. Attinger-Toller A, Bhindi R, Perlman GY, Murdoch D, Weir-McCall J, Blanke P, Barbanti M, Sathananthan J, Ruile P, Gandolfo C, Saia F, Nietlispach F, Wood D, Leipsic J, Webb JG (2019) Mid-term outcome in patients with bicuspid aortic valve stenosis following transcatheter aortic valve replacement with a current generation device: a multicenter study. Catheter Cardiovasc Interv. https://doi.org/10.1002/ccd.28475

    Article  PubMed  Google Scholar 

  28. Perlman GY, Blanke P, Dvir D, Pache G, Modine T, Barbanti M, Holy EW, Treede H, Ruile P, Neumann FJ, Gandolfo C, Saia F, Tamburino C, Mak G, Thompson C, Wood D, Leipsic J, Webb JG (2016) Bicuspid aortic valve stenosis: favorable early outcomes with a next-generation transcatheter heart valve in a multicenter study. JACC Cardiovasc Interv 9(8):817–824

    Article  PubMed  Google Scholar 

  29. Wang Y, Wang M, Song G, Wang W, Lv B, Wang H, Wu Y (2019) Optimal pre-TAVR annulus sizing in patients with bicuspid aortic valve: area-derived perimeter by CT is the best-correlated measure with intraoperative sizing. Eur Radiol 29(1):259–269

    Article  PubMed  Google Scholar 

  30. Makkar RR, Yoon SH, Leon MB, Chakravarty T, Rinaldi M, Shah PB, Skipper ER, Thourani VH, Babaliaros V, Cheng W, Trento A, Vemulapalli S, Kapadia SR, Kodali S, Mack MJ, Tang GHL, Kaneko T (2019) Association between transcatheter aortic valve replacement for bicuspid vs tricuspid aortic stenosis and mortality or stroke. JAMA 321(22):2193–2202

    Article  PubMed  PubMed Central  Google Scholar 

  31. Kim WK, Schäfer U, Tchetche D, Nef H, Arnold M, Avanzas P, Rudolph T, Scholtz S, Barbanti M, Kempfert J, Mangieri A, Lauten A, Frerker C, Yoon SH, Holzamer A, Praz F, De Backer O, Toggweiler S, Blumenstein J, Purita P, Tarantini G, Thilo C, Wolf A, Husser O, Pellegrini C, Burgdorf C, Antolin RAH, Díaz VAJ, Liebetrau C, Schofer N, Möllmann H, Eggebrecht H, Sondergaard L, Walther T, Pilgrim T, Hilker M, Makkar R, Unbehaun A, Börgermann J, Moris C, Achenbach S, Dörr O, Brochado B, Conradi L, Hamm CW (2019) Incidence and outcome of peri-procedural transcatheter heart valve embolization and migration: the TRAVEL registry (TranscatheteR HeArt Valve EmboLization and Migration). Eur Heart J 40(38):3156–3165

    Article  PubMed  Google Scholar 

  32. Kaneko T, Vassileva CM, Englum B, Kim S, Yammine M, Brennan M, Suri RM, Thourani VH, Jacobs JP, Aranki S (2015) Contemporary outcomes of repeat aortic valve replacement: a benchmark for transcatheter valve-in-valve procedures. Ann Thorac Surg 100(4):1298–1304 (discussion 1304)

    Article  PubMed  Google Scholar 

  33. Fukunaga N, Okada Y, Konishi Y, Murashita T, Yuzaki M, Shomura Y, Fujiwara H, Koyama T (2012) Clinical outcomes of redo valvular operations: a 20-year experience. Ann Thorac Surg 94(6):2011–2016

    Article  PubMed  Google Scholar 

  34. Dvir D, Webb JG, Bleiziffer S, Pasic M, Waksman R, Kodali S, Barbanti M, Latib A, Schaefer U, Rodés-Cabau J, Treede H, Piazza N, Hildick-Smith D, Himbert D, Walther T, Hengstenberg C, Nissen H, Bekeredjian R, Presbitero P, Ferrari E, Segev A, de Weger A, Windecker S, Moat NE, Napodano M, Wilbring M, Cerillo AG, Brecker S, Tchetche D, Lefèvre T, De Marco F, Fiorina C, Petronio AS, Teles RC, Testa L, Laborde JC, Leon MB, Kornowski R (2014) Transcatheter aortic valve implantation in failed bioprosthetic surgical valves. JAMA 312(2):162–170

    Article  CAS  PubMed  Google Scholar 

  35. Johnston DR, Soltesz EG, Vakil N, Rajeswaran J, Roselli EE, Sabik JF 3rd, Smedira NG, Svensson LG, Lytle BW, Blackstone EH (2015) Long-term durability of bioprosthetic aortic valves: implications from 12,569 implants. Ann Thorac Surg 99(4):1239–1247

    Article  PubMed  PubMed Central  Google Scholar 

  36. Dvir D, Leipsic J, Blanke P, Ribeiro HB, Kornowski R, Pichard A, Rodés-Cabau J, Wood DA, Stub D, Ben-Dor I, Maluenda G, Makkar RR, Webb JG (2015) Coronary obstruction in transcatheter aortic valve-in-valve implantation: preprocedural evaluation, device selection, protection, and treatment. Circ Cardiovasc Interv 8(1):e2079

    Article  PubMed  Google Scholar 

  37. Ribeiro HB, Rodés-Cabau J, Blanke P, Leipsic J, Kwan Park J, Bapat V, Makkar R, Simonato M, Barbanti M, Schofer J, Bleiziffer S, Latib A, Hildick-Smith D, Presbitero P, Windecker S, Napodano M, Cerillo AG, Abdel-Wahab M, Tchetche D, Fiorina C, Sinning JM, Cohen MG, Guerrero ME, Whisenant B, Nietlispach F, Palma JH, Nombela-Franco L, de Weger A, Kass M, Sandoli de Brito F Jr, Lemos PA, Kornowski R, Webb J, Dvir D (2018) Incidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: insights from the VIVID registry. Eur Heart J 39(8):687–695

    Article  PubMed  Google Scholar 

  38. Khan JM, Dvir D, Greenbaum AB, Babaliaros VC, Rogers T, Aldea G, Reisman M, Mackensen GB, Eng MHK, Paone G, Wang DD, Guyton RA, Devireddy CM, Schenke WH, Lederman RJ (2018) Transcatheter laceration of aortic leaflets to prevent coronary obstruction during transcatheter aortic valve replacement: concept to first-in-human. JACC Cardiovasc Interv 11(7):677–689

    Article  PubMed  PubMed Central  Google Scholar 

  39. Herrmann HC, Daneshvar SA, Fonarow GC, Stebbins A, Vemulapalli S, Desai ND, Malenka DJ, Thourani VH, Rymer J, Kosinski AS (2018) Prosthesis-patient mismatch in patients undergoing transcatheter aortic valve replacement: from the STS/ACC TVT registry. J Am Coll Cardiol 72(22):2701–2711

    Article  PubMed  Google Scholar 

  40. Zenses AS, Evin MA, Stanová V, Clavel MA, Barragan P, Rodés-Cabau J, Obadia JF, Pibarot P, Rieu R (2018) Effect of size and position of self-expanding transcatheter valve on haemodynamics following valve-in-valve procedure in small surgical bioprostheses: an in vitro study. EuroIntervention 14(3):e282–e289

    Article  PubMed  Google Scholar 

  41. Schäfer T, Doose C, Fujita B, Utzenrath M, Egron S, Schmitz C, Scholtz S, Kütting M, Hakim-Meibodi K, Börgermann J, Gummert J, Steinseifer U, Ensminger S (2017) Preclinical determination of the best functional position for transcatheter heart valves implanted in rapid deployment bioprostheses. EuroIntervention 12(14):1706–1714

    Article  PubMed  Google Scholar 

  42. Brennan JM, Thomas L, Cohen DJ, Shahian D, Wang A, Mack MJ, Holmes DR, Edwards FH, Frankel NZ, Baron SJ, Carroll J, Thourani V, Tuzcu EM, Arnold SV, Cohn R, Maser T, Schawe B, Strong S, Stickfort A, Patrick-Lake E, Graham FL, Dai D, Li F, Matsouaka RA, O’Brien S, Li F, Pencina MJ, Peterson ED (2017) Transcatheter versus surgical aortic valve replacement: propensity-matched comparison. J Am Coll Cardiol 70(4):439–440

    Article  PubMed  PubMed Central  Google Scholar 

  43. Allen KB, Chhatriwalla AK, Cohen DJ, Saxon JT, Aggarwal S, Hart A, Baron S, Davis JR, Pak AF, Dvir D, Borkon AM (2017) Bioprosthetic valve fracture to facilitate transcatheter valve-in-valve implantation. Ann Thorac Surg 104(5):1501–1508

    Article  PubMed  Google Scholar 

  44. Bapat V (2014) Valve-in-valve apps: why and how they were developed and how to use them. EuroIntervention 10(Suppl U):U44–U51

    Article  PubMed  Google Scholar 

  45. Toggweiler S, Leipsic J, Binder RK, Freeman M, Barbanti M, Heijmen RH, Wood DA, Webb JG (2013) Management of vascular access in transcatheter aortic valve replacement. Part 2: vascular complications. JACC Cardiovasc Interv 6:767–776

    Article  PubMed  Google Scholar 

  46. Sharma A, Arbab-Zadeh A, Dubey D, Shani J, Lazar J, Frankel R (2013) Access site bleeding after transcatheter aortic valve implantation. J Thromb Thrombolysis 35:463–468

    Article  PubMed  Google Scholar 

  47. Möllmann H, Kim WK, Kempfert J, Walther T, Hamm C (2015) Complications of transcatheter aortic valve implantation (TAVI): how to avoid and treat them. Heart 101:900–908

    Article  PubMed  Google Scholar 

  48. Ribeiro HB, Nombela-Franco L, Urena M, Mok M, Pasian S, Doyle D, DeLarochelliere R, Cote M, Laflamme L, DeLarochelliere H, Allende R, Dumont E, Rodes-Cabau J (2013) Coronary obstruction following transcatheter aortic valve implantation: a systematic review. JACC Cardiovasc Interv 6:452–461

    Article  PubMed  Google Scholar 

  49. Gaede L, Blumenstein J, Liebetrau C, Dörr O, Kim WK, Nef H, Husser O, Gülker J, Elsässer A, Hamm CW, Achenbach S, Möllmann H (2020) Transvascular transcatheter aortic valve implantation in 2017. Clin Res Cardiol 109:303–314

    Article  PubMed  Google Scholar 

  50. Wendler O, Schymik G, Treede H, Baumgartner H, Dumonteil N, Neumann FJ, Tarantini G, Zamorano JL, Vahanian A (2017) SOURCE 3: 1‑year outcomes post-transcatheter aortic valve implantation using the latest generation of the balloon-expandable transcatheter heart valve. Eur Heart J 38:2717–2726

    Article  PubMed  PubMed Central  Google Scholar 

  51. Barbanti M, Webb JG, Gilard M, Capodanno D, Tamburino C (2017) Transcatheter aortic valve implantation in 2017: state of the art. EuroIntervention 13:AA11–AA21

    Article  PubMed  Google Scholar 

  52. Eggebrecht H, Vaquerizo B, Moris C, Bossone E, Lammer J, Czerny M, Zierer A, Schrofel H, Kim WK, Walther T, Scholtz S, Rudolph T, Hengstenberg C, Kempfert J, Spaziano M, Lefevre T, Bleiziffer S, Schofer J, Mehilli J, Seiffert M, Naber C, Biancari F, Eckner D, Cornet C, Lhermusier T, Philippart R, Siljander A, Giuseppe Cerillo A, Blackman D, Chieffo A, Kahlert P, Czerwinska-Jelonkiewicz K, Szymanski P, Landes U, Kornowski R, D’Onofrio A, Kaulfersch C, Sondergaard L, Mylotte D, Mehta RH, De Backer O (2018) Incidence and outcomes of emergent cardiac surgery during transfemoral transcatheter aortic valve implantation (TAVI): insights from the European Registry on Emergent Cardiac Surgery during TAVI (EuRECS-TAVI). Eur Heart J 39:676–684

    Article  PubMed  Google Scholar 

  53. Hamm CW, Möllmann H, Holzhey D, Beckmann A, Veit C, Figulla HR, Cremer J, Kuck KH, Lange R, Zahn R, Sack S, Schuler G, Walther T, Beyersdorf F, Böhm M, Heusch G, Funkat AK, Meinertz T, Neumann T, Papoutsis K, Schneider S, Welz A, Mohr FW (2014) The German Aortic Valve Registry (GARY): in-hospital outcome. Eur Heart J 35:1588–1598

    Article  PubMed  Google Scholar 

  54. Kawashima T, Sato F (2014) Visualizing anatomical evidences on atrioventricular conduction system for TAVI. Int J Cardiol 174:1–6

    Article  PubMed  Google Scholar 

  55. Siontis GC, Juni P, Pilgrim T, Stortecky S, Bullesfeld L, Meier B, Wenaweser P, Windecker S (2014) Predictors of permanent pacemaker implantation in patients with severe aortic stenosis undergoing TAVR: a meta-analysis. J Am Coll Cardiol 64:129–140

    Article  PubMed  Google Scholar 

  56. van Rosendael PJ, Delgado V, Bax JJ (2018) Pacemaker implantation rate after transcatheter aortic valve implantation with early and new-generation devices: a systematic review. Eur Heart J 39:2003–2013

    Article  PubMed  Google Scholar 

  57. Conradi L, Hilker M, Kempfert J, Borgermann J, Treede H, Holzhey DM, Schrofel H, Kim WK, Schaefer U, Walther T (2018) Prospective multicentre evaluation of a novel, low-profile transapical delivery system for self-expandable transcatheter aortic valve implantation: 6‑month outcomes. Eur J Cardiothorac Surg 54:762–767

    Article  PubMed  Google Scholar 

  58. Grube E, Van Mieghem NM, Bleiziffer S, Modine T, Bosmans J, Manoharan G, Linke A, Scholtz W, Tchétché D, Finkelstein A, Trillo R, Fiorina C, Walton A, Malkin CJ, Oh JK, Qiao H, Windecker S (2017) Clinical outcomes with a repositionable self-expanding transcatheter aortic valve prosthesis: the international FORWARD study. J Am Coll Cardiol 70(7):845–853

    Article  PubMed  Google Scholar 

  59. Wendler O, Schymik G, Treede H, Baumgartner H, Dumonteil N, Ihlberg L, Neumann FJ, Tarantini G, Zamarano JL, Vahanian A (2017) SOURCE 3 registry: design and 30-day results of the European postapproval registry of the latest generation of the SAPIEN 3 transcatheter heart valve. Circulation 135:1123–1132

    Article  PubMed  Google Scholar 

  60. Husser O, Pellegrini C, Kessler T, Burgdorf C, Thaller H, Mayr NP, Kasel AM, Kastrati A, Schunkert H, Hengstenberg C (2016) Predictors of permanent pacemaker implantations and new-onset conduction abnormalities with the SAPIEN 3 balloon-expandable transcatheter heart valve. JACC Cardiovasc Interv 9:244–254

    Article  PubMed  Google Scholar 

  61. Wagner G, Steiner S, Gartlehner G, Arfsten H, Wildner B, Mayr H, Moertl D (2019) Comparison of transcatheter aortic valve implantation with other approaches to treat aortic valve stenosis: a systematic review and meta-analysis. Syst Rev 8:44

    Article  PubMed  PubMed Central  Google Scholar 

  62. Toggweiler S, Kobza R (2018) Pacemaker implantation after transcatheter aortic valve: Why is this still happening? J Thorac Dis 10:S3614–S3619

    Article  PubMed  PubMed Central  Google Scholar 

  63. Regueiro A, Abdul-Jawad Altisent O, Del Trigo M, Campelo-Parada F, Puri R, Urena M, Philippon F, Rodes-Cabau J (2016) Impact of new-onset left bundle branch block and periprocedural permanent pacemaker implantation on clinical outcomes in patients undergoing transcatheter aortic valve replacement: a systematic review and meta-analysis. Circ Cardiovasc Interv 9:e3635

    Article  PubMed  Google Scholar 

  64. Nazif TM, Chen S, George I, Dizon JM, Hahn RT, Crowley A, Alu MC, Babaliaros V, Thourani VH, Herrmann HC, Smalling RW, Brown DL, Mack MJ, Kapadia S, Makkar R, Webb JG, Leon MB, Kodali SK (2019) New-onset left bundle branch block after transcatheter aortic valve replacement is associated with adverse long-term clinical outcomes in intermediate-risk patients: an analysis from the PARTNER II trial. Eur Heart J 40(27):2218–2227

    Article  PubMed  Google Scholar 

  65. Genereux P, Head SJ, Van Mieghem NM, Kodali S, Kirtane AJ, Xu K, Smith C, Serruys PW, Kappetein AP, Leon MB (2012) Clinical outcomes after transcatheter aortic valve replacement using valve academic research consortium definitions: a weighted meta-analysis of 3,519 patients from 16 studies. J Am Coll Cardiol 59:2317–2326

    Article  PubMed  Google Scholar 

  66. Pasic M, Unbehaun A, Buz S, Drews T, Hetzer R (2015) Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches, and prevention. JACC Cardiovasc Interv 8:1–9

    Article  PubMed  Google Scholar 

  67. Walther T, Hamm CW, Schuler G, Berkowitsch A, Kötting J, Mangner N, Mudra H, Beckmann A, Cremer J, Welz A, Lange R, Kuck KH, Mohr FW, Möllmann H, GARY Executive Board (2015) Perioperative results and complications in 15,964 transcatheter aortic valve replacements: prospective data from the GARY registry. J Am Coll Cardiol 65:2173–2180

    Article  PubMed  Google Scholar 

  68. Coughlan JJ, Kiernan T, Mylotte D, Arnous S (2018) Annular rupture during transcatheter aortic valve implantation: predictors, management and outcomes. Interv Cardiol 13:140–144

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Barbanti M, Yang TH, Rodes Cabau J, Tamburino C, Wood DA, Jilaihawi H, Blanke P, Makkar RR, Latib A, Colombo A, Tarantini G, Raju R, Binder RK, Nguyen G, Freeman M, Ribeiro HB, Kapadia S, Min J, Feuchtner G, Gurtvich R, Alqoofi F, Pelletier M, Ussia GP, Napodano M, de Brito FS Jr, Kodali S, Norgaard BL, Hansson NC, Pache G, Canovas SJ, Zhang H, Leon MB, Webb JG, Leipsic J (2013) Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Circulation 128:244–253

    Article  PubMed  Google Scholar 

  70. Girdauskas E, Owais T, Fey B, Kuntze F, Lauer B, Borger MA, Conradi L, Reichenspurner H, Kuntze T (2017) Subannular perforation of left ventricular outflow tract associated with transcatheter valve implantation: pathophysiological background and clinical implications. Eur J Cardiothorac Surg 51:91–96

    Article  PubMed  Google Scholar 

  71. Latib A, Naganuma T, Abdel-Wahab M, Danenberg H, Cota L, Barbanti M, Baumgartner H, Finkelstein A, Legrand V, de Lezo JS, Kefer J, Messika-Zeitoun D, Richardt G, Stabile E, Kaleschke G, Vahanian A, Laborde JC, Leon MB, Webb JG, Panoulas VF, Maisano F, Alfieri O, Colombo A (2015) Treatment and clinical outcomes of transcatheter heart valve thrombosis. Circ Cardiovasc Interv 8:e1779

    Article  PubMed  Google Scholar 

  72. Auffret V, Regueiro A, Del Trigo M, Abdul-Jawad Altisent O, Campelo-Parada F, Chiche O, Puri R, Rodes-Cabau J (2016) Predictors of early cerebrovascular events in patients with aortic stenosis undergoing transcatheter aortic valve replacement. J Am Coll Cardiol 68:673–684

    Article  PubMed  Google Scholar 

  73. Vahl TP, Kodali S, Leon MB (2016) Transcatheter aortic valve replacement 2016: a modern-day “through the looking-glass” adventure. J Am Coll Cardiol 67:1472–1487

    Article  PubMed  Google Scholar 

  74. Siontis GCM, Overtchouk P, Cahill TJ, Modine T, Prendergast B, Praz F, Pilgrim T, Petrinic T, Nikolakopoulou A, Salanti G, Søndergaard L, Verma S, Jüni P, Windecker S (2019) Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of symptomatic severe aortic stenosis: an updated meta-analysis. Eur Heart J 40(38):3143–3153

    Article  PubMed  Google Scholar 

  75. Nombela-Franco L, Armijo G, Tirado-Conte G (2018) Cerebral embolic protection devices during transcatheter aortic valve implantation: clinical versus silent embolism. J Thorac Dis 10:S3604–S3613

    Article  PubMed  PubMed Central  Google Scholar 

  76. Kim WK, Liebetrau C, van Linden A, Blumenstein J, Gaede L, Hamm CW, Walther T, Möllmann H (2016) Myocardial injury associated with transcatheter aortic valve implantation (TAVI). Clin Res Cardiol 105:379–387

    Article  CAS  PubMed  Google Scholar 

  77. Sinning JM, Ghanem A, Steinhauser H, Adenauer V, Hammerstingl C, Nickenig G, Werner N (2010) Renal function as predictor of mortality in patients after percutaneous transcatheter aortic valve implantation. JACC Cardiovasc Interv 3:1141–1149

    Article  PubMed  Google Scholar 

  78. Kappetein AP, Head SJ, Genereux P, Piazza N, van Mieghem NM, Blackstone EH, Brott TG, Cohen DJ, Cutlip DE, van Es GA, Hahn RT, Kirtane AJ, Krucoff MW, Kodali S, Mack MJ, Mehran R, Rodes-Cabau J, Vranckx P, Webb JG, Windecker S, Serruys PW, Leon MB (2012) Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium‑2 consensus document. Eur Heart J 33:2403–2418

    Article  PubMed  Google Scholar 

  79. Tarantini G, Mojoli M, Urena M, Vahanian A (2017) Atrial fibrillation in patients undergoing transcatheter aortic valve implantation: epidemiology, timing, predictors, and outcome. Eur Heart J 38:1285–1293

    CAS  PubMed  Google Scholar 

  80. Schewel D, Frerker C, Schewel J, Wohlmuth P, Meincke F, Thielsen T, Kreidel F, Kuck KH, Schäfer U (2015) Clinical impact of paravalvular leaks on biomarkers and survival after transcatheter aortic valve implantation. Catheter Cardiovasc Interv 85:502–514

    Article  PubMed  Google Scholar 

  81. Franzone A, Pilgrim T, Haynes AG, Lanz J, Asami M, Praz F, Raber L, Roost E, Langhammer B, Windecker S, Stortecky S (2018) Transcatheter aortic valve thrombosis: incidence, clinical presentation and long-term outcomes. Eur Heart J Cardiovasc Imaging 19:398–404

    Article  PubMed  Google Scholar 

  82. Jose J, Sulimov DS, El-Mawardy M, Sato T, Allali A, Holy EW, Becker B, Landt M, Kebernik J, Schwarz B, Richardt G, Abdel-Wahab M (2017) Clinical bioprosthetic heart valve thrombosis after transcatheter aortic valve replacement: incidence, characteristics, and treatment outcomes. JACC Cardiovasc Interv 10:686–697

    Article  PubMed  Google Scholar 

  83. Makkar RR, Fontana G, Jilaihawi H, Chakravarty T, Kofoed KF, De Backer O, Asch FM, Ruiz CE, Olsen NT, Trento A, Friedman J, Berman D, Cheng W, Kashif M, Jelnin V, Kliger CA, Guo H, Pichard AD, Weissman NJ, Kapadia S, Manasse E, Bhatt DL, Leon MB, Sondergaard L (2015) Possible subclinical leaflet thrombosis in bioprosthetic aortic valves. N Engl J Med 373:2015–2024

    Article  CAS  PubMed  Google Scholar 

  84. Dangas GD, Tijssen JGP, Wöhrle J, Søndergaard L, Gilard M, Möllmann H, Makkar RR, Herrmann HC, Giustino G, Baldus S, De Backer O, Guimarães AHC, Gullestad L, Kini A, von Lewinski D, Mack M, Moreno R, Schäfer U, Seeger J, Tchétché D, Thomitzek K, Valgimigli M, Vranckx P, Welsh RC, Wildgoose P, Volkl AA, Zazula A, van Amsterdam RGM, Mehran R, Windecker S (2020) A controlled trial of rivaroxaban after transcatheter aortic-valve replacement. N Engl J Med 382:120–129

    Article  CAS  PubMed  Google Scholar 

  85. Collet JP, Berti S, Cequier A, Van Belle E, Lefevre T, Leprince P, Neumann FJ, Vicaut E, Montalescot G (2018) Oral anti-Xa anticoagulation after trans-aortic valve implantation for aortic stenosis: the randomized ATLANTIS trial. Am Heart J 200:44–50

    Article  CAS  PubMed  Google Scholar 

  86. Head SJ, Mokhles MM, Osnabrugge RL, Pibarot P, Mack MJ, Takkenberg JJ, Bogers AJ, Kappetein AP (2012) The impact of prosthesis-patient mismatch on long-term survival after aortic valve replacement: a systematic review and meta-analysis of 34 observational studies comprising 27 186 patients with 133 141 patient-years. Eur Heart J 33(12):1518–1529

    Article  PubMed  Google Scholar 

  87. Pibarot P, Weissman NJ, Stewart WJ, Hahn RT, Lindman BR, McAndrew T, Kodali SK, Mack MJ, Thourani VH, Miller DC, Svensson LG, Herrmann HC, Smith CR, Rodés-Cabau J, Webb J, Lim S, Xu K, Hueter I, Douglas PS, Leon MB (2014) Incidence and sequelae of prosthesis-patient mismatch in transcatheter versus surgical valve replacement in high-risk patients with severe aortic stenosis: a PARTNER trial cohort—a analysis. J Am Coll Cardiol 64(13):1323–1334

    Article  PubMed  PubMed Central  Google Scholar 

  88. Zorn GL 3rd, Little SH, Tadros P, Deeb GM, Gleason TG, Heiser J, Kleiman NS, Oh JK, Popma JJ, Adams D, Huang J, Reardon MJ (2016) Prosthesis-patient mismatch in high-risk patients with severe aortic stenosis: a randomized trial of a self-expanding prosthesis. J Thorac Cardiovasc Surg 151(4):1014–1022 (1023.e1–3)

    Article  PubMed  Google Scholar 

  89. Abdelghani M, Allali A, Kaur J, Hemetsberger R, Mehilli J, Neumann FJ, Frerker C, Kurz T, El-Mawardy M, Richardt G, Abdel-Wahab M (2019) Impact of prosthesis-iteration evolution and sizing practice on the incidence of prosthesis-patient mismatch after transcatheter aortic valve replacement. Catheter Cardiovasc Interv 93(5):971–979

    Article  PubMed  Google Scholar 

  90. Schofer N, Deuschl F, Rübsamen N, Skibowski J, Seiffert M, Voigtländer L, Schaefer A, Schneeberger Y, Schirmer J, Reichenspurner H, Blankenberg S, Conradi L, Schäfer U (2019) Prosthesis-patient mismatch after transcatheter aortic valve implantation: prevalence and prognostic impact with respect to baseline left ventricular function. EuroIntervention 14(16):1648–1655

    Article  PubMed  Google Scholar 

  91. Capodanno D, Petronio AS, Prendergast B, Eltchaninoff H, Vahanian A, Modine T, Lancellotti P, Sondergaard L, Ludman PF, Tamburino C, Piazza N, Hancock J, Mehilli J, Byrne RA, Baumbach A, Kappetein AP, Windecker S, Bax J, Haude M (2017) Standardized definitions of structural deterioration and valve failure in assessing long-term durability of transcatheter and surgical aortic bioprosthetic valves: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) endorsed by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 38(45):3382–3390

    Article  PubMed  Google Scholar 

  92. Arsalan M, Walther T (2016) Durability of prostheses for transcatheter aortic valve implantation. Nat Rev Cardiol 13(6):360–367

    Article  CAS  PubMed  Google Scholar 

  93. Foroutan F, Guyatt GH, Otto CM, Siemieniuk RA, Schandelmaier S, Agoritsas T, Vandvik PO, Bhagra S, Bagur R (2017) Structural valve deterioration after transcatheter aortic valve implantation. Heart 103(23):1899–1905

    Article  PubMed  Google Scholar 

  94. Blackman DJ, Saraf S, MacCarthy PA, Myat A, Anderson SG, Malkin CJ, Cunnington MS, Somers K, Brennan P, Manoharan G, Parker J, Aldalati O, Brecker SJ, Dowling C, Hoole SP, Dorman S, Mullen M, Kennon S, Jerrum M, Chandrala P, Roberts DH, Tay J, Doshi SN, Ludman PF, Fairbairn TA, Crowe J, Levy RD, Banning AP, Ruparelia N, Spence MS, Hildick-Smith D (2019) Long-term durability of transcatheter aortic valve prostheses. J Am Coll Cardiol 73(5):537–545

    Article  PubMed  Google Scholar 

  95. Deutsch MA, Erlebach M, Burri M, Hapfelmeier A, Witt OG, Ziegelmueller JA, Wottke M, Ruge H, Krane M, Piazza N, Bleiziffer S, Lange R (2018) Beyond the five-year horizon: long-term outcome of high-risk and inoperable patients undergoing TAVR with first-generation devices. EuroIntervention 14(1):41–49

    Article  PubMed  Google Scholar 

  96. Barbanti M, Costa G, Zappulla P, Todaro D, Picci A, Rapisarda G, Di Simone E, Sicuso R, Buccheri S, Gulino S, Pilato G, La Spina K, D’Arrigo P, Valvo R, Indelicato A, Giannazzo D, Immè S, Tamburino C, Patanè M, Sgroi C, Giuffrida A, Trovato D, Monte IP, Deste W, Capranzano P, Capodanno D, Tamburino C (2018) Incidence of long-term structural valve dysfunction and bioprosthetic valve failure after transcatheter aortic valve replacement. J Am Heart Assoc 7(15):e8440

    Article  PubMed  PubMed Central  Google Scholar 

  97. Goel SS, Ige M, Tuzcu EM, Ellis SG, Stewart WJ, Svensson LG et al (2013) Severe aortic stenosis and coronary artery disease—implications for management in the transcatheter aortic valve replacement era: a comprehensive review. J Am Coll Cardiol 1(62):1–10

    Article  CAS  Google Scholar 

  98. Yudi MB, Sharma SK, Tang GHL, Kini A (2018) Coronary angiography and percutaneous coronary intervention after transcatheter aortic valve replacement. J Am Coll Cardiol 71:1360–1378

    Article  PubMed  Google Scholar 

  99. Reardon MJ, Van Mieghem NM, Popma JJ, Kleiman NS, Søndergaard L, Mumtaz M et al (2017) Surgical or transcatheter aortic-valve replacement in intermediate-risk patients. N Engl J Med 376(14):1321–1331

    Article  PubMed  Google Scholar 

  100. D’Ascenzo F, Conrotto F, Giordana F, Moretti C, D’Amico M, Salizzoni S et al (2013) Mid-term prognostic value of coronary artery disease in patients undergoing transcatheter aortic valve implantation: a meta-analysis of adjusted observational results. Int J Cardiol 168(3):2528–2532

    Article  PubMed  Google Scholar 

  101. Witberg G, Regev E, Chen S, Assali A, Barbash IM, Planer D et al (2017) The prognostic effects of coronary disease severity and completeness of revascularization on mortality in patients undergoing transcatheter aortic valve replacement. JACC Cardiovasc Interv 10(14):1428–1435

    Article  PubMed  Google Scholar 

  102. Stefanini GG, Stortecky S, Cao D et al (2014) Coronary artery disease severity and aortic stenosis: clinical outcomes according to SYNTAX score in patients undergoing transcatheter aortic valve implantation. Eur Heart J 35:2530–2540

    Article  PubMed  Google Scholar 

  103. Vilalta V, Asmarats L, Ferreira-Neto AN, Maes F, de Freitas Campos Guimarães L, Couture T et al (2018) Incidence, clinical characteristics, and impact of acute coronary syndrome following transcatheter aortic valve replacement. JACC Cardiovasc Interv 11(24):2523–2533

    Article  PubMed  Google Scholar 

  104. Htun WW, Grines C, Schreiber T (2018) Feasibility of coronary angiography and percutaneous coronary intervention after transcatheter aortic valve replacement using a Medtronic self-expandable bioprosthetic valve. Catheter Cardiovasc Interv 91:1339–1344

    Article  PubMed  Google Scholar 

  105. Zivelonghi C, Pesarini G, Scarsini R, Lunardi M, Piccoli A, Ferrero V et al (2017) Coronary catheterization and percutaneous interventions after transcatheter aortic valve implantation. Am J Cardiol 120(4):625–631

    Article  PubMed  Google Scholar 

  106. Chetcuti S, Kleiman N, Matthews R, Popma JJ, Moore J (2016) TCT-743 percutaneous coronary intervention after self-expanding transcatheter aortic valve replacement. J Am Coll Cardiol 68(18):B300

    Article  Google Scholar 

  107. Allali A, El-Mawardy M, Schwarz B, Sato T, Geist V, Toelg R et al (2016) Incidence, feasibility and outcome of percutaneous coronary intervention after transcatheter aortic valve implantation with a self-expanding prosthesis. Results from a single center experience. Cardiovasc Revasc Med 17(6):391–398

    Article  PubMed  Google Scholar 

  108. Blumenstein J, Kim W‑K, Liebetrau C, Gaede L, Kempfert J, Walther T et al (2015) Challenges of coronary angiography and intervention in patients previously treated by TAVI. Clin Res Cardiol 104(8):632–639

    Article  PubMed  Google Scholar 

  109. Boukantar M, Gallet R, Mouillet G, Belarbi A, Rubimbura V, Ternacle J et al (2017) Coronary procedures after TAVI with the self-expanding aortic bioprosthesis Medtronic CoreValve™, not an easy matter. J Interv Cardiol 30(1):56–62

    Article  PubMed  Google Scholar 

  110. Chakravarty T, Sharma R, Abramowitz Y, Kapadia S, Latib A, Jilaihawi H et al (2016) Outcomes in patients with transcatheter aortic valve replacement and left main stenting: the TAVR-LM registry. J Am Coll Cardiol 67(8):951–960

    Article  PubMed  PubMed Central  Google Scholar 

  111. Katsanos S, Debonnaire P, van der Kley F, van Rosendael P, Joyce E, de Graaf MA et al (2015) Position of Edwards SAPIEN transcatheter valve in the aortic root in relation with the coronary ostia. Catheter Cardiovasc Interv 85(3):480–487

    Article  PubMed  Google Scholar 

  112. Murarka S, Pershad A (2015) Challenges in coronary CTO intervention after TAVR: a case report and discussion. Indian Heart J 67(5):476–479

    Article  PubMed  PubMed Central  Google Scholar 

  113. Abdel-Wahab M, Mostafa AE, Richardt G (2012) A case of rotational atherectomy after implantation of the Medtronic CoreValve bioprosthesis. Clin Res Cardiol 101(7):595–597

    Article  PubMed  Google Scholar 

  114. Harhash A, Ansari J, Mandel L, Kipperman R (2016) STEMI after TAVR: procedural challenge and catastrophic outcome. JACC Cardiovasc Interv 9(13):1412–1413

    Article  PubMed  Google Scholar 

  115. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL (2003) Surgeon volume and operative mortality in the United States. N Engl J Med 349:2117–2127

    Article  CAS  PubMed  Google Scholar 

  116. Lapar DJ, Mery CM, Kozower BD, Kern JA, Kron IL, Stukenborg GJ, Ailawadi G (2012) The effect of surgeon volume on mortality for off-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg 143:854–863

    Article  PubMed  Google Scholar 

  117. Kilic A, Shah AS, Conte JV, Baumgartner WA, Yuh DD (2013) Operative outcomes in mitral valve surgery: combined effect of surgeon and hospital volume in a population-based analysis. J Thorac Cardiovasc Surg 146:638–646

    Article  PubMed  Google Scholar 

  118. Reames BN, Ghaferi AA, Birkmeyer JD, Dimick JB (2014) Hospital volume and operative mortality in the modern era. Ann Surg 260:244–251

    Article  PubMed  Google Scholar 

  119. Birkmeyer JD, Siewers AE, Finlayson EV, Stukel TA, Lucas FL, Batista I, Welch HG, Wennberg DE (2002) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137

    Article  PubMed  Google Scholar 

  120. Patel HJ, Herbert MA, Drake DH, Hanson EC, Theurer PF, Bell GF, Prager RL (2013) Aortic valve replacement: using a statewide cardiac surgical database identifies a procedural volume hinge point. Ann Thorac Surg 96:1560–1565

    Article  PubMed  Google Scholar 

  121. Badheka AO, Patel NJ, Panaich SS, Patel SV, Jhamnani S, Singh V, Pant S, Patel N, Patel N, Arora S, Thakkar B, Manvar S, Dhoble A, Patel A, Savani C, Patel J, Chothani A, Savani GT, Deshmukh A, Grines CL, Curtis J, Mangi AA, Cleman M, Forrest JK (2015) Effect of hospital volume on outcomes of transcatheter aortic valve implantation. Am J Cardiol 116:587–594

    Article  PubMed  Google Scholar 

  122. Bestehorn K, Eggebrecht H, Fleck E, Bestehorn M, Mehta RH, Kuck KH (2017) Volume-outcome relationship with transfemoral transcatheter aortic valve implantation (TAVI): insights from the compulsory German Quality Assurance Registry on Aortic Valve Replacement (AQUA). EuroIntervention 13:914–920

    Article  PubMed  Google Scholar 

  123. Kaier K, Oettinger V, Reinecke H, Schmoor C, Frankenstein L, Vach W, Hehn P, von Zur Mühlen C, Bode C, Zehender M, Reinöhl J (2018) Volume-outcome relationship in transcatheter aortic valve implantations in Germany 2008–2014: a secondary data analysis of electronic health records. BMJ Open 8(7):e20204

    Article  PubMed  PubMed Central  Google Scholar 

  124. Vemulapalli S, Carroll JD, Mack MJ, Li Z, Dai D, Kosinski AS, Kumbhani DJ, Ruiz CE, Thourani VH, Hanzel G, Gleason TG, Herrmann HC, Brindis RG, Bavaria JE (2019) Procedural volume and outcomes for transcatheter aortic-valve replacement. N Engl J Med 380:2541–2550

    Article  PubMed  Google Scholar 

  125. Eggebrecht H, Bestehorn M, Haude M, Schmermund A, Bestehorn K, Voigtländer T, Kuck KH, Mehta RH (2016) Outcomes of transfemoral transcatheter aortic valve implantation at hospitals with and without on-site cardiac surgery department: insights from the prospective German aortic valve replacement quality assurance registry (AQUA) in 17 919 patients. Eur Heart J 37:2240–2248

    Article  PubMed  Google Scholar 

  126. Schächinger V, Naber CK, Kreuzer J et al (2012) Curriculum interventionelle Kardiologie. Kardiologe 6:315–323

    Article  Google Scholar 

  127. Kuck KH, Eggebrecht H, Figulla HR, Haude M, Katus H, Möllmann H, Naber CK, Schunkert H, Thiele H, Hamm CW (2015) Qualitätskriterien zur Durchführung der transvaskulären Aortenklappenimplantation (TAVI). Positionspapier der Deutschen Gesellschaft für Kardiologie. Kardiologe 9:11–26

    Article  Google Scholar 

  128. Beckmann A, Beyersdorf F, Diegeler A, Mohr FW, Welz A, Rein JG, Cremer J (2013) Basic standards for a department of cardiac surgery. Quality requirements for the care of cardiac patients in connections with operations on the heart, the heart vessels and thoracic organ transplantation. Thorac Cardiovasc Surg 61:651–655

    Article  PubMed  Google Scholar 

  129. Deutsche Gesellschaft für Thorax‑, Herz-und Gefäßchirurgie (2020) Kriterien zum Erwerb des Zertifikats „Katheterbasierte Therapie von Herzklappen“. https://www.dgthg.de/upload/pdf/Kriterien_Zertifikat_KTHkl_mMuster.pdf. Zugegriffen: 21.04.2020

  130. Kuck KH, Eggebrecht H, Elsässer A, Hamm CW, Haude M, Ince H, Katus H, Möllmann H, Naber CK, Schunkert H, Thiele H, Werner N (2016) Qualitätskriterien zur Durchführung der kathetergestützten Aortenklappenimplantation (TAVI). Aktualisierung des Positionspapiers der Deutschen Gesellschaft für Kardiologie. Kardiologe 10:282–300

    Article  Google Scholar 

  131. Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, Iung B, Lancellotti P, Lansac E, Rodriguez Muñoz D, Rosenhek R, Sjögren J, Tornos Mas P, Vahanian A, Walther T, Wendler O, Windecker S, Zamorano JL, ESC Scientific Document Group. (2017) 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 38(36):2739–2791

    Article  PubMed  Google Scholar 

  132. Baumgartner H, Cremer J, Eggebrecht H, Diegeler A, Hamm C, Welz A, Haude M, Beyersdorf F, Ince H, Walther T, Kuck KH, Falk V (2018) Kommentar zu den Leitlinien (2017) der ESC/EACTS zum Management von Herzklappenerkrankungen. Kardiologe 12:184–193

    Article  Google Scholar 

Download references

Reviewer

Johann Bauersachs (Hannover), Andreas Böning (Gießen), Albrecht Elsässer (Oldenburg), Volkmar Falk (Berlin), Jan Gummert (Bad Oeynhausen), Christian Hamm (Gießen), Michael Haude (Neuss), Rüdiger Lange (München), Hermann Reichenspurner (Hamburg), Thomas Schmitz (Essen), Andreas Zeiher (Frankfurt am Main)

Author information

Authors and Affiliations

  1. Kardiologie, LANS Cardio Hamburg, Stephansplatz 5, 20354, Hamburg, Deutschland

    Karl-Heinz Kuck

  2. Klinik für Thorax- und Kardiovaskularchirurgie, Herz- und Diabeteszentrum NRW, Bad Oeynhausen, Deutschland

    Sabine Bleiziffer

  3. Medizinisches Versorgungszentrum, CCB am Agaplesion Bethanien Krankenhaus, Frankfurt am Main, Deutschland

    Holger Eggebrecht

  4. Klinik für Herz- und thorakale Gefäßchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland

    Stephan Ensminger

  5. Klinik für Kardiologie, Angiologie, Pneumologie und Internistische Intensivmedizin, Herzzentrum der Universität zu Köln, Köln, Deutschland

    Christian Frerker

  6. Klinik für Innere Medizin I, St.-Johannes-Hospital Dortmund, Dortmund, Deutschland

    Helge Möllmann

  7. Medizinische Klinik I – Kardiologie und Angiologie, Universitätsklinikum Gießen und Marburg GmbH, Gießen, Deutschland

    Holger Nef

  8. Klinik für Innere Medizin/Kardiologie, Herzzentrum Leipzig, Universität Leipzig, Leipzig, Deutschland

    Holger Thiele

  9. Universitätsklinikum Bonn, Bonn, Deutschland

    Hendrik Treede

  10. Klinik für Herz- und Thoraxchirurgie, Herz- und Gefäßzentrum Bad Bevensen, Bad Bevensen, Deutschland

    Gerhard Wimmer-Greinecker

  11. Klinik für Thorax‑, Herz- und Thorakale Gefäßchirurgie, Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland

    Thomas Walther

Authors
  1. Karl-Heinz Kuck
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sabine Bleiziffer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Holger Eggebrecht
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Stephan Ensminger
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Christian Frerker
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Helge Möllmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Holger Nef
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Holger Thiele
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Hendrik Treede
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Gerhard Wimmer-Greinecker
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Thomas Walther
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karl-Heinz Kuck.

Ethics declarations

Interessenkonflikt

K.-H. Kuck, S. Bleiziffer, H. Eggebrecht, S. Ensminger, C. Frerker, H. Möllmann, H. Nef, H. Thiele, H. Treede, G. Wimmer-Greinecker und T. Walther geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

Dieses Konsensuspapier wurde parallel in der Zeitschrift Der Kardiologe und in der Zeitschrift für Herz‑, Thorax-und Gefäßchirurgie veröffentlicht.

Aus Gründen der besseren Lesbarkeit und Verständlichkeit der Texte wird in Springer-Publikationen in der Regel das generische Maskulinum als geschlechtsneutrale Form verwendet. Diese Form impliziert immer alle Geschlechter.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kuck, KH., Bleiziffer, S., Eggebrecht, H. et al. Konsensuspapier der Deutschen Gesellschaft für Kardiologie (DGK) und der Deutschen Gesellschaft für Thorax‑, Herz- und Gefäßchirurgie (DGTHG) zur kathetergestützten Aortenklappenimplantation (TAVI) 2020. Kardiologe 14, 182–204 (2020). https://doi.org/10.1007/s12181-020-00398-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12181-020-00398-w

Schlüsselwörter

Keywords

Search

Navigation