Abstract
Purpose of review
In this review, we provide an overview of potential prosthesis — related complications after transcatheter aortic valve replacement, their incidences, the imaging modalities best suited for detection, and possible strategies to manage these complications.
Recent findings
Therapy for severe aortic valve stenosis requiring intervention has increasingly evolved toward transcatheter aortic valve replacement over the past decade, and the number of procedures performed has increased steadily in recent years. As more and more centers favor a minimalistic approach and largely dispense with general anesthesia and intra-procedural imaging by transesophageal echocardiography, post-procedural imaging is becoming increasingly important to promptly detect dysfunction of the transcatheter valve and potential complications.
Summary
Complications after transcatheter aortic valve replacement must be detected immediately in order to initiate adequate therapeutic measures, which require a profound knowledge of possible complications that may occur after transcatheter aortic valve replacement, the imaging modalities best suited for detection, and available treatment options.
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Abbreviations
- 2D:
-
Two-dimensional
- 3D:
-
Three-dimensional
- AR:
-
Aortic regurgitation
- AS:
-
Aortic stenosis
- BEV:
-
Balloon-expandable valve
- CCT:
-
Cardiac computed tomography
- CMR:
-
Cardiac magnetic resonance
- DMR:
-
Degenerative mitral regurgitation
- ECG:
-
Electrocardiogram
- EROA:
-
Effective regurgitant orifice area
- FMR:
-
Functional mitral regurgitation
- HALT:
-
Hypo-attenuating leaflet thickening
- IE:
-
Infective endocarditis
- LVOT:
-
Left ventricular outflow tract
- LV:
-
Left ventricle
- MDCT:
-
Multidetector computed tomography
- MR:
-
Mitral regurgitation
- PPM:
-
Prosthesis-patient mismatch
- PVL:
-
Paravalvular leak
- SAVR:
-
Surgical aortic valve replacement
- SEV:
-
Self-expanding valve
- TAV:
-
Transcatheter aortic valve
- TAVR:
-
Transcatheter aortic valve replacement
- TEE:
-
Transesophageal echocardiography
- TTE:
-
Transthoracic echocardiography
- VARC:
-
Valve Academic Research Consortium
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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Wunderlich, N.C., Honold, J., Swaans, M.J. et al. How to Image and Manage Prosthesis-Related Complications After Transcatheter Aortic Valve Replacement. Curr Cardiol Rep 23, 94 (2021). https://doi.org/10.1007/s11886-021-01522-2
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DOI: https://doi.org/10.1007/s11886-021-01522-2