Medizintechnik pp 1403-1418 | Cite as

Innovative Aortenklappenimplantation

  • Paul Libera
  • Wolfgang Götz
  • Christian Schreiber
  • Robert Bauernschmitt
  • Rüdiger Lange
Chapter

Zusammenfassung

Die Versorgung von degenerierten Herzklappen erlebt zurzeit in mehrfacher Hinsicht einen Wandel: Einerseits lässt die wachsende Zahl von kardiovaskulären Erkrankungen, verbunden mit dem Altern der Bevölkerung, die Zahl der erkrankten Herzklappen ansteigen. Andererseits erwächst mit der neuen Aufsehen erregenden Methode der Katheter gestützten Klappenimplantation am schlagenden Herzen, deren vielversprechender Einsatz im Rahmen verschiedener klinischen Studien zur Zeit untersucht wird, eine Alternative zur traditionellen offenen Herzklappenchirurgie. Offensichtlich stehen wir ganz am Anfang dieser grundlegenden Veränderungen. Das vorliegende Kapitel will die Entwicklung der Katheter gestützten Aortenklappenimplantation bis zum heutigen Tag skizzieren, eine Momentaufnahme aktueller Bestrebungen vermitteln und einen Ausblick wagen, durchaus im Bewusstsein, dass alle diesbezüglichen Ideen, Meinungen und Entwicklungen gegenwärtig im Fluss sind.

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

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Grube E, Gerckens U, Buellesfeld L. Perkutaner Aortenklappenersatz. Herz 2006; 31: 694–7 CrossRefGoogle Scholar
  2. 2.
    Block PC, Palacios IF. Clinical and Hemodynamic Follow-Up After Percutaneous Aortic Valvuloplasty in the Elderly. Am J Cardiol 1966;62:760–3CrossRefGoogle Scholar
  3. 3.
    Vahanian A, Palacios IF. Percutaneous Approaches to Valvular Disease. Circulation 2004; 109;1572–9CrossRefGoogle Scholar
  4. 4.
    Antunes MJ. Off-pump aortic valve replacement with catheter-mounted valved stents: Is the future already here? Eur J Cardiothorac Surg 2007;31:1–3CrossRefGoogle Scholar
  5. 5.
    Bonhoeffer P, Boudjemline Y, Z Saliba, Hausse AO, Aggoun Y, Bonnet D, Sidi D, Kachaner J. Transcatheter Implantation of a Bovine Valve in Pulmonary Position. A Lamb Study. Circulation 2000;102:813–6Google Scholar
  6. 6.
    Bonhoeffer P, Boudjemline Y, Saliba Z, Merckx J, Aggoun Y, Bonnet D, Acar P, Le Bidois J, Sidi D, Kachaner J. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet 2000; 356:1403–5CrossRefGoogle Scholar
  7. 7.
    Bonhoeffer P, Boudjemline Y, Qureshi SA, Le Bidois J, Iserin L, Acar P, Merckx J, Kachaner J, Sidi D. Percutaneous insertion of the pulmonary valve. J Am Coll Cardiol. 2002;39:1664–9.CrossRefGoogle Scholar
  8. 8.
    Pavenic D, Wright KC, Wallace S. Development and Initial Experimental Evaluation of a Prosthetic Aortic Valve for Transcatheter Placement. Radiology 1992;183:151–4Google Scholar
  9. 9.
    Andersen HR, Knudsen LL, Hasenkam JM. Transluminal implantation of artificial heart valves. Description of a new expandable aortic valve and initial results with implantation by catheter technique in closed chest pigs. European Heart Journal 1992;13:704–8Google Scholar
  10. 10.
    Lutter G, Kuklinski D, Berg G, von Samson P, Martin J, Handke M, Uhrmeister P, Beyersdorf F. Percutaneous aortic valve replacement: An experimental study. I. Studies on implantation. J Thorac Cardiovasc Surg 2002;123:768–76CrossRefGoogle Scholar
  11. 11.
    Boudjemline Y, Bonhoeffer P. Steps Toward Percutaneous Aortic Valve Replacement. Circulation 2002;105:775–8CrossRefGoogle Scholar
  12. 12.
    Khambadkone S, Bonhoefer P. Pulmonary valve implantation: prevention and treatment of complications. EuroIntervention Supplements 2006 1 Supp A:A29–A31Google Scholar
  13. 13.
    Khambadkone S, Bolger A, Bonhoeffer P. Percutaneous Pulmonary Valve Implantation: 83 patients. EuroIntervention Supplements 2006 1; Supp A: A26–A28Google Scholar
  14. 14.
    Cribier A, Eltchaninoff H, Bash A, Borenstein N, Tron C, Bauer F, Derumeaux G, Anselme F, Laborde F, Leon MB. Percutaneous Transcatheter Implantation of an Aortic Valve Prosthesis for Calcific Aortic Stenosis. First Human Case Description. Circulation 2002;106:3006–8CrossRefGoogle Scholar
  15. 15.
    Khambadkone S, Bonhoeffer P. Percutaneous implantation of atrioventricular valves: concept and early animal experience. EuroIntervention Supplements 2006 1; Supp A: A24–A25Google Scholar
  16. 16.
    Cribier A, Eltchaninoff H, Tron C, Bauer F, Agatiello C, Sebagh L, Bash A, Nusimovici D, Litzler PJ, Bessou J-P, Leon MB. Experience With Percutaneous Transcatheter Implantation of Heart Valve Prosthesis for the Treatment of End-Stage Inoperable Patients With Calcific Aortic Stenosis. JACC 2004;43,4:698–703Google Scholar
  17. 17.
    Hanzel GS, O´Neill WW. Complications of percutaneous aortic valve replacement: experience with the Cribier-Edwards percutaneous heart valve. EuroIntervention Supplements 2006; 1 Supp A:A3–A8Google Scholar
  18. 18.
    Paniagua D, Induni E, Ortiz C, Mejia C, Lopez-Jimenez F, Fish RD. Percutaneous Heart Valve in the Chronic In Vitro Testing Model. Circulation 2002;106;51–2 CrossRefGoogle Scholar
  19. 19.
    Paniagua D, Condado JA, Besso J, Vélez M, Burger B, Bibbo S, Cedeno D, Acquatella H, Mejia C, Induni E, Fish RD. First Human Case of Retrograde Transcatheter Implantation of an Aortic Valve Prosthesis. Tex Heart Inst J 2005;32:393–8Google Scholar
  20. 20.
    Paniagua D, Condada J, Mejia C, Induni E, Fish RD. Paniagua heart valve preclinical testing and transcatheter implantation of an aortic valve prosthesis. EuroIntervention Supplements 2006 1; Supp A: A9–A13Google Scholar
  21. 21.
    Jamieson WRE, Zhang J, Quijano RC. Antegrade placement of the aortic valve stent: transventricular delivery with the Entrata system. EuroIntervention Supplements 2006 1 Supp A:A14–A18Google Scholar
  22. 22.
    Laborde JC, Borensrein N, Behr L, Farah B, Fajadet J. Percutaneous implantation of the corevalve aortic valve prosthesis for patients presenting high risk for surgical valve replacement. EuroIntervention 2006;1:472–4Google Scholar
  23. 23.
    Ferrari M, Figulla R, Schlosser M, Tenner I, Frerichs I, Damm C, Guyenot V, Werner GS, Hellige G. Transarterial aortic valve replacement with a self expanding stent in pigs. Heart 2004;90:1326–31CrossRefGoogle Scholar
  24. 24.
    Grube E, Laborde JC, Gerckens U, Felderhoff T, B Sauren, Buellesfeld L, Mueller R, Menichelli M, Schmidt T, Zickmann B, Iversen S, Stone GW. Percutaneous Implantation of the CoreValve Self-Expanding Valve Prosthesis in High-Risk Patients With Aortic Valve Disease: The Siegburg First-in-Man Study. Circulation 2006;114:1616–24CrossRefGoogle Scholar
  25. 25.
    Lamarche Y, Cartier R, Denault AY, Basmadjian A, Berry C, Laborde J-C, Bonan R. Implantation of the CoreValve Percutaneous Aortic Valve. Ann Thorac Surg 2007;83:284–7CrossRefGoogle Scholar
  26. 26.
    Beyersdorf F. Transapical transcatheter aortic valve implantation. Eur J Cardiothorac Surg 2007;31:7–8 CrossRefGoogle Scholar
  27. 27. a)
    Schreiber C. Self Expanding Pulmonary valve. Valve Eur J CardiothoraGoogle Scholar
  28. 27. b)
    b) Schreiber C, Hörer J, Vogt M, Fratz S, Kunze M, Galm C, Eicken A, Lange R. A new treatment option for pulmonary valvar insufficiency: first experiences with implantation of a self-expanding stented valve without use of cardiopulmonary bypass. Eur J Cardiothorac Surg. 2007; 31:26–30CrossRefGoogle Scholar
  29. 28.
    Lichtenstein SV, Cheung A, Ye J, Thompson CR, Carere RG, Pasupati, Webb JG. Transapical Transcatheter Aortic Valve Implantation in Humans: Initial Clinical Experience. Circulation 2006;114;591–6CrossRefGoogle Scholar
  30. 29.
    Tozzi P, Pawelec-Wojtalic M, Bukowska D, Argitis V, von Segesser LK. Endoscopic off-pump aortic valve replacement: does the pericardial cuff improve the sutureless closure of left ventricular access? Eur J Cardiothorac Surg 2007;31:22–5 CrossRefGoogle Scholar
  31. 30.
    Segesser v LK. Direct percutaneous valve replacement: the next step? European Journal of Cardio-thoracic Surgery 2004;26:873–4CrossRefGoogle Scholar
  32. 31.
    Lichtenstein SV: Closed heart surgery: Back to the future. J Thorac Cardiovasc Surg 2006; 131: 941–3CrossRefGoogle Scholar
  33. 32.
    Walther T, Dewey T, Wimmer-Greinecker G, Doss M, Hambrecht R,Schuler G, Mohr FW, Mack M. Transapical approach for sutureless stent-fixed aortic valve implantation: experimental results. European Journal of Cardio-thoracic Surgery 2006;29:703–8CrossRefGoogle Scholar
  34. 33.
    Ye J, Cheung A, Lichtenstein SV, Carere RG, Thompson CR, Pasupati S, MD, Webb JG. Transapical aortic valve implantation in humans. J Thorac Cardiovasc Surg 2006;131:1194–6CrossRefGoogle Scholar
  35. 34.
    Ye J, Cheung A, Lichtenstein SV, Pasupati S, Carere RC, Thompson CR, Sinhal A, Webb JG. Six-month outcome of transapical transcatheter aortic valve implantation in the initial seven patients. Eur J Cardiothorac Surg 2007;31:16–21CrossRefGoogle Scholar
  36. 35.
    Walther T, Falk V, Borger MA, Dewey T, Wimmer-Greinecker G, Schuler G, Mack M, Mohr FW. Minimally invasive transapical beating heart aortic valve implantation -proof of concept. Eur J Cardiothorac Surg 2007;31:9–15 CrossRefGoogle Scholar
  37. 36.
    Lutter G, Ardehali R, Cremer J, Bonhoeffer P. Percutaneous Valve Replacement: Current State and Future Prospects. Ann Thorac Surg 2004;78:2199 –206CrossRefGoogle Scholar
  38. 37.
    Quaden R, Attmann T, Boening A, Cremer J, Lutter G. Percutaneous aortic valve replacement: resection before implantation. European Journal of Cardio-thoracic Surgery 2005;27:836–40CrossRefGoogle Scholar
  39. 38.
    White JK, Sun A, Killien L, Evangelista D. Percutaneous aortic valve replacement in a reanimated postmortem heart. EuroIntervention Supplements 2006 1; Supp A: A19–A23Google Scholar
  40. 39.
    Vassiliades TA Jr, Block PC, Cohn LH, Adams DH, Borer JS, Feldman T, Holmes DR, Laskey WK, Lytle BW, Mack MJ, MD, Williams DO. The Clinical Development of Percutaneous Heart Valve Technology. A Position Statement of The Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), and the Society for Cardiovascular Angiography and Interventions (SCAI). Ann Thorac Surg 2005;79:1812–8CrossRefGoogle Scholar
  41. 40.
    Fish RD. Percutaneous Heart Valve Replacement: Enthusiasm Tempered. Circulation 2004;110;1876–1878CrossRefGoogle Scholar
  42. 41.
    Walther T, Mohr FW. Aortic valve surgery: time to be open-minded and to rethink. Eur J Cardiothorac Surg 2007;31:4–6CrossRefGoogle Scholar
  43. 42.
    Lange R, Schreiber C, Götz W, Hettich I, Will A, Libera P, Laborde JC, Bauernschmitt R. First successful transapical aortic valve implantation with the CoreValve ReValving™ System: a case report. Heart Surg Forum 2007 (in press)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Paul Libera
    • 1
  • Wolfgang Götz
    • 1
  • Christian Schreiber
    • 1
  • Robert Bauernschmitt
    • 1
  • Rüdiger Lange
    • 1
  1. 1.Klinik für Herz- und Gefäßchirurgie, Deutsches Herzzentrum MünchenKlinik an der TU MünchenMünchenDeutschland

Personalised recommendations