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The requirement of extracorporeal circulation system for transluminal aortic valve replacement: Do we really need it in the catheterization laboratory?
Author(s) -
Toutouzas Konstantinos,
Synetos Andreas,
Latsios George,
Mastrokostopoulos Antonis,
Stathogiannis Konstantinos,
Drakopoulou Maria,
Trantalis George,
Tsiamis Eleftherios,
Tousoulis Dimitrios
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25988
Subject(s) - medicine , extracorporeal circulation , valve replacement , complication , stenosis , cardiac catheterization , aortic valve replacement , surgery , cath lab , aortic valve stenosis , aortic valve , cardiology , myocardial infarction , conventional pci
Transcatheter aortic valve replacement (TAVR) is the mainstay for treating high‐risk patients with aortic stenosis. As the TAVR procedures worldwide keep increasing, it is inevitable that more issues and complications will arise. Such a complication that merits attention is the conversion of TAVR into open‐heart surgery and the necessity this complication creates to have an extracorporeal circulation system in the catheterization laboratory. This review contains an analysis of all major randomized trials and registries on the number and cause of TAVR procedures that ended up in open‐heart surgery and presents data to challenge the prerequisite of extracorporeal circulation system in the cath laboratory. © 2015 Wiley Periodicals, Inc.