TAVR Mechanical Complications Prevention and Management

Christian McNeely, John M. Lasala

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Transcatheter aortic valve replacement (TAVR) is now considered a treatment option for most patients with aortic stenosis, irrespective of surgical risk. Despite increasing operator experience with TAVR in high- and low-risk patients and overall refinement of all aspects of the procedure, there continue to be occasional complications associated with significant morbidity and mortality. Of these, mechanical complications including annular rupture, perforation and tamponade, bioprosthetic valve infolding, and valve embolization are some of the most significant and have not significantly declined over time. In this chapter, we provide an overview of these complications and steps we can take to avoid them.

Original languageEnglish
Title of host publicationMastering Structural Heart Disease
Publisherwiley
Pages131-137
Number of pages7
ISBN (Electronic)9781119807841
ISBN (Print)9781119807827
DOIs
StatePublished - Jan 1 2023

Keywords

  • Annular rupture
  • Mechanical complications
  • Perforation and tamponade
  • Self-expanding valve (SEV)
  • Transcatheter embolization or migration (TVEM)
  • Transcatheter heart valve (THV)
  • Transthoracic aortic valve replacement (TAVR)
  • Valve infolding

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