Performance and Safety of Transfemoral TAVI With SAPIEN XT in Australian Patients With Severe Aortic Stenosis at Intermediate Surgical Risk: SOLACE–AU Trial

The patient with severe asymptomatic aortic stenosis presenting for elective noncardiac surgery poses a unique challenge. These patients are not traditionally offered surgical aortic valve replacement or transcatheter aortic valve replacement given their lack of symptoms; however, they are at increased risk for postsurgical complications given the severity of their aortic stenosis. The decision to proceed with elective noncardiac surgery should be based on individual and surgical risk factors. However, severity of aortic stenosis is not accounted for in current surgical risk factor assessment scoring; therefore, extensive communication with patients and surgical teams is necessary to minimize a patient’s risk. A clear intraoperative plan should be designed to manage the unique hemodynamics of these patients, and a discussion should address postoperative placement.

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Outcomes of Patients With Severe Aortic Stenosis at High Surgical Risk Evaluated in a Trial of Transcatheter Aortic Valve Implantation

The American Journal of Cardiology ◽

10.1016/j.amjcard.2012.05.034 ◽

2012 ◽

Vol 110 (7) ◽

pp. 1008-1014 ◽

Cited By ~ 17

Author(s):

Itsik Ben-Dor ◽

Danny Dvir ◽

Israel M. Barbash ◽

Petros Okubagzi ◽

Rebecca Torguson ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Stenosis ◽

Transcatheter Aortic Valve Implantation ◽

Severe Aortic Stenosis ◽

Surgical Risk ◽

Transcatheter Aortic Valve ◽

High Surgical Risk ◽

Aortic Valve Implantation ◽

Valve Implantation

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Effect of SAPIEN 3 Transcatheter Valve Implantation on Health Status in Patients With Severe Aortic Stenosis at Intermediate Surgical Risk

JACC Cardiovascular Interventions ◽

10.1016/j.jcin.2018.02.032 ◽

2018 ◽

Vol 11 (12) ◽

pp. 1188-1198 ◽

Cited By ~ 9

Author(s):

Suzanne J. Baron ◽

Vinod H. Thourani ◽

Susheel Kodali ◽

Suzanne V. Arnold ◽

Kaijun Wang ◽

...

Keyword(s):

Health Status ◽

Aortic Stenosis ◽

Severe Aortic Stenosis ◽

Surgical Risk ◽

Sapien 3 ◽

Transcatheter Valve ◽

Valve Implantation

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Treatment of Severe Aortic Stenosis: Development and Feasibility Testing of an Aortic Valve Bypass Apical Cannula

ASME 2011 Summer Bioengineering Conference, Parts A and B ◽

10.1115/sbc2011-53257 ◽

2011 ◽

Author(s):

Joel D. Graham ◽

M. Keith Sharp ◽

Steven C. Koenig ◽

Guruprasad Giridharan ◽

Michael A. Sobieski ◽

...

Keyword(s):

Aortic Valve ◽

Left Ventricle ◽

Aortic Stenosis ◽

Severe Aortic Stenosis ◽

The Elderly ◽

Mortality Rates ◽

Cardiovascular Medicine ◽

Descending Aorta ◽

Surgical Risk ◽

Aortic Valve Bypass

Treatment of aortic stenosis through surgical replacement has been one of the most successful advances in cardiovascular medicine (1), though use in certain patient populations, specifically in the elderly, has been associated with increased mortality rates (2). A growing alternative surgery is Aortic Valve Bypass (AVB). This therapy offers decreased surgical risk because it does not require cardiopulmonary bypass, aortic crossclamping, aortotomy, or cardioplegic cardiac arrest (3). A one-way conduit between the apex of the left ventricle and the descending aorta increases flow by reducing afterload (Fig. 1, LEFT). Systolic blood from the left ventricle is ejected via both the native stenotic aortic valve and the AVB circuit. In this feasibility study, an apical cannula was developed and tested.

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