Transcatheter aortic valve implantation

Surg Today. 2015 May;45(5):527-36. doi: 10.1007/s00595-014-0902-8. Epub 2014 May 20.

Abstract

With the improvement in the overall life expectancy, the incidence of aortic stenosis has been increasing. Although aortic valve replacement is a standard therapy, many patients do not undergo surgery for various reasons, including advanced age or the presence of multiple comorbidities. Transcatheter aortic valve implantation (TAVI) has been proposed as a less invasive and equally effective treatment for inoperable or high-risk symptomatic aortic stenosis. Numerous rigorous global clinical trials, as well as a pivotal clinical trial in Japan, have been conducted. In this review, we provide data on the development of TAVI worldwide and discuss the prospects for TAVI in Japan.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aortic Valve Stenosis / surgery*
  • Contraindications
  • Cost-Benefit Analysis
  • Echocardiography
  • Humans
  • Intraoperative Complications
  • Japan
  • Minimally Invasive Surgical Procedures / methods*
  • Surgery, Computer-Assisted / methods*
  • Transcatheter Aortic Valve Replacement / economics
  • Transcatheter Aortic Valve Replacement / methods*
  • Ultrasonography, Interventional